A method of treating urinary incontinence in a patient includes providing a sling assembly comprising: a sling, an adjustable anchor, and a fixed anchor; making a vaginal incision in the patient; placing the fixed anchor and the adjustable anchor into obturator tissue of the patient; and adjusting the sling relative to a position under a urethra of the patient by sliding a first interconnecting member through the adjustable anchor.

Described are methods of treating urinary incontinence using a urinary sling and a tissue path that passes through the obturator foramen, along with related surgical implants, devices, systems and kits.

A fistula treatment system comprises a guide such as a guide coil 1101 which is adapted to extend partially around a tissue tract and an implant element 1102. The implant element 1102 is activated to draw tissue surrounding the tract inwardly.

Disclosed is a suturing needle having a tapered transition portion extending from a proximal end of the needle to cover at least a portion of a suture thread swaged on the needle. The tapered transition portion is flexible and provides a smooth transition from a diameter of the suture thread to a diameter of the needle body. The tapered transition portion allows for engaging the suture needle on rollers of a rotational needle driver in one smooth motion.

A suturing needle having a substantially circular cross-section and a non-smooth profile, and methods of suturing with the needle using a rotational needle driver. The profile of the needle may include a plurality of indentations that form protruding ridges along a longitudinal length of the needle. These ridges may match grooves within rollers of the needle driver. The suture needle may further include a tapered transition portion extending from a proximal end of the needle to cover at least a portion of a suture thread transition portion on the needle. The tapered transition portion is flexible and provides a smooth transition from the suture thread diameter to the needle diameter, so that the rollers may engage the needle in one smooth motion.

Disclosed embodiments include apparatuses, systems, and methods for facilitating anastomosis between bodily passages. In an illustrative embodiment, an eversion mechanism is configured to engage a first external surface of a receiving passage adjacent a first opening in the receiving passage in order to create a receiving flange presenting a first interior face. A donor support mechanism is configured to support a donor passage with an opening in an end in an everted position that forms a donor flange presenting a second interior face. The donor support mechanism is further configured to present the second interior face of the donor flange against the first interior face of the receiving flange to present a passage juncture. A suturing mechanism is configured to motivate a filament through a helical path around the passage juncture to suture the second interior face of the donor passage to the first interior face of the receiving passage.

A surgical instrument is disclosed comprising a shaft, an end effector, and an articulation joint rotatably connecting the end effector to the shaft. The surgical instrument further comprises an articulation drive system configured to permit high degrees of articulation.

Devices are provided for a suturing device used during laparoscopic surgical procedures. A suturing needle includes a shaft forming a rod axis; a curved body having a piercing tip at a first end and a base at a second end; and an arm extending radially from the shaft to the base of the curved body such that the curved body is positioned in a plane orthogonal to the rod axis of the shaft and rotatable about the shaft in the plane orthogonal to the rod axis. The suturing device includes a housing, a suturing needle, one or more sutures, a suture magazine configured to hold the one or more sutures, and a drive system, whereby the drive system may actuate the suturing needle to rotate in the plane orthogonal to the drive system, allowing the suturing needle to drive in to and out of tissue to apply a suture.

A surgical clip applier comprising an electric motor system is disclosed. The electric motor system is configured to drive a clip firing system of the surgical clip applier. The surgical clip applier further comprises a control system configured to control the electric motor system. The control system is configured to monitor a strain gauge circuit to assess the crimping force experienced by the clip firing system. In at least one instance, one or more strain gauges are mounted to a drive shaft and/or jaw of the clip firing system. The control system modifies the operation of the surgical clip applier when the voltage of the strain gauge circuit exceeds and/or falls below a threshold. In at least one instance, the control system modulates the width, or duration, of voltage pulses applied to the electric motor system to control the speed of the electric motor system.

Disclosed embodiments include apparatuses, systems, and methods for suturing a wound, incision, or other opening. In an illustrative embodiment, an apparatus includes a helically-shaped needle having a helical radius, the needle having a shaft and drawing a filament from a trailing end. Two generally-parallel rollers are configured to engage therebetween the shaft, the first roller having a roller radius that is less than the helical radius of the needle to enable the needle to revolve around the first roller to pierce a body adjacent the first roller and to draw the filament therethrough. A frame is configured to counter-rotatably support the rollers. The frame includes couplings configured to detachably receive distal ends of a support shaft and drive member extending from a drive mechanism, the drive member being configured to provide the rotational force to at least one of the rollers.