A knot pusher comprises a shaft (12) having a fitting (22) at its distal end. The fitting (22) includes a radial slot (20) for receiving a suture length therein. A mechanism (34) is provided for closing the slot (20) so that the suture can be contained within the slot (20) as a knot is advanced over the contained suture length.

Apparatus and method for advancing surgical knots

A jig to aid in tying a knot in a line or cord, for example for knotting a fishing line onto a connector means or a hook. The jig is a hollow tubular member with the ends cut at 45* angles and provided with a notch in the cut end and a hole adjacent the notch. In use, the line is laid along the side of the jig, passed through the eye of the fish hook or connector which preferably is laid in the notch, wrapped in several loops, usually three, around the jig and has the end of the line threaded through the hole. When the jig is cleared by slipping the loops off of it, the end of the line is pulled through the convolutions and the ends of the line can then be drawn tight to complete the knot.

Knot tying jig

A surgical filament snare assembly including an anchor capable of being fixated in bone and having a filament engagement feature. A first filament has a noose with first and second noose limbs connected, preferably slidably connected, to the filament engagement feature of the anchor. The first and second noose limbs emerge from the anchor as first and second free filament limbs which are capable of being passed through tissue to be repaired and then passable through the noose. The noose, such as one or more half-hitches, is capable of receiving the free filament limbs and strangulating them when tension is applied to at least one of the free filament limbs and the noose to enable incremental tensioning of the tissue after the anchor is fixated. Preferably, the snare assembly further includes a flexible sleeve joining at least some portion of the first and second free filament limbs to facilitate passing of the free filament limbs at least through the tissue as a single unit.

Surgical filament snare assemblies

An adjustable anchor system provides for securing tissue to bone and includes an anchor with a collapsible suture loop affixed thereto and a tissue suture connected to the collapsible suture loop. After the tissue suture is loaded into the tissue and the anchor implanted into the bone the collapsible loop is collapsed to tension the tissue suture.

Adjustable anchor systems and methods

An instrument is set forth for pushing a knot formed extracorporeally through a trocar and into the operative region during endoscopic surgery. An elongated member having an axially extending groove at its distal end is dimensioned to permit the axial advance of a strand of suture material through the groove. A locking sleeve is carried by the elongated member at its distal end and adapted for rotation relative to the elongated member. The locking sleeve has an axially extending slit which in one position may be aligned with the groove for insertion of the suture strand. By rotating the sleeve to a second position, the suture strand is captively retained within the groove so as to permit axial advance of the suture strand as the knot is pushed through the trocar.

Endoscopic knot pushing instrument

Apparatus for tying leaders and lines

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Apparatus for tying leaders and lines