Abstract: The present invention provides a suture anchor capable of securing a suture to a body tissue.

Abstract: A suture needle instrument having improved connection means enabling a hollow suture needled to be attached to a handle in a variety of orientations. The suture needle is provided with user accessible suture channels and suture advancing wheels to facilitate cleaning and repair.

Abstract: In one aspect of the invention, a cross-pin includes a distal portion having an axis, a distal end, and a proximal end. A proximal cylindrical portion includes a threaded exterior surface. A junction may be interposed between the distal and proximal portions to enable the proximal portion to rotate relative to the distal portion. In another aspect of the invention, a graft retaining system for retaining a graft in a bone tunnel includes a graft block having a proximal end and a distal end, and sized to fit within the bone tunnel. A cross pin transverse to the bone tunnel attaches the graft block adjacent the tunnel. An intermediate connector is attached to the graft block at a point distal to the cross pin and connects the graft to the graft block so as to apply compressive forces to the graft block.

Abstract: A shock mounting system for a 3-chip video camera. The system comprises a prism mounting bracket with a pair of laterally spaced support legs. A standard 3 chip color camera is received between the support legs and a plurality of elastomeric plugs are molded to fit between the camera assembly and the housing within which it is situated. The elastomeric plugs are formed from flowable elastomeric material injected into molding chambers formed during the assembly process.

Abstract: A dual pump irrigation/aspiration pump system capable of operating in a plurality of different modes suitable for a variety of different endoscopic surgical procedures. The system monitors actual or calculated intra-articular pressure and adjusts flow to maintain surgeon requested pressure at the surgical site while controlling outflow. The irrigation/aspiration pump system has an inflow pump and tubing dedicated to communicating fluid to the surgical work site and an outflow pump and tubing dedicated to removing fluid from the work site at a controlled rate. The system further has different size inflow and outflow pumps and tubing cassettes, a subsystem for altering the outflow fluid flow rate to accommodate a surgical tool and a subsystem for declogging the surgical tool in the event of blockage. In a preferred embodiment a pressure control system provides inferred pressure information representative of the pressure at the work site.

Abstract: A method and apparatus for enabling the use of a non-sterile battery with a sterile surgical instrument. The sterile transfer container has a tubular body with a closed distal end and an open proximal end. The container is provided with a cover and a locking mechanism for locking the cover to the body. The container is adapted to be attached to a surgical instrument in such a way that the latch assembly is prevented from opening until the container is removed from the instrument.

Abstract: A rotatable endoscope coupler which enables an endoscope to be rotatably attached to a camera and selectively locked in place. The coupler enables single handed rotation of the scope while the camera remains in a fixed orientation. A plurality of ceramic ball bearings riding in a stainless steel race enable the coupler to be repeatedly autoclaved. A locking mechanism allows the scope and camera to be fixed from relative rotation.

Abstract: A peristaltic pump tubing system for use with a peristaltic pump roller assembly in a surgical procedure. The system comprises a uniquely shaped disposable cassette for retaining tubing to be used during the procedure and a uniquely shaped cassette receiving station situated adjacent the roller assembly. The cassette comprises a frame for holding the tube in a loop shape for engagement with the peristaltic rollers. The frame supports a one-sided pressure transducer to indicate the pressure within the tube. The cassette receiving station includes a sensor for engaging the one-sided pressure transducer and is situated adjacent the rollers of the peristaltic pump on the pump housing. A retaining bracket cooperates with the inherent resiliency of the tubing loop to hold the tubing in place against the rollers.

Abstract: A soft tissue anchor is provided for attaching soft tissue to bone. The anchor is useful generally throughout the body where soft tissue needs to be anchored to bone. It is particularly useful for reattaching separated tissues adjacent to an articular joint such as the hip, knee, or shoulder. For example it is well suited for reattaching labral tissue that has become separated from the glenoid rim adjacent a shoulder joint.

Abstract: A two piece graft fixation arrangement includes a graft block engageable with a graft and a transverse member engageable with the graft block to fix the graft block in a bone tunnel. Instruments and methods are presented for installing a graft in a bone tunnel and anchoring the graft with a transverse member placed through a transverse bore intersecting the bone tunnel.

Abstract: A suture management system useful in endoscopic surgery, particularly in arthroscopic instability and rotator cuff procedures comprises a plurality of elongated tubes, sometimes referred to herein as suture organizers. The tubes can have a suture loop through them to ensnare matching suture ends of a given suture so that the tube can be slid down over the matching suture ends and into a cannula. The tube with the matched suture ends can be clamped over the suture strands to fixate the tube as another suture is manipulated through the tissue and then in turn has its matching suture ends pulled through another tube for subsequent tie-off. A rack is provided to hold the tubes with loops therein before use.

Abstract: A shock mounting system for a 3-chip video camera. The system comprises a pair of support plates for spanning the junctions between the various components (prisms, etc.) of a standard charge coupled device (CCD) color camera having 3 CCD's, and an elastomeric boot molded to fit between the CCD camera assembly and the housing within which it is situated. The support plates are made of a material having similar thermal characteristics to the CCD assembly and are suspended within the elastomeric boot.

Abstract: A rechargeable battery pack for a surgical powered instrument. The battery pack is an assembly of individual cylindrical battery cells and has its electrical terminals in the form of sockets recessed within the body of the pack in the interstices between the cells. The terminal sockets are adapted to receive elongated plugs and enable the pack to be handled while minimizing the risk of shorting.

Abstract: A method and apparatus for charging rechargeable batteries for use in a sterile field with powered surgical instruments. The method comprises the steps of placing the batteries in a sterilization/charging container, discharging the batteries to a predetermined level and then sterilizing, charging and storing them without removing them from the container until they are needed. The charged batteries may be removed directly into the sterile field.

Abstract: A temperature sensing device for attachment to a powered surgical instrument operating a workpiece such as a bur. The device is a thermochromic element which may be embodied as a paint or a thermal insulating device. The device embodiment is in the form of a thermoplastic, elastomeric material which changes color at a predetermined temperature and is formed in a shape adapted to enable the device to be affixed to the distal end of the instrument, adjacent the collet connecting the workpiece to the instrument. The device is attached in a contiguous manner so frictional heat generated by moving parts of the instrument may be conducted through contiguous surfaces of the instrument and the device. The thermochromic element provides a visual indication of the temperature of a portion of the instrument when the temperature exceeds a predetermined level.

Abstract: An endoscope tip protection system for shielding the optical component at the distal end of an endoscope. The system comprises a tubular sheath which is optically transparent at least at its distal end, and adapted to fit onto and be retained on the scope tip. The scope/sheath assembly is then inserted into an open ended tubular fiberoptic illuminating cannula which is adapted to receive the scope/sheath assembly and prevent the tubular sheath from falling out.

Abstract: An instrument and method for tying two suture ends into a knot. A tubular outer member is provided with a transverse slot for capturing a length of one of the suture ends therein. A slidable inner member has a pair of diametrically opposed, suture engaging fingers for pushing the captured suture from the tubular member and for rotating it to form a loop between the fingers. The other suture end is passed through the loop to create a knot. The instrument is then repositioned and used as a knot pusher so the knot may be tightened and properly positioned. Successive use of the instrument to create successive loops and knots ultimately results in a final knot securing the suture ends.