Devices, systems, and methods are provided for managing suture filaments when performing soft tissue repair. One exemplary embodiment of a surgical suture management device is in the form of a suture loop management card. The card can generally be configured to hold open a collapsible loop of suture until a force applied to the loop is greater than a threshold tension. The card can include a number of different features that help to keep the loop open until the threshold tension is achieved, including features designed to prevent the filament from being mistakenly offloaded. The card can be configured to be removably inserted into a handle of an inserter tool for use as a surgical tissue repair system. Other devices, systems, and methods for performing soft tissue repair are also provided.

Various embodiments of the present invention are directed towards a single barrier folder to carry a suture and a needle therein. The single barrier folder comprises a plurality of openings configured to allow placement of a suture and form a suture winding and a first flap comprising a needle parking mechanism. The needle parking mechanism comprises a first portion, a notch, and a cutout. The cutout and the notch are configured to hold the needle and the first portion is foldable and configured to fold in locking engagement with the notch. The single barrier folder also comprises a second flap and a third flap on opposite sides of the plurality of openings and a slit configured to receive an end portion of a fourth flap to lock the single barrier folder. The present invention also provides method of placing and folding the flaps to pack needle and suture inside the single barrier folder.

Devices, systems, and methods are provided for managing suture filament during a tissue repair procedure. One exemplary embodiment of an anchor insertion tool includes a handle, an elongate shaft extending distally from the handle, and a ring disposed around the elongate shaft. The ring can be configured to slide along a length of the shaft, and can be configured to engage a filament extending from an anchor removably coupled to the shaft's distal end during a suture anchor insertion procedure. In some embodiments, the ring can include one or more slots for receiving a filament and maintaining a tension applied to the filament. The ring can also include features that prevent it from rotating with respect to the shaft, such as a boss formed on a ring's central opening that engages a slot formed in the shaft. Other devices, systems, and methods for suture anchor insertion are also provided.

A number of surgical element carriers, housings, structures, contents, and accessories are described. An example surgical element carrier includes a housing dimensioned for insertion through a surgical incision during a surgery. The housing includes a first housing portion, a second housing portion attached and movable relative to the first housing portion between closed and open positions of the housing, and a cover over the second housing portion. The cover forms a boundary of an interior space within the second housing portion. In one example, the cover includes a plurality of slits that intersect with each other for a passageway through the cover, from outside to within the interior space within the second housing portion.