Abstract: A surgical suture is made of an elongate, hollow braid of high strength fibers. The braid defines an elongate, longitudinally-extending, central chamber that is open and without any core material extending therein so that, when a surgeon's knot is tied with the suture, the cross-sectional shape of the braid collapses upon itself and is reduced in size in response to pressures experienced when the knot is tightened thereby producing a low profile knot that resists slippage. Preferably, the braid is of a size corresponding to a USP size 5-0 to USP size 7 suture and has one or more, preferably a pair, of color contrasting monofilaments woven therein to enhance suture visibility. Methods of making a flattened suture and of utilizing the high strength suture to maintain body tissues in an engaged position to promote healing are also provided.

Abstract: A narrow profile surgical ligation clip has two legs with clamping surfaces joined by a hinge near the proximal ends, allowing the clip to reversibly open and close. A locking mechanism is proximal to the hinge to bias or lock the clip closed, including first and second jaw structures spaced on opposite sides of a longitudinal axis of the clip thereby defining a locking space therebetween. In one embodiment, a wedge or buttress body pivots by application of an external force applied to a proximal end of the clip towards the hinge to move into the locking space such that one or more outer surfaces or projections of portions of the body fit into or abut against complementary surfaces or other parts of the locking mechanism or clip assembly to bias or lock the clip in a closed position and provide additional closing force to the inner clamping surfaces.

Abstract: A colored suture includes an elongate woven braid of filaments including one or more ends made of an ultra high molecular weight polyethylene (UHMWPE). The suture also includes second and third ends which can be colorable or dyeable before or after incorporation into the elongate woven braid. This invention provides surgeons with improved recognition of suture ends in surgery by construction of a bi-colored co-braid with at least two ends of different color schemes or patterns braided into a UHMWPE construction. One of the colored ends runs continuously from one end of the suture to the other end. The other colored end can be colored only on one half of the end. This provides a suture with two distinguishable ends, while still maintaining a continuous line of color along the length of the suture.

Abstract: A seal assembly establishes sealing engagement with a plurality of differently dimensioned instruments passing through a trocar. The seal assembly is a caged seal assembly movably disposed within the trocar and includes at least two seal segments disposable into and out of a sealing orientation relative to the instrument. A cage structure of the seal assembly includes at least two cage segments each connected to a seal segment, a biasing assembly connected to the cage structure and disposed and structured to normally bias the seal segments into sealing orientation.

Abstract: A medical device includes a structure configured for introduction to a vascular system of a patient. The structure including a surface having sodium nitroprusside and silver disposed thereupon. The sodium nitroprusside has a concentration sufficient to reduce thrombosis. To make the medical device, a base material is impregnated with sodium nitroprusside, the medical device is formed from the base material, and the medical device is coated with an antimicrobial agent.

Abstract: In a medical device having an antimicrobial agent, the medical device includes a base material and an amount of chlorhexidine or a pharmaceutically acceptable salt thereof disposed in the base material sufficient to reduce microbial growth. The base material is melt processed together with the chlorhexidine to generate the medical device which is substantially free of destabilized chlorhexidine.

Abstract: A composition for dissolving or reducing the viscosity of sputum on a surface of a device includes an effective amount of glycerol and an effective amount of dextran sulfate in a saline solution. The effective amount of glycerol is between about 30-50% and the effective amount of dextran sulfate is between about 10-30%. The composition may further include an antimicrobial agent.

Abstract: A catheter lock composition for preventing bacterial infection having an effective amount of glycerol and sodium chloride solution. The effective amount of glycerol is between about 35-60% and sodium chloride is in a concentration range between 0.5-0.9%. The composition further includes an anticoagulant and/or an antimicrobial agent.

Abstract: A seal assembly establishes sealing engagement with a plurality of differently dimensioned instruments passing through a trocar. The seal assembly is a caged seal assembly movably disposed within the trocar and includes at least two seal segments disposable into and out of a sealing orientation relative to the instrument. A cage structure of the seal assembly includes at least two cage segments each connected to a seal segment, a biasing assembly connected to the cage structure and disposed and structured to normally bias the seal segments into sealing orientation.

Abstract: A water dissipation device for removing water vapor or moisture from a breathing circuit is provided, including an upper lid portion, an entry port and an exit port. An outer cover structure extends from the upper lid portion to define an enclosed volume. An inner frame extends from the upper lid portion inside the outer cover structure. The outer cover structure includes a first layer of water or moisture wicking material and a second layer of water vapor breathable medium, and has an inner surface area bounding an inner flow space such that water vapor or moisture can permeate from the inner flow space through the outer cover structure out of device. The device can include an inner cup structure extending from the upper lid portion into the enclosed volume to displace the enclosed volume and define and bound a portion of the inner flow space and compressible volume therein.

Abstract: A heat and moisture exchange device for being selectively operated between HME mode and bypass mode comprises a rotatable valve and valve selector configured to be rotated without transferring rotational movement to tubing attached to the device.

Abstract: An apparatus for applying surgical clips includes a jaw assembly and a jaw opening member. The jaw assembly includes first and second opposing pivotable jaw members that define a variable-width jaw aperture therebetween for receiving a clip. The jaw opening member is movable into engagement with the first and second jaw members for increasing the width of the jaw aperture, thereby improving the release of a clip from the jaw assembly.

Abstract: Example embodiments of the present invention relate to a torque-limiting tool which includes a central cam having a receiver component, at least one cam holder component surrounding the central cam, propelled by a driving member or a tool handle, wherein the cam holder component includes first portions that substantially complement an external surface of the central cam and at least two second portions providing space for rotation of the cam holder component relative to the central cam, and at least one connection controlling element around the cam holder component having a bending strength to enable the cam holder component positioned to interact with the movement of the cam holder component.

Abstract: A ratchet screwdriver and method of making same wherein there is a handle and there are a ratchet gear and pawls inside the handle. An adjuster is inside the handle and is movable by a tool extending into the handle for positioning the adjuster relative to the gear and thereby eliminating play between the gear and the handle. Ball bearings are interposed between the handle and the gear and the bearings rotatably support the gear and transmit the anti-play forces that act on the gear.

Abstract: This invention proposes a urinary catheter set with a urinary catheter disposed in a sterile package, which urinary catheter has a catheter shaft, a catheter tip and a preferably funnel-shaped end on the collecting pouch end, with a cuff being disposed in the package, which cuff encloses the catheter shaft. The cuff is preferably disposed so as to be movable along the length of the catheter shaft.

Abstract: A ratcheting driver for rotationally driving a piece and having a handle and pivotal pawls engageable with a driven gear and being capable of ratcheting and driving in both rotational directions. A cap is rotatable relative to said handle and it has a web for pivoting the pawls out of engagement with the gear. Through the selective rotation of the cap, the setting of the pawls is established. A spring positions the pawls in driving positions, and the cap has surfaces which disengage the pawls from the gear upon rotation of the cap. A method of arranging the driver is included.

Abstract: An assembly structured to selectively orient a seal between an open position and a closed position. The assembly includes an expander structure disposable into a seal open or a seal closed orientation by being rotated or otherwise movable into and out of forced engagement with predetermined portions of the seal structure. The seal open orientation disposes the seal structure out of engagement with an instrument passing there through and may also facilitate a rapid venting of insufflation gas from an inflated body cavity, such as when the seal positioning assembly is used with a trocar assembly involved in the performance of laprascopic or like surgery. A biasing assembly may be connected to the seal structure to bias it in a normally closed position in the absence of an instrument disposed within the seal structure.

Abstract: A polymeric, surgical clip having first and second curved legs with each having a pair of opposing side surfaces joined at their proximal ends by a flexible hinge section and movable from an open position to a closed position for clamping a vessel between curved opposing inner surfaces. The first leg terminates at its distal end in a female locking member, and the second leg member terminates in a male locking member complimentary to the female locking member such that when the first and second leg members are moved from an open position to a closed position about the hinge section the male member is lockingly engaged in the female locking member. The clip has at least one cutting guide extending outward from and disposed along at least a portion of the length of at least one of the side surfaces of at least one of the first and second legs. The cutting guide aids in cutting the ligated tissue a safe distance from the clip such that a tissue cuff is formed.

Abstract: An assembly structured to introduce a trocar or other medical instrumentation into a body cavity through an entry site formed in the cavity wall. The introducer assembly includes a base formed of a semi-rigid, flexible and/or a semi-flexible material having an instrument receiving passage extending there through, and further including an exterior sealing surface extending between proximal and distal portions of the base. The sealing surface has a predetermined configuration which is shaped to conform to the shape of the entry site as the base passes into the entry site. A fluid restricting seal is thereby established between the exterior of the base and the peripheral tissue surrounding the entry site, particularly when the entry site is formed by an incision commonly utilized an open laparoscopic procedure.

Abstract: A polymeric, surgical clip having first and second curved legs joined at their proximal ends by a flexible hinge section and movable from an open position to a closed position for clamping a vessel between curved opposing inner surfaces. The first leg terminates at its distal end in a female locking member comprising a resilient inwardly turned hook having a recess in the mouth of the hook, and the second leg member terminates in a male locking member complimentary to the female locking member and comprising a detent such that when the first and second leg members are moved from an open position to a closed position about the hinge section the hook member will deflect about the distal end of the second leg member thereby engulfing the male locking member in the mouth of the hook and matingly engaging the detent in the recess thereof, thus securely locking the clip in the closed position. The locking feature provides greater closure security to the clip when clamping large diameter or uncompressible tissue.