A port closure device includes a pair of jaws that may move repeatably between open and closed positions and repeatably pass a needle therebetween. The jaws are generally perpendicular to a longitudinal axis of the device in the closed position and generally parallel to the longitudinal axis in the open position. The device further includes a jaw control rod for controlling movement of the jaws and a needle control rod for controlling the passing of the needle between the two jaws.

Surgical tools and kits for performing methods include a grommet with cylindrical shaft, cutting tip, annular flange with suture retaining anchoring fixture; a grommet jig for extending between adjacent grommets and guiding a needle therebetween; a family of needles with single and double pointed ends, reinforced eyelets, stops to limit inadvertent exiting, double shaft construction with a longitudinal gap and sharpened, slicing ends, including a J shape embodiment; a bone anchor with ring to secure sutures about a patient's clavicle; a tissue dissector having radially extending cones to nick taut connecting tissues; a tissue rasp having a series of crisscrossing grooves along an end; a tissue mesher comprising one or more blocks having a matrix of holes for clamping a plurality of needles and a supporting framework; and a kit device and a method of surgically inserting an internal mesh brassiere under the breast skin.

A suture device for use in combination with a delivery system including a lumen extending through the delivery system includes a needle usable to carry a suture, a distal shuttle configured to releasably secure the needle, a sleeve disposable over the distal shuttle, the distal shuttle movable relative to the sleeve between a locked position in which the needle is locked to the distal shuttle and an unlocked position in which the needle is releasable from the distal shuttle. A shaft is operably coupled to the sleeve and a control wire is operably coupled to the distal shuttle. A needle may include a needle cap.

A port closure device includes a pair of jaws that may move repeatably between open and closed positions and repeatably pass a needle therebetween. The jaws are generally perpendicular to a longitudinal axis of the device in the closed position and generally parallel to the longitudinal axis in the open position. The device further includes a jaw control rod for controlling movement of the jaws and a needle control rod for controlling the passing of the needle between the two jaws.

A rotational driver that comprises a interactive portion, wherein each interactive portion comprises a first extended member and a second extended member, a rotational system and a linear motion system, wherein the rotational driver permits a left or right handed surgeons to perform the surgical suturing procedure in a less complicated and more secure way by allowing more control over the angled suturing needle and the area to be stitched, even when the suturing area is small, deep, and/or restricted. Also the rotational driver comprises several configurations at the interactive portion ends to provide selected angles for the needle during the suturing procedure.

A needle for use with an endoscopic stitching device includes a first end portion that is movable relative to a second end portion to allow the needle to convert from a first, mis-aligned orientation to a second, aligned orientation, thereby allowing the length of the needle in the aligned orientation to exceed the height of an end effector.

A loading fixture for use with an endoscopic stitching device includes a needle and a loading portion configured to receive jaws of the endoscopic stitching device. The loading portion includes a shuttle configured to detachably support the needle thereon. The shuttle is transversely slidable such that the needle supported on the shuttle engages at least one of the jaws of the endoscopic stitching device. The loading portion further includes guides to position the jaws of the endoscopic stitching device therebetween and a biasing member configured to bias the shuttle toward one of the guides.

A needle for use with an endoscopic stitching device includes a first end portion that is movable relative to a second end portion to allow the needle to convert from a first, mis-aligned orientation to a second, aligned orientation, thereby allowing the length of the needle in the aligned orientation to exceed the height of an end effector.

An endoscopic stitching device includes a handle assembly having a main rod and first and second blade control members, and an elongate shaft assembly having first and second blade drive members, an axial rod, and an end effector. The first and second blade drive members are received in respective first and second grooves of the first and second blade control members and rotated about the first and second blade control members to be secured with a circumferential groove of the first and second blade control members, such that the first and second blade control members are movable with the respective first and second blade drive members. The axial rod is detachably coupled with the main rod for concomitant movement therewith. The end effector includes jaws operatively coupled with the axial rod, and needle receiving blades operatively coupled with the respective first and second blade drive members.

A stitching device includes a handle assembly and an elongate shaft assembly. The handle assembly includes a main rod and a drive conversion assembly including a cam wheel, a pivot block, first and second links, and a pawl. The pawl is operatively coupled to the main rod, and is configured to engage the pivot block to cause rotation of the pivot block which, in turn, causes reciprocating displacement of the first and second links. The elongate shaft assembly includes first and second blade drive members coupled to the cam wheel. The tool assembly includes first and second jaws and first and second blades. The first and second blades are operatively coupled with the respective first and second blade drive members, wherein axial displacement of the main rod transitions the first and second jaws between open and closed positions and causes reciprocating axial displacement of the first and second blades.