Abstract: The present invention allows for the performance of surgical procedures that involve the passing of sutures through tissue in a location that is facilitated by the suturing instrument deploying the suture in a forward-facing direction in relation to the suturing instrument. In addition, this invention provides for the catching and retrieval of the suture after it is passed through the tissue. In particular, this suturing instrument may be placed or positioned in the body such that a suture may be passed into a tissue of the body while the face of the distal end of the instrument abuts the tissue.

Abstract: An instrument and method for tying two suture ends into a knot. A tubular outer member is provided with a transverse slot for capturing a length of one of the suture ends therein. A slidable inner member has a pair of diametrically opposed, suture engaging fingers for pushing the captured suture from the tubular member and for rotating it to form a loop between the fingers. The other suture end is passed through the loop to create a knot. The instrument is then repositioned and used as a knot pusher so the knot may be tightened and properly positioned. Successive use of the instrument to create successive loops and knots ultimately results in a final knot securing the suture ends.

Abstract: An instrument for exerting an end of a vessel over an end of a tubular workpiece. The instrument has a body having an axial bore, and a mandrel mounted within the axial bore and partially extending from the distal end of the axial bore. The mandrel is made from a sheet of spring-like material rolled into a conical shape. The distal end of the mandrel is insertable into the lumen of the vessel. A plunger substantially contained within the axial bore and axially moveable, extends into the proximal end of the mandrel and presses against an inner surface of the mandrel when the plunger is moved from a retracted position to an extended position, thereby causing the distal end of the mandrel to expand radially and the proximal end of the mandrel to contract radially. An optional spring mounted to the body provides a biasing force to move the plunger to the retracted position and to allow the mandrel to return to the conical shape.

Abstract: An instrument for attaching a graft to an aorta includes a first needle assembly for breaching the aorta to provide a hole in a wall thereof, and a carrier portion for insertion of an end of a tubular graft through the hole and into the aorta. Arms are pivotally mounted on the instrument and are moveable from a position extending axially of the carrier to a position extending radially from the carrier to spread the end of the graft radially outwardly from a tubular portion of the graft to form an annular flange extending outwardly from the tubular portion, and to support the flange within the aorta and around the hole therein. A second needle assembly retains the suture material and advances the suture material into engagement with the aorta wall and the graft flange for suturing the graft flange to the aorta wall.

Abstract: There is provided a one-piece pacifier that has two substrates in which the second or outer substrate overmolds onto the first or inner substrate. The two substrates for the pacifier form a shield for the pacifier. The outer substrate forms the pacifier's nipple. The pacifier is made by forming a plurality of holes in the inner substrate and overmolding the outer substrate onto the inner substrate to form a nipple and a shield for the pacifier.

Abstract: An impermanent biocompatible fastener comprises a male portion and a female portion. The male portion includes a base member and a pair of male members. The male members extend downwardly from the base member, each male member comprising a post and a head disposed at the bottom end of the post. The female portion includes a base member and a pair of sleeves. The sleeves extend upwardly from the base member, each sleeve defining a bore adapted to receive a head from a corresponding male member and having an inner flange. The flange extends into the bore and is engageable with the head once the head has been inserted past the flange to inhibit withdrawal of the head from the bore. Except for a biodegradable outer coating on each of the two heads, the fastener is made entirely of a non-bioabsorbable material.

Abstract: A surgical instrument for relieving carpal tunnel syndrome has an elongated member including a first portion for handling and a second portion. The second portion has a first surface, a second surface, and a blade on the first surface. The blade has a trailing edge and a sharp, convex leading edge. The leading edge rises gradually at a first angle with respect to the first surface so that when the leading edge is pushed against tissue to make an incision, damage to the surrounding tissue is reduced. The first angle is less than 90 degrees. In carpal tunnel release surgery, a transverse incision is made in the patient's distal wrist crease with a surgical instrument. The surgical instrument is positioned below the, transverse carpal ligament and advanced in a closed procedure towards the patent's fingertips until the transverse carpal ligament is completely transected.

Abstract: Spring clips are arranged end to end in a cavity of an inner shaft. Such shaft slides within an outer shaft, and a pusher member slides in the cavity behind the clips. The clips have jaws biased together, but which are wedged apart by an opener as the pusher is moved distally. An opened clip is ejected by relative movement of the inner and outer shafts to clamp body tissue at a desired site.

Abstract: A device for locating a puncture hole in a liquid-carrying vessel such as a blood vessel comprises a hollow tube 92 having front and rear openings respectively at opposite ends of the tube to allow the tube to slide along a guidewire passing through the tube. The front opening 96 comprises a first portion 96A for slidably accommodating the guidewire and a second portion 96B to allow liquid from the vessel to flow back through the tube. The device is configured, e.g. by a constriction 96C, such that a guidewire at least above a certain diameter in the first portion 96A of the front opening is restrained against moving into the second portion 96B. Alternatively, the first and second portions 96A, 96B of the front opening may be independent of one another.

Abstract: A surgical instrument can be disinfected or sterilized, and has a rechargeable secondary battery incorporated therein. A distal treatment section of the surgical instrument is ultrasonically oscillated or otherwise activated using the secondary battery as a driving power source to perform surgery on a living tissue. Electromagnetic energy generated by an energy generation unit located outside the surgical instrument is received by a reception coil incorporated in the surgical instrument with the surgical instrument by induction from the energy generation unit. The electromagnetic energy is then converted into charging power with which the secondary battery is recharged. Thus, the surgical instrument can be readily recharged without compromising sterility.

Abstract: Magnetic anchoring devices are disclosed herein. Expandable devices that are inserted into the stomach of a patient are attached to its interior wall by magnetically coupling. Such expandable devices, like inflatable balloons, comprise at least one magnetic device, which may be a magnet, a magnetizable material, or a magnetic metal. The magnetic device may be positioned on the external or interior surface of the expandable device or may be integral thereto. The magnetic device is magnetically coupled to a magnetic anchor positioned on a surface of the stomach wall. In this way, the expandable devices are anchored to the stomach walls, preventing migration of the device to other areas of the body where they may become obstructions and pose health risks.

Abstract: A handle and methods for its use are provided for actuating surgical components such as blades, clamps, punches, needles, shears, etc., primarily for use in cardiovascular or arthroscopic surgery. The handle is a single-piece handle, including an outer portion and an inner portion. The inner portion is substantially within the outer portion, and includes an actuating component, and a guiding component connected to the actuating component. The actuating component includes a finger grip, and a spring force component which biases the finger grip and the guiding component to extend and towards a distal tip of the neck. A stress limiting component limits stress at a critical point of the spring force component by limiting movement of the spring force component at the critical point during actuation of the actuating component.

Abstract: An arrangement of interfitting components for adjusting the penetration depth of a lancet and for stimulating an area surrounding an incision formed by penetration of a surface of the skin by the lancet, thereby facilitating the extraction of a sample of bodily fluid with a minimally invasive incision, the arrangement includes: a bottom end adapted to be applied to the surface of the skin, and a top end opposite the bottom end; a longitudinally moveable lancing member having a sharp end; a stop member setting a longitudinal travel distance of the lancing member; a bottom surface adapted to be applied to the surface of the skin, and an opening in the bottom surface through which the lancing member projects; a penetration depth defined by the distance between the end of the lancing device and the bottom surface; an adjusting mechanism for changing the penetration depth; and a stimulation mechanism for stimulating the area surrounding the incision and facilitating the extraction of the sample of bodily fluid.

Abstract: A device includes first and second clamps each having an upper arm and a lower arm, and a cutting blade attached to one of the clamps. According to the invention, the upper arms of the first and second clamps are each provided with an upper clamping surface, and a directing member having a deformable cord gripping surface. The lower arms of the first and second clamps are each provided with a lower clamping surface, and a cord gripping surface. The clamping surfaces function to occlude the flow of blood through cut ends of the cord after the cord is cut by the blade, while the cord gripping surfaces function to prevent cord slippage prior to clamping by the clamping surfaces. Preferred gripping surfaces include deformable foam or resilient strips provided with teeth.

Abstract: A resection head for endoscopic resection of tissue comprises an endoscope receiving channel extending therethrough so that an endoscope may be slidably received therein and a first position adjusting mechanism for moving the resection head relative to an endoscope received in the endoscope receiving channel between first retracted position in which a distal end of the endoscope extends beyond a distal end of the resection head and a deployed position in which the distal end of the endoscope is received within the endoscope receiving channel. The resection head also comprises a resection chamber within outer wall of the resection head, at least a first portion of the outer wall being moveable with respect to a second portion thereof to open the resection chamber to an exterior of the resection head and a resection mechanism for resecting tissue received within the resection chamber.

Abstract: A surgical staple is provided having a base portion and a respective leg extending from each end of the base portion and terminating at a free end. The base portion is deformable to bring the free ends of the legs together to penetrate a liquid-carrying vessel at the site of a puncture and hold the opposite edges of the puncture together. The base portion and legs lie in substantially a common plane except for a center portion (40C) of the base portion which is deformed in a loop in a direction perpendicular to the common plane. The center portion of the staple allows the staple to straddle a blood locator tube projecting from the end of a stapler, so that the staple can be closed at the center of a puncture wound in which the tube is located. A method for stapling is also provided.

Abstract: A technique is described for reducing the stomach cavity endoscopically, from within the stomach or, in the alternative, from within the peritoneal cavity via a wall of the digestive tract. This new approach for reducing gastric capacity uses a flexible endoscope and a specially adapted ligating loop that is secured at spaced locations about an inner periphery of the stomach. After attachment, the loop is constricted to draw together the associated gastric wall portions to reduce the food receiving cavity defined at the base of the esophagus. The ligating loop is preferably a slip knotted loop.