A winding head (10) for surgical suture material has a securing arm (22) and a guide carriage (24), which is mounted on the securing arm (22). In addition, a circumferential guide system (30) is present, which is mounted displaceably on the guide carriage (24). The circumferential guide system (30) has two first tracks (32, 34) which are spaced apart from each other and are connected to each other by two second tracks (36, 38), which are of approximately semi-circular shape. A transition curve is present in at least one of four transition regions (40, 42, 44, 46) between a first track (32, 34) and a second track (36, 38), which transition curve connects the first track (32, 34) and the second track (36, 38) to each other.

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 winding head (10) for surgical suture material has a securing arm (22) and a guide carriage (24), which is mounted on the securing arm (22). In addition, a circumferential guide system (30) is present, which is mounted displaceably on the guide carriage (24). The circumferential guide system (30) has two first tracks (32, 34) which are spaced apart from each other and are connected to each other by two second tracks (36, 38), which are of approximately semi-circular shape. A transition curve is present in at least one of four transition regions (40, 42, 44, 46) between a first track (32, 34) and a second track (36, 38), which transition curve connects the first track (32, 34) and the second track (36, 38) to each other.

In accordance with one aspect of the present disclosure, an instrument for tensioning a surgical cable is provided that includes a rotary tensioner that is rotatable in a tensioning rotary direction to apply tension to the surgical cable. The instrument further includes a body supporting the rotary tensioner, a pawl portion of the body configured to be received at least partially in a recess of a ratchet gear of the rotary tensioner, and a living hinge portion of the body supporting the pawl portion. The living hinge portion is configured to permit the pawl portion to be shifted out of the recess and shifted into an adjacent recess of the ratchet gear with turning of the rotary tensioner in the tensioning rotary direction

In accordance with one aspect of the present disclosure, an instrument for tensioning a surgical cable is provided that includes a rotary tensioner that is rotatable in a tensioning rotary direction to apply tension to the surgical cable. The instrument further includes a body supporting the rotary tensioner, a pawl portion of the body configured to be received at least partially in a recess of a ratchet gear of the rotary tensioner, and a living hinge portion of the body supporting the pawl portion. The living hinge portion is configured to permit the pawl portion to be shifted out of the recess and shifted into an adjacent recess of the ratchet gear with turning of the rotary tensioner in the tensioning rotary direction

An exterior bowl has a closed bottom, an open top, and a side wall there between. An exterior annular flange extends radially outwardly from the open top of the exterior bowl. An interior bowl has an open bottom, an open top, and a side wall there between. An interior annular flange extends radially outwardly from the open top of the interior bowl. The open bottom of the interior bowl is coupled to the closed bottom of the exterior bowl to create an annular chamber between the side wall of the exterior bowl and the side wall of the interior bowl. Tubing within the chamber in a spiral configuration removably receives a plurality of surgical wires. Each of the surgical wires has an upper extent extending upwardly and out of the chamber for being grasped and extracted from the tubing.

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.

In accordance with one aspect of the present disclosure, an instrument for tensioning a surgical cable is provided that includes a rotary tensioner that is rotatable in a tensioning rotary direction to apply tension to the surgical cable. The instrument further includes a body supporting the rotary tensioner, a pawl portion of the body configured to be received at least partially in a recess of a ratchet gear of the rotary tensioner, and a living hinge portion of the body supporting the pawl portion. The living hinge portion is configured to permit the pawl portion to be shifted out of the recess and shifted into an adjacent recess of the ratchet gear with turning of the rotary tensioner in the tensioning rotary direction