Abstract: A catheter system and method for achieving total cardiopulmonary bypass during heart surgery. A venous perfusion catheter is inserted peripherally into a preselected vein where it is advanced and positioned at the atrio-caval junction. The venous perfusion catheter has first and second balloons which when inflated respectively occlude the inferior and superior vena cava thereby precluding blood flow into the right atrium. An arterial perfusion catheter is inserted peripherally into a preselected arterial vessel and advanced within the vessel and positioned in the ascending aorta cephalid of the junction of the coronary arteries with the aortic root. A second flexible arterial cannula is mounted in sliding relationship with the first flexible cannula and carries an inflatable balloon adjacent its distal end to provide for occlusion of the ascending aorta.

Abstract: This invention relates to a retainer-pin tool for removably mounting the brake shoe of an automotive brake to the brake backing plate where the retainer-pin tool has radially and oppositely spaced internal keyway slots which are preferably orthogonal to each other and which extend at least in part in an axial direction and have openings in the transverse plane which defines the engagement end of the tool. The keyway slots have parallel sidewalls extending at least in part axially and are bounded radially by the axially extending outer peripheral surface of the tool. The sidewalls have a transition taper at the engagement end of the tool such that the transverse width of the keyway slots is greatest in the engagement surface. The engagement end of the tool has a truncated surface chamfer region which is pf sufficient smoothness to permit slideable bearing engagement between the tool and the retainer nut.

Abstract: An electrosurgical selectively controllable loop electrode for laparoscopic surgery is set forth which includes a housing having a longitudinal axis and an axially extending cavity forming a passageway through the housing. A shaft member is slideably mounted to the housing within the cavity so as to permit axial and rotational displacement of the shaft member relative to the housing. A wire electrode which has a first end segment and a second end segment is in electrical communication with the shaft member and extends distally therefrom; the wire electrode also has a bridge segment integrally interconnecting the first and second end segments to form a loop. The end segments are biased by a pair of leaf springs of predetermined curvature where the springs are internally biased to open upon extension of the springs distally from the housing and to close upon external forces exerted against the springs by the housing during retraction.

Abstract: An improved surgical stapler instrument and method for enhancing blood vessel hemostasis is set forth where the improvement consists of the use of flexible body-absorbable or non-absorbable pads carried by the stapler cartridge and interposed between the stapler cartridge and the anvil. The flexible pads are captively and releasably held by the stapler cartridge by overhanging arms which are laterally and oppositely spaced from the longitudinal axis of the stapler instrument and sufficiently spaced laterally to permit the anvil to compressively bear against the anvil engagement face of the stapler cartridge. The flexible pads are captively held during the positioning of body-tissue between the anvil and stapler cartridge and released after the staples penetrate through the pad, then the tissue and then formed against the anvil.

Abstract: A pulmonary resuscitator is set forth of the type having a compressible bladder to be depressed to supply air to a mask. Both the compressible bladder and mask have integral therewith a network of inflatable tubes which when pressurized resiliently rigidify the bladder and mask to establish nominal erected bladder and mask shapes. The bladder has an inlet check valve and the mask has an outlet check valve where the outlet check valve utilizes a flapper valve for permitting flow of fluid into the mask upon depression of the bladder. Exhaust ports are located adjacent the flapper valve and are closed by the flapper valve when the bladder is depressed. The exhaust ports are opened when the flapper valve closes as the bladder returns to its nominal shape after being depressed. An air spring contained within the bladder chamber is in fluid communication with the network of inflatable tubes and through limiting orifices controls the rate at which the bladder returns to its nominal shape after depression.

Abstract: A tuning peg for a cello musical instrument where the tuning peg has a tapered cylindrical body which has an axially extending recess therein. A handle is removably mounted to the cylindrical body and has an axially extending connecting member which is adapted for insertion into the cavity. Upon insertion of the connecting member in whole or in part into the recess, the handle and cylindrical body are in fixed rotational relationship which permits the cylindrical body to be rotated in order to increase or decrease the tension in the cello string. After tuning the string, the handle is removed from the cylindrical body which permits the player to rest the neck of the cello against his neck and therefore play the instrument in an upright position.

Abstract: The invention relates to a instrument for laparoscopic surgery which permits the operating surgeon to irrigate or suction the operative area while performing electrocautery or laser hemostasis and dissection of body tissue with the same instrument.The invention also relates to a laparoscopic tool for evacuating free stones or blood clots from the operating area which are to large to be suctioned from the body cavity or to remove gallstones from a gallbladder which has been distended by stones and cannot be retrieved through an umbillical sheath.

Abstract: A fastening system device having dimensions of very small magnitudes for attaching a mesh prosthesis or tissue to body tissue. The device has a shaft member which has a continuous outer peripheral surface and so constructed such that the outer surface is a continuous surface and has a continuous curved cross-section where the center of curvature is in the radial direction of the longitudinal axis; the shaft has sufficient columnar resistance to bending to permit the shaft member to penetrate body tissue. A head member extends radially from the shaft member at a second end and is so dimensioned and proportioned to form a bearing surface for bearing against the mesh prosthesis. A resiliently collapsible anchor member is integrally fixed to the first end of the shaft and separately forms a conical distal tip.

Abstract: An endoscopic retractor instrument for retracting an internal structure is presented which permits atraumatic retraction. The instrument utilizes a pair of flat springs which have distal resilient engagement surfaces that are angularly displaced from the proximate regions of the springs such that the resultant restorting spring force acting on the distal region occurs in a different plane from the restoring spring force acting on the proximate region. The proximate regions are carried in fixed relationship to an extension member which is slideably carried by the housing. A pair of support links pivotally interconnect the distal regions of the flat springs and a resilient central support member has a distal end pivotally connected to the support links to form an engagement surface of enhanced bearing area.

Abstract: An endoscopic surgical retractor instrument is presented which has a laterally collapsible and expandable self-hinging truss support platform carried by a sleeve and extension member. The sleeve is slideably carried by the extension member and consists of first and second arcuate sections which are radially and oppositely carried by the extension member and captively contained thereon by the inner surface of a housing cavity. The housing has a distal barrier adjacent its distal end which defines a limit to the distal axial displacement of the sleeve relative to the housing. Upon engagement of the distal barrier by the sleeve, the continued distal axial displacement of the extension member will cause expander struts in the truss support platform to expand the platform's outer struts laterally thereby opening the truss.

Abstract: The invention relates to a instrument for laparoscopic surgery which permits the operating surgeon to irrigate or suction the operative area while performing electrocautery or laser hemostasis and dissection of body tissue with the same instrument.The invention also relates to a laparoscopic tool for evacuating free stones or blood clots from the operating area which are to large to be suctioned from the body cavity or to remove gallstones from a gallbladder which has been distended by stones and cannot be retrieved through an umbillical sheath.

Abstract: The invention relates to a instrument for laparoscopic surgery which permits the operating surgeon to irrigate or suction the operative area while performing electrocautery or laser hemostasis and dissection of body tissue with the same instrument.The invention also relates to a laparoscopic tool for evacuating free stones or blood clots from the operating area which are to large to be suctioned from the body cavity or to remove gallstones from a gallbladder which has been distended by stones and cannot be retrieved through an umbillical sheath.

Abstract: 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.

Abstract: A pulmonary resuscitator is set forth of the type having a compressible bladder to be depressed to supply air to a mask. Both the compressible bladder and mask have integral therewith a network of inflatable tubes which when pressurized resiliently rigidify the bladder and mask to establish nominal erected bladder and mask shapes. The bladder has an inlet check valve and the mask has an outlet check valve where the outlet check valve utilizes a flapper valve for permitting flow of fluid into the mask upon depression of the bladder. Exhaust ports are located adjacent the flapper valve and are closed by the flapper valve when the bladder is depressed. The exhaust ports are opened when the flapper valve closes as the bladder returns to its nominal shape after being depressed. An air spring contained within the bladder chamber which is in fluid communication with the network of inflatable tubes through limiting orifices controls the rate at which the bladder returns to its nominal shape after depression.

Abstract: The invention relates to a instrument for laparoscopic surgery which permits the operating surgeon to irrigate or suction the operative area while performing electrocautery or laser hemostasis and dissection of body tissue with the same instrument.The invention also relates to a laparoscopic tool for evacuating free stones or blood clots from the operating area which are to large to be suctioned from the body cavity or to remove gallstones from a gallbladder which has been distended by stones and cannot be retrieved through an umbillical sheath.

Abstract: A fastener system for utilizing an H-shaped fastener which is composed of a pair of shaft members having a diameter of approximately 1 mm that are interconnected by a bridge shaft resiliently joined to the shaft members to form the H-shape. The shaft members have sufficient columnar resistence to bending to permit a shaft member to be compressively inserted into body tissue. A fixation tool carries the fastener for injection into body tissue and has a housing with a needle tip of approximately 5 mm in length. The needle tip has a longitudinally extending slot into which the bridge shaft of the H-shaped fastener member is captively held by interference fit. A setting rod is extendible through the needle tip and bears against a shaft of the H-shaped fastener such that an external force applied to the setting rod will be transmitted to the fastener to drive it into the body tissue.