A suture system can comprise a first and a second curved double arm needle, and a needle docking device configured to maintain the first and the second curved double arm needles in alignment with and parallel to one another and at predetermined orientations relative to the needle docking device. The system can include a needle manipulating instrument having a distal portion configured to engage the first and the second curved double arm needles while the first and second curved double arm needles are in the needle docking device, and to maintain the needles in predetermined orientations.

A device for automatic suturing includes a shaft having a longitudinal axis. The shaft has a joint rotatable about a joint axis which is at an angle>0° to the longitudinal axis. The device includes a clamp at a distal end of the shaft. The clamp is configured to be positioned over a length of tissue to be sutured. A driver is configured to engage with a screw of the shaft so that the driver translates along a length of the shaft when the driver is rotated. A helical needle is connected to the driver such that rotation of the driver causes rotation of the helical needle. In this way, the needle is advanced or retracted over a length of the clamp and over the joint of the shaft.

An articulating suture hook for passing or retrieving suture. The suture hook having a handle with a proximal end and distal end. A stiffening tube is fixed to the distal end of the handle extending distally from the handle. A flexible outer tube is fixed to the stiffening tube and extends distally therefrom. A cut portion of the flexible outer tube has a plurality of cuts positioned therealong. In a first configuration, the flexible outer tube extends parallel to or in alignment with the stiffening tube, but in a second configuration, the flexible outer tube is curved at the cut portion. The plurality of cuts may be arranged into two patterns. Each cut arranged in a first pattern is offset at an angle from each cut arranged in a second pattern. The pattern, shape, and size of the cuts determines the movement of the flexible outer tube to the second configuration.

Devices, systems and/or methods for fixating soft tissue to bone are provided. In one embodiment, a repair device for fixating soft tissue to bone with a bone anchor includes a soft tissue anchor and one or more flexible members. The soft tissue anchor includes a base with multiple legs extending from the base. The one or more flexible members are coupled to the base and configured to extend from the base to the bone anchor with a fixed length. With this arrangement, the fixed length of the one or more flexible members is configured to maintain a fixed distance between the soft tissue anchor and the bone anchor such that, as the bone anchor is seated into bone, the one or more flexible members pulls the soft tissue anchor down against the soft tissue to fixate the soft tissue to the bone.

Disclosed herein are various exemplary systems and methods for deploying an implant to a target location of a body vessel. The delivery member can include a tubular body including a lumen and compressed distal portion. The delivery member can include a loop wire with a loop opening positioned approximate the compressed distal portion. The delivery member can include a pull wire that has a proximal pull wire portion and a distal pull wire portion connected by a suture linkage. The suture linkage can include a proximal suture knot engaged to the proximal pull wire portion and a distal suture knot engaged to the distal pull wire portion. Pull wire beads positioned on the proximal pull wire and distal pull wire portion can retain the suture knots during proximal translation of the pull wire. The suture linkage can include slack that is effective to prevent premature deployment of the implant.

Various exemplary devices, systems, and methods for knotless anchor inserter tool extraction are provided. In general, an inserter tool is configured for knotless anchor insertion in a soft tissue repair surgical procedure. The inserter tool is configured to insert an anchor into a bone of a patient to secure a soft tissue relative to the bone. The inserter tool includes a retraction mechanism configured to cause the inserter tool to be removed from within the anchor.

The present disclosure generally pertains to methods and kits for preparing an ACL repair surgical implant, the method including drilling femoral and tibial bone plugs of a tendon graft to create medial to lateral holes, and passing a braided suture around the tendinous portion of the tibial end, through soft tissue, and out the tibial end. Next, an anterior to posterior femoral hole is drilled, and a flat-braided suture is passed through the femoral medial to lateral hole and, using a bent needle, passed through junctions of the femoral bone plug and the tendinous portion and out through junctions of the tibial bone plug and the tendinous portion on both sides of the graft. Ends of the flat-braided suture are crisscrossed through the medial to lateral tibial hole. A bone-to-bone fixation suture assembly is passed through the anterior to posterior femoral hole.

A stitching device includes an end effector having first and second jaw members and first and second pins, a stationary cam, and a rotary cam. The first pin is supported on the first jaw member and the second pin is supported on the second jaw member. The stationary cam defines a first cam slot, and the rotary cam defines a second cam slot. The first and second cam slots receive the first and second pins and are configured to releasably secure one of the first or second jaw members to the rotary cam such that the first and second jaw members rotate about the stationary cam in alternating fashion. During each revolution of the rotary cam, the one of the first or second jaw members rotates with the rotary cam a substantially full revolution while the other of the first or second jaw members remains stationary.

A method of closing a patent foramen ovale (PFO) including a septum primum and septum secundum is implemented using a suture device including an operational shaft housing an anchor assembly, a needle assembly, and a suture. The method includes advancing an end of the operational shaft to a proximal side of the PFO, positioning a distal portion of the end of the operational shaft on a distal side of the PFO, and actuating the anchor assembly to deploy the anchor assembly on the distal side of the PFO. The method also includes actuating the needle assembly on the proximal side of the PFO to deploy the needle assembly through the PFO and the anchor assembly, thereby deploying the suture through the PFO. The method further includes retracting the anchor assembly into the operational shaft, and withdrawing the distal portion of the operational shaft from the PFO, leaving the deployed suture.

An endoscope device including an endoscope body, a suture device, and a needle. The endoscope body has a proximal portion and a distal portion opposite each other and includes a working channel. The suture device includes a first arm and a second arm opposite each other. The working channel connects the proximal portion and the distal portion. The first arm and the second arm extend toward a distal direction. At least one of the first arm and the second arm are pivotally connected to the distal portion and can be opened or closed with respect to the other. The operation method thereof is also provided.