Abstract: A surgical retractor is provided having an elongated tubular structure with a proximal and distal end. A plurality of interleaved retractor blades are pivotally mounted in a distal end of the tubular housing and are movable between a closed position wherein the blades are in stacked relation and an open position wherein the blades are deployed in an interleaved fan configuration. Various structure is provided on the tubular housing to move the blades between an open and closed position.

Abstract: The anastomosis surgical stapling instrument is provided with a slide plate within the yoke which is responsive to the movement of the center rod in order to block the movement of safety lock prior to positioning of the anvil assembly in a position for firing of the staples. The slide plate is bias by a spring to follow the movement of the center rod. Further, the center rod is provided with a recessed portion to provide a clearance for the arms of the handles so that jamming of the center rod is avoided after firing of the staples. An indicator is also provided to positively indicate when the staples have been fired. This indicator is mounted in the side of the yoke and is responsive to the movement of the pusher tube.

Abstract: A surgical stapling or fastening instrument for applying surgical staples or fasteners to tissue having a controlled closure mechanism to approximate the distance between the jaw members of the instrument. The controlled closure mechanism consists of a catch member having a resilient material secured thereto which engages a pivotable lance member which freezes the rotation of the catch member at an infinite number of desired locations along its path of rotation. Controlling the position of the catch member controls the distance between the jaw members of the stapling or fastening device.

Abstract: A disposable endoscope having an object lens assembly, a relay lens assembly, and an imaging lens assembly with at least the relay lens assembly optical elements being made in whole or in part of molded glass lenses. the relay lens assembly preferably consists of molded glass curved surface lenses arranged in triplet lens configuration with ground or molded glass rod lenses disposed between the curved surface lenses. In preferred embodiments the positive lens elements of each triplet assembly may be bonded in optical contact with the rod lenses or the rod lenses may constitute molded glass lenses incorporating the positive lenses of each triplet. Optical components of the objective and imaging lens assemblies may be of molded or ground glass, and illumination may be conducted by glass or plastic fibers.

Abstract: A suture is provided with a substantially solid spiroid braid construction. The suture exhibits greater flexibility, better hand and less chatter and drag than tubular braided sutures of known construction.

Abstract: An apparatus and method to determine the sharpness of a curved surgical needle point by a measurement of the perpendicular forces required to push the needle point through a supported membrane at a given rate of penetration. The apparatus includes a needle penetration fixture having a needle penetrable membrane, a load cell, and related control and recordation instrumentation. According to the method a needle is mounted on a rotatable fixture and first precisely aligned. Thereafter, the fixture is rotated so as to cause the needle to penetrate the membrane whereby the force necessary to penetrate the membrane force being recorded by recordation instrumentation and the process being controlled by control instrumentation.

Abstract: A valve assembly adapted for introduction of an elongated object into a patient's body having a first valve formed of a resilient material and defining an aperture for reception of the object, the aperture being configured and dimensioned such that insertion of the object into the aperture will cause the resilient material defining the aperture to resiliently engage the outer surface of the object in a fluid tight manner. A second valve is positioned adjacent and distal of the first valve in general alignment therewith, whereby the second valve defines an aperture in general alignment with the aperture of the first valve, and is formed of a flexible material at least in the region defining the apeture. A pair of manually operable clamps are provided to selectively permit the aperture of the second valve to be opened or closed so as to permit entry of the object such that the object first passes through the first valve and then the second valve prior to entry into the patient's body.

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: An anvil member for use in a surgical stapler is annealed by localized heating, preferably induction heating. A shaped shielding means is used to cradle the anvil so as to expose the staple crimping portion of the anvil. The heating is performed so as to anneal only the delimited staple crimping portion of the anvil. All other portions of the anvil are either shielded by the cradle or are out of the heating range.

Abstract: An apparatus is disclosed for attaching a surgical needle having a generally cylindrical end portin defining an elongated aperture having a generally circular cross-section and a suture having a generally elongated end portion of generally circular cross-section corresponding in dimension to the elongated aperture of the needle. The apparatus includes a pair of dies, each having a generally arcuate surface portion having irregularities including concave portions such that when the cylindrical end portion of the suture is positioned within the aperture of the needle and the dies are positioned about the generally cylindrical end portion of the needle with the surface portions facing the outer surface thereof, the application of inward force to the dies causes the dies to impact the needle and produces inward crimping of the needle so as to attach the needle to the suture.

Abstract: A method for supporting a piece which is to undergo a treatment process including embedding the piece in a particulate support medium, enclosing the support medium in a container, and pressurizing the support medium by applying pressure to the outside of the container or by applying a vacuum to the interior of the container. Various treatment processes may be employed, such as annealing.

Abstract: A method for supporting a piece which is to undergo a treatment process including embedding the piece in a particulate support medium, enclosing the support medium in a container, and pressurizing the support medium by applying pressure to the outside of the container or by applying a vacuum to the interior of the container. Various treatment processes may be employed, such as annealing.

Abstract: The anvilless surgical stapler includes a pair of stapling assemblies which are mounted on the articulated handles of an applicator. Each stapling assembly includes a mounting block and a staple cartridge which is slidably mounted within the block. Further, each cartridge has a housing with a plurality of openings in which staples are slidably received along with a plurality of pushers. When the stapling assemblies are brought together, one or more ribs in the mounting blocks cause the pushers to fire the staples from the openings of the staple cartridge housings. A pair of deformable lips are also provided at the mouth of each opening for deforming the legs of each staple inwardly toward each other in order to embed into the tissue without penetrating into the tissue. The lips also permit passage of the deformed staples under the biasing force of the pushers.

Abstract: The end-to-end anastomosis apparatus is provided with a mounting means which can receive a trocar for making holes in tissue and, subsequently, an anvil shaft for the mounting of an anvil assembly for stapling purposes. The anvil shaft is provided with splines which cooperate with splines on a shell liner within the housing of the apparatus to align the buckets on the anvil assembly with the staples in a cartridge secured in the apparatus. In addition, the anvil assembly is provided with a spring for locking of the anvil housing on the anvil shaft.

Abstract: Apparatus is disclosed for applying surgical fasteners to body tissue along an arcuate path. Each surgical fastener may be in the form of a two-part fastener having a pronged fastener portion for piercing body tissue, and an apertured retainer dimensioned and configured for engaged reception of the pronged fastener portion in interference fit therewith for gripping the body tissue therebetween. Alternatively, the fasteners may be in the form of deformable staples. The apparatus preferably includes arcuately shaped means for holding a plurality of the fastener portions in generally aligned relation, correspondingly arcuately shaped means spaced from the fastener portion holding means for gripping body tissue therebetween and for releasably holding a plurality of the retainers in generally aligned relation and positioned opposite the fasteners when the body tissue is positioned therebetween.

Abstract: A combined surgical needle-suture device of controlled suture release characteristics and a method for manufacturing the device employ a shrinkable tubing and a bonding agent to attach the needle to the suture.

Abstract: A heat tipping method and apparatus for surgical sutures to facilitate inserting the sutures into the barrel ends of surgical needles. The method includes tensioning the suture, heating a portion of the suture to be heat tipped by blowing a current of hot air across the portion of the suture, and releasing the tension and cutting the portion of the suture to create heat tipped ends. The apparatus includes a cylindrical drum around which the suture is wound, a concave channel in the drum for delimiting a portion of the suture to be heated, and hot air blowers for heating the delimited portions of the suture to a heat tipping temperature.