Abstract: An ultrasound imaging and biopsy system is provided in which an upper compression member of the system includes a thin, flexible, sterile and disposable membrane that compresses the tissue and permits a biopsy instrument to be readily inserted therethrough. In a preferred embodiment, a table is provided that houses an ultrasound scanning system beneath a sonolucent window forming a lower compression surface. Methods of using the system to perform real-time image-guided biopsy of tissue disposed on the window are also provided.

Abstract: There is disclosed a surgical instrument and loading unit for performing an anastomosis of first and second blood vessels. The surgical instrument includes a handle assembly and a body portion extending distally from the handle assembly. The detachable loading unit includes an anvil releasably engagable with a distal end of the body portion and having a plurality of fasteners disposed in channels about the circumference of a distal end of the anvil. A pusher is slidably mounted over the anvil such that distal movement of the pusher in response to actuation of the handle assembly cams the fasteners between the anvil and a distal end of the pusher to simultaneously crimp the fasteners about tissue. A method of performing an anastomosis is also disclosed and includes positioning a first vessel in the loading unit and partially inserting the first vessel through an opening in a second vessel.

Abstract: An apparatus and method for the biopsy of tissue specimens and, more particularly, a single insertion multiple sample percutaneous biopsy apparatus and method are provided. A tip at a distal end of a support tube is introduced into a tissue mass. The support tube has a lateral opening adjacent the tip. A knife tube is disposed within the support tube and is retracted allowing the lateral opening to communicate with the tissue mass. Suction through a suction tube draws tissue into the lateral opening where it is severed placing the tissue in a pusher. Pusher is attached to vacuum tube which is retracted proximally through the knife tube. A tissue sample is drawn through the knife tube to a location where it can be removed from the pusher.

Abstract: A package for retaining a needle-suture combination includes a cover, and a base which is connected to the cover by snap lock engagement so as to define an enclosure volume. The base has first and second V-shaped ridges, each V-shaped ridge having a vertex portion, the vertex portion of the first V-shaped ridge being in opposing relation to the vertex portion of the second V-shaped ridge so as to define a constricted space therebetween. The V-shaped ridges serve as guides for maintaining a major portion of the suture in a coiled configuration with generally figure 8 shaped loops.

Abstract: A biopsy apparatus for obtaining tissue samples includes a housing, an elongated member slidably and rotatably mounted in the housing and a blade having a stem portion pivotally mounted on the elongated member and moving transversely relative to a longitudinal axis of the elongated member between a stowed position and a deployed position. A method of sampling tissue includes the steps of providing the biopsy apparatus, inserting the elongated member into a tissue mass, deploying the blade, severing a tissue sample from the tissue mass by proximally retracting and rotating the elongated member, removing the elongated member from the tissue mass and extracting the tissue sample from a patient.

Abstract: Mixtures of absorbable polymers and plasticizers useful in the production of medical devices are provided.

Abstract: A meniscal fastener applying device for repairing tears in the meniscus of the knee. The device includes a handle assembly and an elongated body portion attached thereto. The handle assembly is operatively attached to a firing mechanism to remotely actuate a firing bar. The firing bar is movably positioned within the elongated body portion to engage and eject a fastener from within the elongated body portion. The elongated body portion includes a support casing which is preferably constructed from stainless steel. The support casing has a cylindrical proximal cross-section that tapers into a distal cross-section having planar top and bottom surfaces. The distal end of the elongated body portion further includes a pair of locator barbs and a tapered distal face.

Abstract: Bioabsorbable polymers and copolymers having accelerated mass loss, and more particularly bioabsorbable polymers and/or copolymers blended with particles of bioabsorbable polymers as well as surgical articles made totally or in part therefrom, including both monofilament and multifilament sutures, are provided.

Abstract: A surgical fastener applying apparatus having elongated cartridge and anvil half sections which are relatively movable from an unclamped to a clamped position. A safety member is supported in the cartridge section and movable between a non-blocking position and a blocking position to prevent relative movement of the cartridge and anvil support member to the clamped position after the fasteners have been fired. The safety member is biased inwardly by a tab retainer. Distal movement of the cam bars causes the tab retainer to be moved to a release position to allow movement of the safety tab to the blocking position.

Abstract: A dispenser box for suture packages includes an outer casing and drawer portion slidably disposed within the outer casing. The dispenser preferably includes at least two access portals for withdrawal of the suture packages. A first access portal allows the suture packages to be withdrawn in accordance with the U.S. preferred mode, wherein the dispenser box disposed so that the suture packages are stacked in a vertical array and withdrawn horizontally. A second access portal allows the suture packages to be withdrawn in accordance with the European preferred mode, wherein the suture packages are stacked in a horizontal array and are withdrawn vertically.

Abstract: Apparatus is provided that combines radiography equipment with an ultrasonic transducer to generate ultrasonic images of the internal structure of biological tissue that are in registration with an X-ray image. The apparatus includes an examination table having a radiolucent and sonolucent window for imaging the biological tissue with an ultrasound and X-ray subsystems without moving the patient. In alternative embodiments, the ultrasound transducer may be an annular array transducer mounted on a moveable or a linear array of ultrasonic transducing elements. The X-ray images are preferably generated digitally using a line X-ray source and detector.

Abstract: A coring device for coring body tissue to define reproducible patent channels in the body tissue is provided. The coring device utilizes a coring member that is rotatable and linearly advanceable at coordinated predetermined rates to core body tissue. The device can include a suction assembly suitable for use during biopsy procedures and a cautery assembly to cauterize the cored body tissue. The coring member can also be oscillated along its longitudinal axis to effect cauterization and/or coring. The coring device is particularly suited for Transmyocardial Revascularization (TMR).

Abstract: A modular trocar system which includes an obturator assembly, and a cannula assembly defining a longitudinal passageway therethrough configured and dimensioned to slidably receive the obturator assembly, the cannula assembly including a housing which includes a valve assembly and a first mating portion, and a cannula defining a passageway of a predetermined dimension therethrough, the cannula and housing movable alternately between a spaced apart relative orientation and an attached orientation wherein the first and second mating portions are engaged.

Abstract: A surgical retractor assembly is provided comprising a frame having first and second portions, a first hook member supported on the frame, a second hook member supported on the frame and movable with respect to the frame, and a frame support supporting the frame. The frame support is adapted to retain the first portion of the frame in a selected raised position with respect to the second portion of the frame. The frame support preferably comprises two elongated shafts having locking mechanisms for locking the frame in the selected raised position.

Abstract: Channel-bodied surgical needles and surgical incision members are disclosed having a generally U-shaped cross-sectional body portion and a penetrating tip portion formed on at least one end thereof. Preferably, penetrating tip portions are formed at both ends of the channel-bodied portion. The surgical needle and/or surgical incision member may additionally includes apparatus engagement structure formed adjacent either end of the body portion and engagable with a suitable surgical suturing apparatus. The channel-bodied surgical needle and/or surgical incision member may additionally include securement structure for attachment of a length of suture material thereto. There is also disclosed apparatus for forming a channel-shaped body portion and the suture attachment structure. Additionally, methods for suturing tissue sections, particularly vascular tissue sections, with the channel-bodied surgical needle and the channel-bodied surgical incision members, are disclosed.

Abstract: A surgical stapling apparatus having tissue bolstering material disposed thereon for application of the material and staples to body tissue. Two tissue bolstering members are preferably provided, each member being generally planar in configuration, wherein a first member corresponds to the dimensions of the tissue contacting surface of a staple cartridge and a second member corresponds to the dimensions of the tissue contacting surface of an anvil. In use, tissue is disposed between the anvil and the staple cartridge and the instrument is fired, thereby securing the tissue bolstering material to the tissue.

Abstract: A fastener applying device for applying surgical fasteners to body tissue is provided. The fastener applying device includes an approximation mechanism having a single actuator to perform fast closure and incremental approximation of a cartridge carrier and anvil. The cartridge carrier and anvil can be approximated into a multiplicity of predetermined firing enabled positions. An adjustment member is operably associated with a firing mechanism of the device to vary the maximum stroke of a pusher bar. The adjustment member facilitates ejection of multiple size fasteners from the device.

Abstract: A method for providing at least partial bypass of the heart to supplement the pumping function of the heart to thereby enable the surgeon to perform various surgical procedures thereon includes providing a circulatory assist system having a portable extracorporeal axial flow pump with a pump housing, a rotating pumping member disposed in the pump housing and inlet and outlet cannulated tubes respectively connected to inlet and outlet ports of the pump housing, accessing the patient's left atrium of the heart with the inlet cannulated tube, accessing the aorta with the outlet cannulated tube, actuating the rotating pumping member to draw oxygenated blood from the left atrium of the heart through the lumen of the inlet cannulated tube and into the inlet port of the pump housing whereby the pumping member imparts mechanical energy to the oxygenated blood passing through the pump housing and directs the oxygenated blood through the outlet port and through the lumen of the outlet cannulated tube to be transferred