Abstract: A reusable endoscopic surgical instrument includes a tool assembly and a detachable handle. The tool assembly consists of an outer sleeve to which a surgical jaw assembly such as scissors or graspers is mounted. An inner extension is mounted inside the sleeve and is longitudinally translatable with respect to the sleeve. When the distal end of the extension is in engagement with the jaws of the jaw assembly, translation of the extension causes the jaws to open and close. The extension can be translated out of engagement with the jaws to permit disassembly of the instrument for cleaning and changing jaw assemblies. The tool assembly is retained within the handle assembly. The sleeve is retained within the handle in a longitudinally stationary position with respect to the handle, while the extension is permitted to move longitudinally within the sleeve.

Abstract: A reusable endoscopic surgical instrument includes a tool assembly and a detachable handle. The tool assembly consists of an outer sleeve to which a surgical jaw assembly such as scissors or graspers is mounted. An inner extension is mounted inside the sleeve and is longitudinally translatable with respect to the sleeve. When the distal end of the extension is in engagement with the jaws of the jaw assembly, translation of the extension causes the jaws to open and close. The extension can be translated out of engagement with the jaws to permit disassembly of the instrument for cleaning and changing jaw assemblies. The tool assembly is retained within the handle assembly. The sleeve is retained within the handle in a longitudinally stationary position with respect to the handle, while the extension is permitted to move longitudinally within the sleeve.

Abstract: A link, and assembly and instrument using same, for transmitting actuating forces from an actuating member to a work member. The link includes a link body having a distal end and a proximal end. The distal end of the link body is movably interconnected with the work member by a distal interconnection element such as an arcuate groove-and-flange assembly, and is interconnected at its proximal end to an actuating member by a proximal pivotal interconnection element. The proximal element transmits a first actuating force from the actuating member to the work member. A shoulder, disposed on the link body preferably between the distal and proximal elements for interconnecting, engages the actuating member when a second, greater actuating force is applied to the actuating member in a direction opposite to that of the first actuating force. The greater force is thereby transmitted fully to the work member. The link assembly preferably includes a spacer member to assist positioning of the actuating member.

Abstract: A surgical instrument an outer hollow member having a passageway extending therethrough. A handle is disposed near its proximal end to enable manipulation of the outer member. An inner movable assembly reciprocates through the passageway. A distal end of the inner assembly is drivable distally through the passageway from a retracted position to an extended position protruding distally beyond the distal end of the outer member. The distal end of the inner assembly terminates in at least first and second grasper members for traveling past and on either side of a portion of a surgical filament in the extended position and for encircling the filament portion in the retracted position to manipulate the filament within the patient.

Abstract: A cooled electrosurgical system includes an electrosurgical device having at least one electrode for applying electrical energy to tissue. In one embodiment, the electrode includes an internal cavity in which a cooling medium such as water is contained. The internal cavity is closed at the distal end of the device such that the cooling medium is contained within the electrode at the surgical site such that the cooling medium does not contact the tissue being treated.

Abstract: A graft attachment device having an elongated body with a leading end and a trailing end, each defining an element for carrying a filament such as a suture. The body further defines at least one element for attaching to the body either a graft or a graft connection element which is in turn connected to the graft. The element for attaching enables the body to rotate relative to the graft from an initial insertion position, along an axis substantially parallel to the graft, to a final fixation position transverse to the graft to secure the graft relative to a bone.

Abstract: A surgical instrument is provided of the type having first and second telescoping shafts, a jaw assembly comprising two jaws carried by the front end of the first shaft, and a novel handle mechanism, and connecting member for connecting the rear ends of the two shafts to the novel handle mechanism, so that manipulation of the handle mechanism by the surgeon will cause relative reciprocal axial motion of the two shafts, thereby resulting in opening and closing of the jaws. In a preferred embodiment, the novel handle mechanism comprises a first fixed handle member, a second movable handle member, gear member connecting the two handle members so that when the handles are moved relative to one another in a first direction, the jaws will be squeezed into clamping relation with tissue by the collet-like action of the second shaft moving in a first direction relative to the second shaft, and spring member for urging the second shaft to move in a direction to open the jaws.

Abstract: A surgical instrument is provided of the type having first and second telescoping shafts, a jaw assembly comprising two jaws carried by the front end of the first shaft, and a novel handle mechanism, and connecting member for connecting the rear ends of the two shafts to the novel handle mechanism, so that manipulation of the handle mechanism by the surgeon will cause relative reciprocal axial motion of the two shafts, thereby resulting in opening and closing of the jaws. In a preferred embodiment, the novel handle mechanism comprises a first fixed handle member, a second movable handle member, gear member connecting the two handle members so that when the handles are moved relative to one another in a first direction, the jaws will be squeezed into clamping relation with tissue by the collet-like action of the second shaft moving in a first direction relative to the second shaft, and spring member for urging the second shaft to move in a direction to open the jaws.

Abstract: A link, and assembly and instrument using same, for transmitting actuating forces from an actuating member to a work member. The link includes a link body having a distal end and a proximal end. The distal end of the link body is movably interconnected with the work member by a distal interconnection element such as an arcuate groove-and-flange assembly, and is interconnected at its proximal end to an actuating member by a proximal pivotal interconnection element. The proximal element transmits a first actuating force from the actuating member to the work member. A shoulder, disposed on the link body preferably between the distal and proximal elements for interconnecting, engages the actuating member when a second, greater actuating force is applied to the actuating member in a direction opposite to that of the first actuating force. The greater force is thereby transmitted fully to the work member. The link assembly preferably includes a spacer member to assist positioning of the actuating member.

Abstract: A reusable endoscopic surgical instrument includes a tool assembly and a detachable handle. The tool assembly consists of an outer sleeve to which a surgical jaw assembly such as scissors or graspers is mounted. An inner extension is mounted inside the sleeve and is longitudinally translatable with respect to the sleeve. When the distal end of the extension is in engagement with the jaws of the jaw assembly, translation of the extension causes the jaws to open and close. The extension can be translated out of engagement with the jaws to permit disassembly of the instrument for cleaning and changing jaw assemblies. The tool assembly is retained within the handle assembly. The sleeve is retained within the handle in a longitudinally stationary position with respect to the handle, while the extension is permitted to move longitudinally within the sleeve.

Abstract: A surgical instrument comprising a handle assembly with a detachable tool assembly is disclosed. The tool assembly comprises rotatable jaws having arc defining portions near their proximal ends which define arcs having arc centers displaced from the jaws. The jaws are coupled to the distal end of an inner rod which is longitudinally translatable within an outer sleeve. When the inner rod is translated, a guide member at the distal end of the outer sleeve contacts the arc defining portion of the jaws such that each jaw rotates about the center of its arc. The handle assembly comprises a trigger which engages a translation member on the inner rod. As the trigger is rotated, the translation member carries the inner rod back and forth to actuate the jaws. The translation member is coupled to the inner rod via a coupler having a spring which limits the closing force applied to the jaws.

Abstract: A surgical tool comprises a detachable tool assembly and tool actuating handle. The tool assembly comprises a tool such as scissors having jaws pivotably mounted via a pivot pin to an inner extension. An outer sleeve around the extension carries a drive pin which engages the tool. The actuating handle retains the inner extension in a fixed position but allows the tool to rotate. Moving a trigger on the actuating handle causes the outer sleeve to translate back and forth over the extension. As the sleeve moves, the drive pin engages the tool to open and close the jaws. The handle is available in a dual-port configuration in which the tool assembly may be inserted in one of two ports.

Abstract: A surgical instrument is provided that comprises two coaxial tubes mounted for relative telescoping motion, and a unitary jaw piece of springy material affixed to the remote end of one of said tubes and having two jaws normally biased apart to a selected open position. The other one of said tubes is movable longitudinally relative to said one tube so that the forward end of the said other tube forces the jaws to close. The jaw piece includes a body section joined to the two jaws by spring leaves having a selected configuration, with the result that when the jaws are moved to closed position, the forward ends of the jaws engage one another before there is any engagement between the rear ends of the jaws. The jaw piece also has an opening permitting introduction of an ancillary device to a position permitting communication with the space between the jaws.

Abstract: A surgical instrument with a scissors-type handle mechanism is provided, with the handle mechanism being characterized by first and second handle members and a toggle linkage coupled to the handle members adapted to lock the handle members in a closed position.

Abstract: The invention provides a surgical instrument having a pair of opposed jaw members, at least one of which jaw members is moveable with respect to the other jaw member. A cutting and/or cauterizing heat source such as a hot wire element and/or laser transmission fiber is carried on at least one of the jaw members.

Abstract: A suture anchor (10) for securing a suture (20) to body tissue (38) in an athroscopic surgical procedure. The suture anchor is an elongatyed tubular member (12) having first and second ends (14,16). The distal or terminal end (24) of the suture is secured to the first or leading end (14) of the suture anchor (10) with the suture (20) extending through the suture anchor (10). A slot (18) is formed on the suture anchor (10) which extends from the second or trailing end (16) of the suture anchor (10) toward the leading end (14) of the suture anchor (10). The suture anchor (10) is inserted in a first position with the suture (20) extending through the suture anchor (10) from the leading end (14) of the suture anchor (10) to the trailing end (16).

Abstract: A bone anchor (10) for securing a suture to a bone (38). The bone anchor (10) has a tip (16) at its distal end (18) and at least one resilient wall (27) extending to a trailing end (20) of the body (12) of the anchor. The wall (27) has a ridge (14), or barb, formed on an outer surface. The ridge (14) defines an edge (34) that digs into a hole (36) in the bone (38) in which it is positioned. A strand of suturing thread (22) extends through a suture receiving opening (24) in the tip (16) of the anchor. When tension is applied to the suturing thread (22), it causes the ridge (14) to dig into the walls of the hole (36) in the bone (38). Two resilient walls (27,28) are preferably provided which include an annular ridge-shaped barb (14). The two resilient walls 27, 28 scissor outwardly upon application of tension to the suturing thread. The tip (16) is generally frustoconical with a rounded leading end.