Abstract: A safety locking device is provided for assuring proper matching relationship between a surgical instrument and a trocar guide tube housing. The safety device is slidably mounted on the elongated portion of the surgical instrument, and includes locking fingers with locking tabs projecting radially inward to releasable a circumferential groove in the surgical instrument elongated portion. The locking fingers include a camming surface to engage a corresponding camming surface associated with an appropriate guide tube housing. As the surgical instrument is inserted into an appropriate guide tube housing, the guide tube housing camming surface engages the locking finger camming surface to disengage the locking tabs from the circumferential groove and permit complete insertion of the instrument. A sleeve surrounds the locking fingers to prevent tampering, and as unlocking tool is provided.

Abstract: Metallic workpieces, such as surgical needles, which have been washed with an aqueous solution are dried by subjecting the workpieces to heat and reduced pressure in the presence of an inert gas.

Abstract: A package is provided for receiving and retaining at least one resilient surgical suture arranged in a coil configuration. The package is formed with a loading port which defines a radially unobstructed passageway through which a resilient surgical suture coil may be loaded and thereafter caused to uncoil and expand radially outward into a retaining channel. The package may include needle park means for securely maintaining armed sutures in a manner for ready removal.

Abstract: A surgical needle is attached to a braided suture of particular construction to provide a combined surgical needle-braided suture device. A shrinkable tubing is employed to secure the needle to the suture. The tubing shrinks in response to the application of energy, e.g., heat. Attachment parameters may be controlled to provide standard needle attachment or removable needle attachment.

Abstract: An apparatus for maintaining a positional relationship between a trocar cannula and body tissue into which the cannula is inserted includes a tissue engaging member having a conical outer surface with a thread helically disposed thereon. A guide tube is insertable into a bore in the tissue engaging member, the guide tube having a camming surface. A collet with flexible projections is engageable with the guide tube. When the collet is tightened onto the guide tube the flexible projections bend inward to frictionally engage and hold a trocar cannula inserted through the axial bore of the apparatus.

Abstract: A block copolymer for use in the fabrication of bioabsorbable articles such as monofilament surgical sutures is prepared by copolymerizing lactide and 1,4-dioxanone, and then polymerizing glycolide with the lactide/1,4-dioxanone copolymer.

Abstract: A polyetherimide suture exhibits excellent properties such as resistance to creep, great knot security and physical stability. The suture may be monofilament or multifilament, and methods of making and using the suture are disclosed.

Abstract: Synthetic absorbable sutures are filled with a stabilizing agent, preferably a mixture of glycerol and calcium lactate, and inserted into a retainer having a narrow convoluted passageway. The retainer is inserted into an open foil pouch with a package stabilizing element, such as a paper sheet filled with stabilizing agent. The package containing the suture, retainer and package stabilizing element is sterilized, aerated, equilibrated to a relatively high moisture level, and sealed. Long lengths of suture and doubled-over and tripled-over suture may be withdrawn from the retainer with low force without damaging the suture. Bends and kinks in the suture are prevented so as to provide a synthetic absorbable suture having highly desirable out of package hand and feel. The suture as removed from the package exhibits improved tissue drag characteristics.

Abstract: A breather package for surgical elements such as sutures or suture-needle assemblies having a layer of fibrous material and a layer of plastic material forming a pocket therebetween. Longitudinal heat seals and transverse top and bottom seals are provided which form the package. The layer of fibrous material is provided with longitudinal strips of release agent material through which the longitudinal heat seals are formed. An apparatus for forming such a package is also disclosed.

Abstract: A process is provided for manufacturing a polypropylene monofilament suture exhibiting reduced strain energy, increased knot security and greater resistance to acquiring an in-storage set.

Abstract: A surgical instrument for placing fasteners and/or a reinforcement material in tissue is provided. The fasteners exit the fastener housing at an angle to the longitudinal axis of the device to facilitate visualization and placement at the surgical site. A unique fastener may be formed in which the legs are in a substantially overlapping, longitudinally-spaced relation.

Abstract: A breather package for surgical elements such as sutures or suture-needle assemblies having a layer of fibrous material and a layer of plastic material forming a pocket therebetween. Longitudinal heat seals and transverse top and bottom seals are provided which form the package. The layer of fibrous material is provided with longitudinal strips of release agent material through which the longitudinal heat seals are formed. An apparatus for forming such a package is also disclosed.

Abstract: A semi-bioabsorbable connective tissue prosthesis, e.g., a replacement for the human anterior cruciate ligament, is provided whose stress-strain characteristics closely match those of the natural tissue.

Abstract: A trocar penetration depth indicator has a first, inner housing including a first threaded section and longitudinally extending gripping fingers, and a second, outer housing including a camming surface and a second threaded section to engage the first threaded section. The first and second housings slidably mount onto a trocar tube and can be secured relative to the guide tube by rotatably tightening the housings to cause the gripping fingers to firmly grip the trocar tube. Depth penetration indicia is provided on the guide tube surface and sufficient guide tube grasping force is obtained to prevent the depth indicator from being dislodged during trocar insertion. A guide tube positioning device is provided to engage the penetration depth indicator and to secure the guide tube relative to the surrounding skin of the patient in order to prevent inadvertent withdrawal or further insertion of the trocar.

Abstract: A tissue gripping apparatus including a cylindrical member positioned about a tubular body portion or cannula. The cylindrical member includes a plurality of articulated arms that are movable between engageable and non-engageable positions. A hinge in the articulated arm enhances the tissue gripping abilities of the apparatus.

Abstract: A hemostatic clip to be applied to body structures such as veins, arteries, or the like. The hemostatic clip includes a plurality of preferably semicircular indentations arranged in staggered row configuration on the tissue contacting surface of the legs of the clip.

Abstract: A novel surgical retractor is provided including a handle assembly, a housing and a collapsible retractor assembly connected to a distal end of the housing. The handle assembly includes a stationary handle in cooperation with an actuating structure for manipulating the collapsible retractor assembly through the housing.The handle assembly may be configured in a variety of forms including palm grips, pistol grips, axial grips, ring grips, etc. The housing includes a tubular structure having an inner tube axially disposed within an outer tube. The outer tube is fixed in the stationary handle with the inner tube passing through the outer tube and connected to the actuating structure. Where desired, either the outer or inner tube may be rotatably attached to the stationary handle. The retractor assembly is attached to the distal end of the housing and includes a reciprocal yoke assembly interconnected with a plurality of collapsible interleaved retractor blades.

Abstract: A suture retainer is provided with an arrangement of suture-retaining tabs of complex configuration and needle-retaining tabs of a number and distribution which enable the retainer to accommodate any one of several types of combined surgical suture-needle devices.

Abstract: The surgical clip applicator has a pusher bar which positions the foremost clip from a clip carrier into a ready-to-fire position between the jaws prior to squeezing of the handles together. When the applicator is fired, the previously positioned surgical clip can be crimped about a vessel and when the jaws are released, a new clip is placed between the jaws for the next firing. A channel assembly moves over the jaws to close the jaw while the pusher bar is retracted into the clip carrier for delivering the foremost clip from the carrier upon release of the handles. A latch arrangement is provided for locking the channel assembly in place and the handles against movement should the clip carrier be empty.