Abstract: A suture passing drill for passing suture through bone. The suture passing drill includes a proximal end and a distal end with an elongated shaft extending therebetween. The elongated shaft has first portion with a first diameter. The drill also includes a wire loop extending from the proximal end of the elongated shaft and a drill tip at the distal end of the elongated shaft. The elongated shaft has a narrow portion with a second diameter, which is smaller than the first diameter. The narrow portion is positioned proximally adjacent relative to the drill tip. The narrow portion is preferably created through coining. Coining prevents the need for machining the outer diameter (or surface) of the elongated shaft proximal to the drill tip in order to create a larger drill tip. The larger drill tip of the suture passing drill allows for passage of the entire drill through the bone hole.

Abstract: An apparatus for indicating the position and length of a bone tunnel, including a first member configured to couple with a drill guide; and a second member in spaced relation to the first member, the second member comprising an indicator configured to provide an indication of thickness of a boney member with the first member disposed on a first side of the boney member and the second member disposed on a second side of the boney member.

Abstract: A surgical tissue retrieval instrument has a collapsible pouch at the distal end of an elongated pusher rod that is introduced into a patient through a cannula. The instrument includes a two jaw fork that forms a loop when in an unconstrained configuration and that supports the pouch. Deployment and operation of the fork and the pouch are controlled by a securing mechanism. The two jaws and the securing mechanism are slid in a hem surrounding the opening of the pouch when the device is assembled.

Abstract: The invention pertains to techniques or processes for managing surgical smoke. In one embodiment a suction apparatus evacuates the surgical smoke. For example, the suction apparatus may be arranged adjacent to an electrocautery electrode, which may generate smoke during operation, for evacuating smoke from a surgical site.

Abstract: A coating for an electrosurgical electrode to reduce the potential for sticking of tissue. The coating is an elastomer containing a plurality of diamond particles having an average diameter of between diameter of 0.5 and 500 nanometers and that comprise between 0.1 and 25 percent by weight of the coating. The coating may be formed by reducing a silicone dispersion with xylene, adding the plurality of diamond particles, and agglomerating the plurality of diamond particles through sonification and then applied to the device. The coasting may also be formed by reducing a silicone dispersion with xylene, adding the plurality of diamond particles, and agglomerating the plurality of diamond particles through sonification, and then applied to the device by plasma enhanced vapor deposition.

Abstract: A wire driver for inserting a wire into bone. The wire driver includes a housing having proximal and distal ends, with a handpiece extending to the proximal end. The handpiece is connected to a gripping portion, which extends to the distal end. A channel extends through the gripping portion and is connected to a gripping mechanism. A drive mechanism within the handpiece is connected to the channel. The drive mechanism is configured to rotate the channel when actuated by a first actuator positioned on the handpiece (which can be on the distal end of the handpiece). A second actuator is connected to the gripping portion and the gripping mechanism. The second actuator is movable between a relaxed position and a compressed position. The user can operate both first and second actuators with the same handpiece grip. The gripping portion and second actuator are rotatable relative to the housing and first actuator.

Abstract: A system for performing an endoscopic surgical procedure in a surgical cavity of a patient that includes a multi-lumen tube set including a dual lumen portion having a pressurized gas line and a return gas line for facilitating gas recirculation relative to the surgical cavity of the patient, and a single lumen portion having a gas supply and sensing line for delivering insufflation gas to the surgical cavity of the patient and for periodically sensing pressure within the surgical cavity of the patient, a first gas sealed single lumen access port communicating with the dual lumen portion of the tube set and a second valve sealed single lumen access port communicating with the single lumen portion of the tube set.

Abstract: An access device for surgical procedures is disclosed which includes a multiport end cap including a plurality of separate access ports for accommodating the introduction of individual surgical instruments into a body cavity or lumen of a patient, and a coupling for operatively connecting the multiport end cap to a tubular body.

Abstract: A suture anchor driver with a tensioning mechanism. The suture anchor driver has a handle with a proximal end and a distal end. The handle has a recess with a shaft extending centrally therefrom. The suture anchor driver has a detent ring and a spool. The detent ring has a central aperture and one or more projections. The spool has a central aperture and is rotatable between first and second configurations. The spool has a plurality of protrusions extending from its side. The shaft extends through the central apertures in the detent ring and spool such that the projections of the detent ring are adjacent the protrusions extending from the spool. In the first configuration, one of the projections extends between two of the protrusions. In the second configuration, one of the projections is aligned with one of the protrusions.

Abstract: A surgical suction system. The surgical suction system includes a large bore Yankauer suction device having a distal tip with a first diameter, and a proximal end with exterior hose barbs and a second diameter. The second diameter is greater than the first diameter such that a channel extending through the large bore Yankauer suction device may have an increasing diameter from the distal tip to the proximal end. The surgical system also includes cannulated tubing having a distal end and a proximal end, the distal end configured to mate with the exterior hose barbs of the Yankauer suction device. The surgical system further includes an adapter having a distal end with exterior hose barbs and a proximal end. The exterior hose barbs configured to mate with the proximal end of the cannulated tubing. The proximal end of the adapter is configured to connect to a port to a canister, wall vacuum, or other biological material collection device.

Abstract: A method of securing a bone graft to an anterior surface of a patient's glenoid bone, including drilling first and second bores through a posterior surface to an anterior surface of the glenoid bone; measuring a medial distance of the first bore; transferring the medial distance to a bone block; drilling a third bore based on the medial distance through the bone block to match the first bore; positioning the bone block in contacting relation with the anterior surface of the glenoid bone, and coaxially lining up the third bore with the first bore; positioning a first fastener through the third bore and the first bore; drilling a fourth bore in the bone block by positioning a drill bit through the second bore from the posterior side of the glenoid bone, and extending the drill bit from the first surface of the bone block to the second surface of the bone block; and positioning a second fastener through the fourth bore and the second bore.

Abstract: A knotless suture anchor construct for securing a tissue in a desired position relative to a bone hole. The construct includes a substrate having a first end and a second end, and a filament woven through a plurality of passing locations along the substrate. The filament forms a first loop extending to a passing limb and reducing limb. There is a passing portion in the reducing limb between two adjacent passing locations of the plurality of passing locations. In a pre-deployment configuration, the first loop of the filament extends from a first end of the substrate and the passing limb and the reducing limb extend from the second end of the substrate. Also, in the pre-deployment configuration, the passing portion extends through the first loop, forming a second loop in the reducing limb.

Abstract: A gas sealed access port is disclosed including a proximal housing having a central lumen providing gas sealed access to the surgical cavity, an inlet path for communicating with a source of pressurized gas, a tapered neck portion and an interior cavity accommodating an annular jet assembly for receiving pressurized gas from the inlet path to generate a gaseous seal within the tapered neck portion, and an elongated tubular body extending from the tapered neck portion in communication with the central lumen and including a flexible proximal body portion and a rigid distal body portion.

Abstract: A suture passer device for passing a length of suture through an object. The suture passer device includes a hollow tube having a proximal end and a curved distal tube portion extending to a distal end. The suture passer device also includes a handle attached to the proximal end of the hollow tube, an actuator on the handle movable between first, second, and third positions, and an internal arm within the curved distal tube portion and connected to the actuator. The internal arm is movable between first, second, and third configurations. When the actuator is in the first position, the internal arm extends out from the distal tube portion at an angle from the distal tube portion in the first configuration. When the actuator is in the second position, the internal arm is retracted within the distal tube portion in the second configuration.

Abstract: A suture tape construct having a first section formed from a fibrous filament that extends from a first end to a second end and has a pair of a one-way protrusions extending therefrom. An anchor is positioned along the suture construct and, when the construct is deployed, is captured between the protrusions. The anchor may be a second section formed from braided suture material that is woven about the first section. The braided suture material can be deployed to form an all suture anchor while protrusions extending from the suture anchor proximately to the location of the deployed suture anchor prevent movement of the second section relative to the first section, thus forming a non-sliding suture tape anchored by the deployed braided material. The anchor may be a threaded anchor having an eyelet that is captured between the protrusions.

Abstract: An electrosurgical device having a pair of jaws, at least one electrode supported by one of the pair of jaws, and a sheet of expanded polytetrafluoroethylene positioned in covering relation to at least a portion of the at least one electrode. The sheet may have a porosity of between thirty and ninety percent. The sheet may have a plurality of pores with an average diameter of between 0.2 and 1.0 micrometers.

Abstract: A knotless instability anchor having an anchor having a first side and a second side with a suture material passing therethrough from the first side to the second side. The suture material has an adjustable loop extending from the first side of the anchor and a first limb and a second limb extending from the second side of the anchor. A splice is formed in the first limb between a first end of the first limb and the anchor. A self-collapsing loop is formed in the first limb between the first end and the splice. The second limb extends through the splice in the first limb.

Abstract: A surgical suction device that uses positive pressure gas is shown and described. The surgical suction device includes an air amplifier. The air amplifier includes a structure defining a generally cylindrical cavity having a first opening at a first end and a second opening at a second end. The cylindrical cavity is defined by an inner wall of the cavity. The air amplifier includes an annular opening in the inner wall near the first end. The annular opening defines a jet opening adapted to allow a pressurized gas to flow out of the annular opening such that a low pressure region is produced at the first end and an amplified flow is produced at the second end. The annular opening is further configured such that the pressurized gas enters the cavity at an angle with respect to the inner wall of the cavity that is towards the second end.

Abstract: A workstation having a pair of posts on either side of a clamping plate where a donor bone may be placed on sequentially cut in three separate cutting paths. Cutting gates are attached to the posts and used to provide cutting paths that can be precisely oriented with respect to the meniscus of the donor bone part using visual alignment without any manual measurements. The graft is affixed to a machining clamp and shaved to appropriately shape the sides and form a radius on the bottom of the graft. A tibia is then prepared by using a drill guide to form a pilot hole and then to drill out a large hole for the graft. The drilled hole is expanded and shaped using a rod guide and chisel and then a rasp. The shaped graft may then be implanted into the shaped hole and sutured in place.

Abstract: An electrosurgical device having a pair of jaws, at least one electrode supported by one of the pair of jaws, and a polymer mat positioned in covering relation a portion of the at least one electrode. The polymer mat comprises a plurality of polymer fibers having an average width of between 1 and 100 micrometers. The polymer mat has a porosity of between 6E-10m2 and 2.5E-7m2. Between 10 and 90 percent of the electrode may be exposed.