Abstract: An instrument handle for storing of suture which can be easily accessed by a surgeon. The handle is provided with a cavity for housing sutures and needles. The cavity is accessed by opening a pivotable hatch. The suture is wrapped around a tie-down bar disposed on the inside of the pivotable hatch. If desired, a surgical needle may be attached to the suture and stored within a slot of the tie-down bar of the pivotable hatch.

Abstract: A system, apparatus, and method for treating, repairing, an aneurysm, preferably an aortic aneurysm, and most preferably, an abdominal aortic aneurysm as described herein. The systems, devices, and methods described herein include a first prosthesis or stent gasket, and at least one second prosthesis for bypassing the aneurysm. The first prosthesis is configured and adapted to accommodate a section of artery upstream of the aneurysm, wherein the section is unsuitable for anchoring a typical first prosthesis.

Abstract: A medical instrument especially suited for the HALS operating technique that can be entirely inserted together with one of the surgeon's hands into the operating area for operating purposes and includes a housing [(1)] and at least one tool [(2)] arranged in the housing [(1)], where the tool [(2)] can be moved between a rest position arranged in the housing [(1)] and a working position extending out of the housing [(1)].

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 ablation catheter system for capturing and removing necrotic tissue and thrombi generated during an ablative procedure is disclosed. The catheter typically includes an elongate member, a filtration assembly disposed within the distal region, and an ablation instrument at the distal end. Alternatively, the ablation instrument is carried on the distal end of an ablation catheter, which is disposed within a lumen of the catheter system. The catheter may further include an aspiration port and lumen. Methods of using the devices in preventing distal embolization during ablative procedures are disclosed.

Abstract: An intravaginal uterine artery occlusion device is used for treating uterine disorders such as fibroids, dysfunctional uterine bleeding, postpartum hemorrhage and the like. A occlusion device has a cervical receptacle with an open distal end for receiving the patients uterine cervix, an elongated shaft having a distal end secured to the closed proximal end of the cervical receptacle, and an inner lumen extending to the distal end of the shaft. The patient's uterine cervix is held within the interior of the receptacle by the application of a vacuum to the interior of the receptacle through the inner lumen of the shaft while the leading edge(s) of the cervical receptacle press against the patient's vaginal fornix to occlude the uterine artery. A blood flow sensor may be provided on the leading edge of the receptacle to aid in locating a uterine artery and to monitor blood flow through the uterine artery.

Abstract: Improved bone anchors are disclosed for anchoring one or more sutures attached to soft tissue to a bone. The bone anchor has an anchor body that extends between a distal and a proximal end. A bore is formed axially in the anchor body and opens at the proximal end. One or more pins are fixed within the bore of the anchor body. One or more sutures can be looped on the pins for anchoring soft tissue to bone. The anchor body has a socket within the bore for receiving a driver tool. The distal end of the anchor body forms a non-threaded extension, which stabilizes the bone anchor, and helps prevent lateral movement during use. In one embodiment, the anchor body has coarse threads for engaging soft bone tissue and fine threads for engaging hard bone tissue.

Abstract: A pharyngeal airway having a pharyngeal wall of a patient at least partially surrounding and defining the airway is treated by selecting an implant dimensioned so as to be implanted at or beneath a mucosal layer of the pharyngeal wall and extending transverse to said wall. The implant has mechanical characteristics for the implant, at least in combination with a fibrotic tissue response induced by the implant, to stiffen said pharyngeal wall to resist radial collapse. The implant is implanted into the pharyngeal wall transverse to a longitudinal axis of the airway.

Abstract: In a biopsy system having a biopsy needle guide secured to a needle guide support bracket, a biopsy needle guide is provided that includes a body having a periphery that defines an edge of the needle guide, the periphery defining a top surface, a bottom surface and a pair of side surfaces. A cradling aperture is positioned in the body and sized to engage the needle guide support bracket. A channel is provided in communication with the cradling aperture. The channel extends inwardly from one of the side surfaces of the body toward the cradling aperture. The needle guide of the present invention inhibits movement of the needle guide relative to the support bracket during a biopsy procedure.

Abstract: The mechanism is applicable to a surgical tool which has a jaw (57) pivotably mounted to a distal end of a longitudinally extending support (58). The jaw is operated by action on a rearwardly facing cam follower (52, 53) by a lobe (51) on the distal end of an actuating tube (50). Rotation of the actuating tube (50) causes pivoting of the jaw (57) into and out of operative relationship with another jaw member (21) of the tool. The mechanism may be applied to any manipulative or gripping type of surgical implement, but is particularly applicable to ultrasonic tools adapted for cutting and/or coagulating.

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.

Abstract: A pacifier assembly having a pivotally mounted cover on a shield assembly is disclosed. The assembly allows convenient protection for the nipple by being selectably moved between an open and closed position. In one embodiment, two nipples are provided on opposite sides of the shield assembly. The cover can be positioned to protect one nipple while exposing the other. Once the assembly is dropped to the floor and the sanitary condition of the exposed nipple is compromised, the cover can be moved to cover the dirtied nipple and expose the unused nipple. In another embodiment, the dual nipple pacifier includes two covers. Thus, the covers can protect both nipples simultaneously for transporting the assembly in a sanitary manner. One nipple can be exposed by pivoting one of the covers. Preferably, the covers nest within one another over the protected nipple.

Abstract: A system for loading self-expanding stents into a stent delivery system that comprises a lubricious coating on one or more components to substantially reduce the frictional forces associated with loading stents. The stents may be bare or coated stents. The lubricious coating comprises glycerol.

Abstract: A surgical tool or applier facilitates laparoscopic or endoscopic implantation through a single bodily tissue lumen of an anastomotic ring device for forming a hollow rivet type of attachment between tissue lumens. In addition to forming a puncture between apposite tissue walls at the anastomosis site, the applier assists or wholly actuates the anastomotic ring device and is retracted to deploy the actuated ring device. Illumination incorporated into a distal portion of a cannula enables confirmation of deployment.

Abstract: A suture clamp and/or suture retainer and organizer device for use during a surgical procedure, including an elongated body formed of resilient material and has a plurality of spaced lateral slits through one surface. The slits are individually identified and are sized to receive and grip a surgical suture. A tapered pocket is located adjacent to and opens into each slit for receiving and retaining the nose of a hemostat attached to a suture. The device may be attached by adhesive backing or by clamps to a surgical drape or other support surface.

Abstract: A cylindrical rotor for an epilating device of a kind which includes a support body containing an electrical motor which in use provides a rotational drive to the cylindrical rotor. The cylindrical rotor includes a rotor body, a shaft extending through the rotor body about which the rotor body can rotate. At least one array of radially extending blade pairs is positioned to present mutually interacting pinching edges of each the blade pair at the circumference of the cylindrical rotor. Each blade pair includes a rotor body stationary blade and a movable blade. Each of the movable blades of the array is mounted on a shuttle carried by the rotor body which is in a cammed disposition with the shaft. The cammed disposition is of a kind with cooperative surfaces of the shaft and the shuttle which upon the relative rotation of the shaft with the rotor body and the shuttle carried with the rotor body, moves the shuttle in an oscillating manner.

Abstract: A system for performing anastomosis between a graft vessel and a target vessel includes a tissue effector that may be configured to deploy a user-selectable number of connectors. The system includes an anvil that enters the wall of the target vessel through an entry hole that is spaced apart from the anastomosis site, and at least one anvil entry hole sealer may be utilized to substantially seal the anvil entry hole upon withdrawal of the anvil. The system may include a shield and a cutter, both of which are movable relative to the anvil, where the shield is configured to protect the graft vessel from the cutter. The cutter may include an incising element movable from a stowed position to an active position.

Abstract: A nasal delivery device is provided for delivering substances such as liquid drugs, vaccines and the like to a nasal passage. The nasal delivery device preferably comprises a drug container such as syringe and a separable spray nozzle. The spray nozzle includes a rigid plastic cap having a spray aperture at a distal end of the nozzle for delivering the liquid substance to the nasal passage. Attachment means is provided for attaching the spray nozzle to the syringe at the time of the delivery of the liquid substance to the nasal passage. The nozzle defines a conduit that allows fluid communication from the syringe to the spray aperture. The nozzle includes an internal valve between the spray aperture and the syringe for allowing only pressurized liquid substance to flow through the conduit and the aperture so that a mist or spray is delivered through the spray aperture.

Abstract: An implantable device is provided for controlling the internal circumference of an anatomic orifice or lumen. The implantable device has an adjustable member configured to adjust the dimensions of the implantable device. The implantable device is configured to be coupled to a faster that provides for fastening of said implantable device to tissue around the anatomic orifice or lumen. An adjustment tool actuates the adjustable member and provides for adjustment before, during or after the anatomic orifice or lumen resumes near normal to normal physiologic function. The adjustment member of is positioned off plane relative to the implantable device to provide that the implantable device can be adjusted on a beating heart to cause leaflet coaptation. The adjustment member is positioned to enable attachment to and adjustment of the implantable device, and detachment from the implantable device and removal from the body under normal beating heart conditions.

Abstract: A device for holding a trocar sleeve in its position of engagement in the body of a patient has clamping jaws which in the closed position define an opening and which can be placed about the outside of the trocar sleeve, and at least one hole via which the device can be fixed on the patient. The device is designed as a forceps with two forceps arms which at their area of intersection are connected to one another via a hinge and which at their distal ends in each case have at least one clamping jaw, a spring being arranged between the forceps arms, which spring is supported on the forceps arms via its long ends and forces the clamping jaws into the closed position.