Abstract: An endoscopic surgical instrument for aspiration, irrigation, and blowing gas adjacent a surgical site is provided. The instrument includes a handle portion and a cannula member extending distally from the handle portion. First and second connection ports are supported by the handle and are in fluid communication with the cannula member. An insertion port is also supported by the handle portion and is preferably axially aligned with the cannula member. A blow tube is removably positioned within the cannula member via the insertion port. The first and second connection ports are adapted to communicate with a source of irrigation fluid and a vacuum source and the blow tube is adapted to be connected to a source of pressurized gas such that irrigation fluid, aspiration, and/or pressurized gas can be selectively provided via the cannula member at the surgical site.

Abstract: A low cost optical viewing device includes an objective lens section, a relay lens section and an eye piece section. The relay lens section is devoid of glass rods and includes a minimal number of lenses each preferably fabricated from plastic material. The illumination system includes a plurality of optical fibers also preferably fabricated from plastic material.

Abstract: Instrumentation for transoral treatment of gastroesophageal reflux disease (GERD) are disclosed. In a preferred embodiment, an instrument includes a remotely operable invagination device for atraumatically approximating the lower esophagus and fundus of the stomach and for invaginating the gastroesophageal junction into the stomach thereby involuting the surrounding fundic wall. The same or a separate instrument includes a remotely operable surgical fastening instrument for fastening together the invaginated lower esophagus and fundic wall. A method of surgically treating GERD is also disclosed.

Abstract: Valve assembly for sealed reception of an elongated object includes a valve body having at least one opening configured and dimensioned to permit entry of an elongated object and defining a central longitudinal axis, an elongated seal member formed of a resilient material and defining an aperture in general alignment with the opening of the valve body whereby the aperture is configured and dimensioned such that insertion of the object into the aperture causes the resilient material defining the aperture to resiliently engage the outer surface of the object in a substantially fluid flight manner, and at least one elongated guard member disposed within the seal member in supporting contact with the inner surface thereof. The guard member is positioned to engage the elongated object upon at least partial insertion of the elongated object into the valve body.

Abstract: A surgical stapler is provided for applying linear parallel rows of staples. The stapler includes an anvil retention portion, a cartridge retention portion, a replaceable anvil, a cartridge housing and a blocking member. The blocking member is movable between a free-movement position and a blocking position. In the free-movement position, the blocking member permits movement of the cartridge retention portion and the anvil retention portion between open and closed positions. In the blocking position, the blocking member prevents movement of the anvil retention portion and the cartridge retention portion between the open and closed positions.

Abstract: A surgical stapler instrument is disclosed for applying linear parallel rows of staples through compressed living tissue having a replaceable anvil. The stapler has a mechanism for (a) preventing the jaws from being clamped on tissue, and/or (b) preventing the stapler from being fired if the anvil has been removed. In one aspect, the surgical stapler includes a replaceable anvil having specially shaped surfaces for forming staples, and cartridge and anvil retention portions. The cartridge and anvil retention portions are relatively moveable between a closed position in which the cartridge and anvil retention portions are in closely spaced relationship for clamping tissue to be stapled therebetween and an open position in which the cartridge and anvil retention portions are spaced farther from each other than in the closed position. The stapler also includes a cartridge housing for enclosing staples, and a firing assembly for firing the staples that is moveable between a pre-fired and a fired position.

Abstract: A catgut suture includes a dehydrothermal cross-linked collagen coating which is insoluble in tubing solution. The collagen coating is formed by immersing the gut suture in a solution of collagen in acidified water. Optionally, a plasticizer may be included in the coating solution. The suture is then heated in a vacuum to effect cross-linking of the collagen.

Abstract: A process for tipping surgical sutures includes dispensing tipping agent one drop at a time and contacting the suture portion to be tipped with the drop of tipping agent. A transversely oriented lifting/wiping string may be used to lift the suture into contact with the drop and may wipe away excess tipping agent. Alternatively, a transversely oriented string may be used to catch a drop and then place the drop onto the suture. The tipping agent absorbed into the tipped portion can then be cured and cut to provide a tipped suture. The tipping process and apparatus can be used in conjunction with a needle-suture assembly process. The process advantageously controls application of a droplet of tipping agent to minimize the amount of tipping agent used, thereby providing an aesthetic needle-suture attachment. Apparatus are disclosed for performing the process.

Abstract: A surgical suture fabricated from a copolymer containing dioxanone, trimethylene carbonate and glycolide is treated with gamma radiation to enhance bioabsorbability without adversely effecting handling properties.

Abstract: A method of removing edges from an eyeless operating needle blank includes the steps of providing needle blanks having an end portion which defines a bore. Aligning the end portion, which defines a bore, longitudinally with a laser. The laser is fired such that radiation from the laser is incident on the end portion. The incident radiation from the laser forms rounded edges about the end portion.

Abstract: A surgical apparatus for marking a location within tissue which includes (i) a needle including a housing and an elongated tube having a sharp distal end, (ii) an elongated cable configured and dimensioned to pass through a longitudinal passageway formed through the needle, (iii) an elongated tissue marker attached adjacent a distal end of the elongated cable such that the elongated marker is movable between a retracted orientation and a deployed orientation, and (iv) an actuator assembly operatively associated with the elongated marker, wherein movement of the actuator assembly from a first position to a second position moves the elongated marker from the retracted position to the deployed position.

Abstract: A surgical apparatus for cutting and storing sections of body tissue is provided comprising a housing having a handle assembly, an elongated outer tube extending from the handle assembly, and a cutting tube positioned within the outer tube and movable in response to actuation of the handle assembly between a retracted position and a distal position to cut body tissue. The cutting tube has a chamber formed therein for storing the cut tissue sections. A removable plug assembly is mounted on the proximal end of the cutting tube. A release lever is engagable with the trigger and is movable from a blocking position to a release position to release the trigger and allow the cutting tube to be removed from the outer tube. An anvil is positioned at a distal end of the outer tube for forcing each cut tissue section proximally into the chamber of the cutting tube as the cutting tube is advanced to cut the body tissue. A locking member is engagable with a rotation knob to prevent rotation of the knob.

Abstract: A implantable sealed microphone (50) includes a diaphragm (52) having a thin central region (54) surrounded by a thicker rim (56). One side of sheet electret material (72) is bonded to the diaphragm (52) while the other side contacts a roughened plate (82). The rim (56) is bonded to a housing (112) thereby hermetically enclosing the electret (72) and the plate (82). The microphone (50) also includes an electrical connector (94) that couples both the plate (82) and the electret (72) to an input of an amplifier (30) included in an implantable hearing aid system (10). Preferably, the microphone (50) is incorporated into a sealed electronics module (100) together with the amplifier (30) and an energy storage device such as a battery that energizes operation of the implantable hearing aid system (10). In such a configuration, the microphone's diaphragm (52) forms a surface of the electronics module's housing (112).

Abstract: A surgical stapling or fastening instrument for applying surgical fasteners to tissue having an adjustable closure mechanism to linearly approximate the distance between the jaw members of the instrument. The adjustable closure mechanism consists of a retaining mechanism and a linkage structure which is actuable to linearly urge the jaw members towards each other. A coupling arrangement is also provided which permits firing of the staples or fasteners only when the jaw members are approximated a predetermined distance towards each other.

Abstract: A surgical apparatus for cutting and storing sections of body tissue is provided comprising a housing having a handle assembly, an elongated outer tube extending from the handle assembly, and a cutting tube positioned within the outer tube and movable in response to actuation of the handle assembly between a retracted position and a distal position to cut body tissue. The cutting tube has a chamber formed therein for storing the cut tissue sections. An anvil is positioned at a distal end of the outer tube for forcing each cut tissue section proximally into the chamber of the cutting tube as the cutting tube is advanced to cut the body tissue.

Abstract: A surgery demonstration kit for comparing different surgical fastening tools and techniques includes a tube for simulating a vascular segment or other such body tissue, the vascular simulation tube being mounted to supports on a frame. The tube is cut to form at least one, and preferably two, side by side slits which are then repaired with the alternative tissue fastening instruments and techniques to be compared. A fluid conduit conducts fluid to the vascular simulation tube and the fluid is pressurized until one or both of the repaired slits begins to leak fluid. The kit is portable and the frame folds into a convenient carrying container.

Abstract: A surgical cannula assembly includes a cannula, an adapter ring, and a housing. The adapter ring is defined at the proximal end portion of the cannula and includes a first sealing surface. The housing includes a port structure for engagement with the adapter ring. The port has a lip with a second sealing surface adapted to engage the first sealing surface. The first and second sealing surfaces are preferably annular surfaces which are non-parallel with respect to each other.

Abstract: An apparatus for manipulating a surgical needle is disclosed, comprising a body portion, a first needle receiving jaw mounted for movement on a distal end of the body portion and having a first needle engaging member, a second needle receiving jaw mounted for movement on the distal end of the body portion and having a second needle engaging member, the second needle engaging member being operatively interconnected to the first needle engaging member for relative reciprocal movement therewith, wherein each of the first and second needle receiving jaws has a recess for receipt of a portion of a surgical needle therein. The first and second needle engaging members are mounted for alternate reciprocal movement into and out of locking engagement with the surgical needle.

Abstract: Apparatus for grinding tapers and points on elongated needle workpieces having frame means and needle workpiece transport means associated with the frame means for transporting a plurality of the workpieces. The workpiece transport means has a predetermined curvature and workpiece feeder means is mounted adjacent the frame means for feeding workpieces to the workpiece transport means. The grinding means is preferably a grinding wheel disposed adjacent the workpiece transport means to engage workpieces while supported by workpiece supporting means and has a major diameter at a first end and a minor diameter at a second end, the major diameter being greater than the minor diameter. The diameters are connected by a curved grinding surface the diameter of which increases progressively therebetween.

Abstract: A surgical clip applicator having a housing, a pair of handles pivotally connected to opposite sides of the housing, and a jaw blade assembly fixedly connected to the housing is provided. The jaw blade assembly includes a pair of jaws for receiving and deforming a clip therebetween and a clip carrier for supplying a series of clips to the jaws. A channel assembly is slidably mounted with respect to the housing and envelops the jaw blade assembly for camming the jaws closed upon closing of the handles. The clips are urged by a pusher bar which provides a biasing force to advance the clips to be retained by the jaws. A jaw clamp is provided to maintain the jaw assembly in abutting relation to a clip cover. The applicator housing is formed from a pair of housing half-sections that may be secured together using interlocking and/or snap-fit structure.