Abstract: A system for inserting a cannulated tissue anchor during endoscopic surgical procedures. The system incorporates an elongated generally cylindrical tissue anchor having a plurality of barbs outwardly extending from its body and a transverse head situated at its proximal end. The head is elongated along a major axis which is misaligned relative to the rows of barbs on the body of the tissue anchor in order to enhance retention of the anchor within selected tissue. The anchor may be inserted during an endoscopic surgical procedure by a single-handed operation utilizing an instrument having a longitudinally slidable needle for guiding the anchor into place and a longitudinally slidable push rod for pushing the anchor along the needle. The system incorporates a package/loading device to facilitate the assembly of a cannulated tissue anchor with the inserter, the package/loading device being provided with a means for guiding the inserter needle through the axial bore of the tissue anchor.

Abstract: A video camera system is provided in which the camera head is powered at least in part by electrical energy converted from optical energy provided by a light source. In one implementation, communication between the camera head and control circuitry thereof occurs by means of a wireless communications interface.

Abstract: A ring blade and drive system, and method of using same, for harvesting bone-tendon-bone ligament grafts having substantially cylindrical bone plugs. The ring blade disclosed is a circular ring having a predetermined arcuate gap formed in its periphery. The drive system includes a blade holder to peripherally hold the ring blade and a fixed-center oscillating mechanism to oscillate the ring blade about its axis within a predetermined arcuate range of motion. The ring blade structure enables the production of a substantially cylindrical bone plug of unlimited length. Harvesting of a bone-tendon-bone ligament graft is facilitated with the ring blade and method disclosed which enables the ring blade to be placed partially around a tendon segment to create bone plugs aligned with the tendon fibers included in the defined tendon segment. The cuts into the bone may be initiated into the bone at either end of the tendon segment from the tendon side through to the exterior of the bone to which the tendon is attached.

Abstract: An improved anchor for securing a graft ligament in place in a bone tunnel comprises a dome portion surrounded by a flange portion. The dome portion fits into a bone tunnel and includes first and second apertures for receiving sutures located on so that the anchor is positioned stably in use, while the flange portion abuts the outer surface of the bone and supports the anchor. The cross-sectional thickness of the anchor is increased in the area of the apertures to provide adequate pull-out strength. The flange may be elliptical in plan and the dome portion asymmetric, to allow the anchor to better withstand tension.

Abstract: A bioabsorbable soft tissue anchor system comprising a cannulated soft tissue anchor for being turned through soft tissue, and a driver for driving the anchor and method for attaching soft tissue at a selected site of implantation. The soft tissue anchor is an elongated unitary body having a threaded distal section, a non-threaded proximal section, a transverse proximal head and a non-circular axial throughbore. The threaded section has a cancellous-type thread which has a uniform minor diameter, a large pitch and a large major diameter, the distal end of the thread being tapered toward the distal end of the anchor. The proximal end of the threaded section abuts the non-threaded section which is tapered and extends proximally to the transverse head. The anchor is used with a driver having a driving shaft with a pointed tip and a cross-section adapted to engage the anchor's axial throughbore.

Abstract: A single instrument is provided for simultaneously enabling fluid inflow, fluid outflow and pressure sensing during endoscopic surgical procedures. The instrument comprises three concentric tubular members, each of which has a distal end and a proximal end and each of which has a port connected to its proximal end for providing access to the interior of the associated tubular member. Each of the tubular members is coaxially aligned with the others and the central most tubular member is adapted to enable an elongated endoscopic instrument to be inserted axially therethrough. The invention also resides in the method of sensing pressure within a body cavity by utilizing such an instrument which enables a user to perform fluid inflow, fluid outflow and pressure sensing simultaneously.

Abstract: A package consists of a plastic "card" made up of a flat, rectangular piece of material having a centrally located scoring allowing the piece of material to be folded upon itself to provide an inner enclosure. The card includes two halves to either side of the scoring, a first half including cut-outs forming two tabs that enmesh with two slots formed in the second half so that when the card is folded about the scoring, the tabs may be inserted into the slots to hold the card in the folded configuration. The second half has a series of slots of various configurations and located in desired locations to allow retention of a guide wire, suture and suture anchor in a desired configuration.

Abstract: A system for inserting a cannulated tissue anchor during endoscopic or other surgical procedures. The system incorporates an insertion instrument for inserting into a surgical site of implantation an elongated generally cylindrical tissue anchor having, for example, a plurality of barbs outwardly extending from its body and a transverse head situated at its proximal end. The anchor may be inserted by a single-handed operation of the instrument through a series of sequential pulls of a trigger, each pull affecting motion of a particular element. In a preferred embodiment, three trigger pulls are sufficient to penetrate the site of implantation and deliver the anchor slidably along the needle. The instrument operates with replaceable subassemblies each containing a particular size cannulated anchor, having a longitudinally slidable needle for guiding the anchor into place and a longitudinally slidable push rod for pushing the anchor along the needle.

Abstract: A rotatable shaver in the form of an endoscopic burr instrument suitable for use at a non-fluid filled surgical site. The burr instrument comprises an elongated tubular outer member and an elongated tubular inner member rotatably situated within the outer member. A burr or other abrading tool is secured to the distal end of the inner member and abraded tissue and other debris is or may be aspirated through the lumen of the inner member. A fluid inlet port in the outer member provides irrigating fluid to the proximal end of the outer member and the fluid is conveyed to one or more longitudinally extending fluid channels between the inner and outer members. The channel or channels direct the fluid distally from an outlet port at the distal tip of the outer member in order to irrigate the surgical site. In order to prevent irrigating fluid from being directly aspirated, a barrier is provided to separate the burr tip and the outlet port from the entrance to the lumen of the inner member.

Abstract: A process for simultaneously shaping and sharpening a cutting widow at the distal end of a tubular member of a rotary blade assembly. The assembly is provided with a stationary elongated outer tube, having a cutting window at its distal tip and includes a rotatable elongated inner tube having a cutting means at its distal tip. The window in the outer tube has a curvilinear profile defined by a peripheral rim surrounded entirely by a land surface which is inclined relative to the rim. The inclination of the land produces an area which tapers from a full thickness, where the land is adjacent to the cylindrical wall of the outer tube, to a sharp edge around the periphery of the window. The curvilinear window is produced by a manufacturing process which creates the window opening with a sharpened periphery at the same time that the land surrounding the opening is inclined.

Abstract: An adjustable collet mechanism for a surgical handpiece which enables the surgical tool driven by the handpiece to be oriented at selected angular positions relative to the handpiece axis. The coupling means includes a non-rotatable sleeve attached to the handpiece and a rotatable sleeve attached to the collet holding the surgical tool. The abutting faces of the non-rotatable and rotatable sleeves are angled relative to the handpiece axis so that relative rotation of the components causes their axes to be positionable either in alignment or at a predetermined angular orientation. The coupling mechanism includes a tubular coupling link which enables relative rotation between the rotatable and non-rotatable sleeves while also enabling translation of power from the handpiece to the surgical tool.

Abstract: A wire driver collet mechanism for selectively enabling the repositioning of a wire within a wire driver. The adjustable collet mechanism enables the wire to be repositioned under its own weight so that a user is not required to grasp the wire, thereby enabling one-handed operation of the wire driver. A method of adjusting a wire within a wire driver utilizes the steps of positioning the tip of a wire against a surface and allowing the wire to move under its own weight while moving the wire driver to position the wire as desired. The release of the wire is under the control of the hand holding the wire driver.

Abstract: A universal dispenser for implants or other items includes a lightweight, thin housing made up of two clamshell halves pivoted together at a hinge. One of the halves has two laterally spaced recesses and the other of the halves has two laterally spaced projections configured to be frictionally retained within respective ones of the recesses when the halves are pivoted to a closed position. At least one of the clamshell halves has an elongated recess to form a chamber when the clamshell halves are pivoted to the closed position. The ends of the clamshell halves most remote from one another may include halves of an opening which is formed when the halves are pivoted to the closed position.

Abstract: A rotating endoscopic shaver blade assembly adapted for side-cutting and end-cutting. A pair of longitudinally extending, symmetrical fingers extends from the distal end of an elongated tubular inner member and are juxtaposed adjacent a window at the distal end of an elongated tubular outer member. Each of the fingers is provided with laterally facing and transversely facing cutting edges and has a curvilinear profile terminating at a distal tip. The distal tips of the fingers are separated by an axially aligned gap which enables limited stress-relieving radial movement of the fingers.

Abstract: An autoclavable remote control unit for controlling the operation of a surgical device. The remote control unit has a plurality of Hall effect sensors arranged on a printed circuit board hermetically encased within a polymeric housing molded from an autoclavable material. Each Hall effect sensor may be activated by an associated magnet which is resiliently supported within a panel which can be closed against the housing or hinged away from the housing. In the closed position, the magnets may be momentarily depressed to activate the associated Hall effect sensor to thereby control the operation of a selected function of the surgical device. The disclosure also includes the method of remotely controlling a surgical device by providing at least one non-contiguously activatable switch element in a hermetically sealed housing and activating the element by bringing into its proximity an activating element.

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 tubing cassette for retaining the tubing to be used during the surgical procedure and a uniquely shaped cassette holding station situated adjacent the peristaltic pump roller assembly. The cassette comprises a housing containing a flexible tube for engagement with the peristaltic rollers and having an open end to enable the cassette to be moved downwardly to place the tube in alignment with the plane in which the peristaltic rollers rotate. The cassette holding station is provided with a front panel extending in a plane parallel to the roller plane of rotation, the panel being spaced from the pump housing by a sufficient amount to create a pump roller station into which the cassette may fit.

Abstract: A wire driver collet mechanism for selectively enabling the repositioning of a wire within a wire driver. The adjustable collet mechanism enables the wire to be repositioned under its own weight so that a user is not required to grasp the wire, thereby enabling one-handed operation of the wire driver. A method of adjusting a wire within a wire driver utilizes the steps of positioning the tip of a wire against a surface and allowing the wire to move under its own weight while moving the wire driver to position the wire as desired The release of the wire is under the control of the hand holding the wire driver.

Abstract: A ring blade and drive system, and method of using same, for harvesting bone-tendon-bone ligament grafts having substantially cylindrical bone plugs. The ring blade disclosed is a circular ring having a predetermined arcuate gap formed in its periphery. The drive system includes a blade holder to peripherally hold the ring blade and a fixed-center oscillating mechanism to oscillate the ring blade about its axis within a predetermined arcuate range of motion. The ring blade structure enables the production of a substantially cylindrical bone plug of unlimited length. Harvesting of a bone-tendon-bone ligament graft is facilitated with the ring blade and method disclosed which enables the ring blade to be placed partially around a tendon segment to create bone plugs aligned with the tendon fibers included in the defined tendon segment. The cuts into the bone may be initiated into the bone at either end of the tendon segment from the tendon side through to the exterior of the bone to which the tendon is attached.

Abstract: An endoscope includes a disposable probe and a non-disposable focusing ocular. The probe includes a transfer module assembly including one or more relay modules, and an objective element including a distal glass window, a molded plastic prism and three molded plastic lenses. Each of the relay modules contains an entry glass rod, an intermediate glass rod, and an exit rod, each having flat end surfaces and two identical molded plastic doublets. The elements of the ocular are all of glass and include an axially movable focusing doublet and two non-movable doublets. The disposable probe introduces certain aberrations into the image. The non-disposable focusing ocular corrects these aberrations. A single curved surface is formed on the distal glass window of the probe; all other curved optical surfaces of the disposable probe are formed on molded plastic members, thereby reducing the cost of the probe sufficiently to be cost-effective for single patient, disposable use.