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A self‐righting needle holder is available that automatically places a curved needle in the correct vertical position for suturing. The needle holder has a single‐action mechanism with a fixed, broad jaw with cut‐outs that fit with the convex surface of a curved needle. The opposing jaw is narrow and meets with the concave surface of the needle when the jaws are closed to rotate the needle against the fixed jaw and hold it perpendicular to the axis of the instrument. Self‐righting needle holders negate the need for a second instrument to position the needle and thereby facilitate more efficient needle handling during suturing. They also prevent needles from twisting within the grasp of the instrument during passage through tissues. However, the suture is easily damaged if grasped with the jaws of self‐righting needle drivers, which is an important limitation.

ssss1 Endo stitch device with suture loaded into jaws.

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