Abstract: A surgical tack for use in surgical procedures. The surgical tack has a base member and a distally extending spiral member having a distal piercing point. The spiral member forms a spiral. The tack may be used to fasten tissue, sutures, or medical devices to tissue.

Abstract: A laparoscopic stapler with a blocking body is disclosed. The blocking body allows the stapler to be inserted into the abdominal cavity through a cannula and removed therefrom until the staples are fired. When the staples are fired, the blocking body allows the stapler to be removed from the abdominal cavity of the patient through the cannula. After the staples have been fired and the stapler is removed from the abdominal cavity, the blocking body is in a blocking position where it then prevents the stapler from being reinserted through the cannula.

Abstract: A ring blade and drive system, and method of using same, for harvesting bone-tendon-bone ligament grafts having substantially cylindrical bone plugs. The ring blade disclosed is a circular ring having a predetermined arcuate gap formed in its periphery. The drive system includes a blade holder to peripherally hold the ring blade and a fixed-center oscillating mechanism to oscillate the ring blade about its axis within a predetermined arcuate range of motion. The ring blade structure enables the production of a substantially cylindrical bone plug of unlimited length. Harvesting of a bone-tendon-bone ligament graft is facilitated with the ring blade and method disclosed which enables the ring blade to be placed partially around a tendon segment to create bone plugs aligned with the tendon fibers included in the defined tendon segment. The cuts into the bone may be initiated into the bone at either end of the tendon segment from the tendon side through to the exterior of the bone to which the tendon is attached.

Abstract: Apparatus and methods of use for reducing bleeding from the situs of a percutaneous arterial puncture in a living being, with the opening in the arterial wall having been closed by a closure including at least one portion of a suture extending out of the puncture. The apparatus basically comprising a mass of material which inhibits the flow of blood therethrough, e.g., collagen, a carrier for carrying the suture portion through the mass of material, and means for holding the mass of material with respect to the suture portion so that it closely engages tissue contiguous with the puncture tract. The means for holding may comprise a knot in the suture portion, or can be a releasably securable member for location on the suture portion. In one embodiment the carrier comprises a piercing member, e.g., a needle, arranged for location within the interior of the artery for passage thereout through the wall of the artery and through the mass of material to carry the suture portion therethrough.

Abstract: A method for hemostasis of an artery having a puncture after arterial catheterization, the catheterization using an introducer sheath, the method including the steps of inserting a catheter with a first balloon into the introducer sheath, positioning the first balloon against an outside surface of a wall of the artery at the puncture, inflating the first balloon against the outside surface of the artery at the puncture, and maintaining the first balloon against the puncture so that the first balloon substantially seals blood flow from the puncture so as to achieve hemostasis.

Abstract: A surgical clip applier comprising a housing, a pair of handles pivotally connected to opposite sides of the housing, and a jaw blade assembly fixedly connected to the housing. 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 may be fed to the jaws by a spring biased feed bar which operates upon closing of the handles, or may be urged by pusher bar which provides a biasing force to the clips to be retained by the jaws. The instrument may be used in conventional surgical procedures, or may be adapted for endoscopic and laparoscopic surgical procedures requiring the application of microsurgical clips.

Abstract: An expandable fastener device for attaching tissue to bone and a surgical operating technique for using it. The fastener device includes a shaft which will pierce tissue and when rotated, will drill a hole in bone with a drill point to receive the fastener in bone. The device can be drilled in place and fixed in place by actuation of the device itself. The anchor porion of the fastener device remaining in the body when the shaft is sheared and removed, is made from a a bioabsorbable polymer material and an implantable grade titanium material or alloy thereof. The portion of the fastener that captures the body soft tissue (tendon or ligaments) is biodegradable and the portion anchored to the bone is the titanium material. Another embodiment constructs the component that captures the body soft tissue into a pedal-like integral disk where each pedal flexes to conform to the shape of the bone surface adjacent thereto.

Abstract: A surgical clip applicator comprising a housing, a pair of handles pivotally connected to opposite sides of said housing, and a jaw blade assembly fixedly connected to the housing. 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 said jaws. A channel assembly is slidably mounted in the housing and envelops said jaw blade assembly. A forming cam is connected between and to said handles and said channel assembly for sliding said channel assembly in a distal direction in response to closing of said handles together to move said jaws towards each other. A feed cam bar slidably mounted in said channel assembly in overlying relation to said clip carrier, said bar having a nose at its distal end. A pusher bar slidably mounted in said channel assembly for advancing clips along said clip carrier.

Abstract: The present invention provides an apparatus and a method for quickly and effectively sealing an arteriotomy site in a patient. In particular, the invention provides an apparatus and a method for sealing an arteriotomy site which can be performed by a single operator. The arteriotomy can be sealed by delivery of a suitable sealant such as a patient specific autologous fibrin glue to a debrided, synthesized area adjacent to the extravascular opening of the arteriotomy. Alternatively, synthetically produced fibrin glue or other sealants can be utilized in a method of sealing an arteriotomy site.

Abstract: An apparatus for attaching a surgical needle of the type having an end portion with an elongated aperture defined therein and a suture having a generally elongated end portion which is to be positioned in the elongated aperture of the needle includes a pair of dies, each die having at least two generally planar engaging surfaces with a recessed portion disposed between adjacent engaging surfaces. The engaging surfaces of the dies each define a plane which is in general parallel relation to a longitudinal axis of the respective die.

Abstract: An implant at least partly comprises and at least on the infection-protected surface areas of resorbable material and contains therein an antimicrobiotic agent, the solubility of the antimicrobiotic agent being chosen in such a way that it is delivered substantially throughout the entire degradation time of the material.

Abstract: A new eye hook has a groove in the muscle engaging surface to house a muscle clip. Passage of the muscle clip under a muscle in a single step is made possible. The muscle clip has a smooth upper surface on the lower jaw to minimize friction with the muscle.

Abstract: A surgical clip applier comprising a housing, a pair of handles pivotally connected to opposite sides of the housing, and a jaw blade assembly fixedly connected to the housing. 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 may be fed to the jaws by a spring biased feed bar which operates upon closing of the handles, or may be urged by pusher bar which provides a biasing force to the clips to be retained by the jaws. The instrument may be used in conventional surgical procedures, or may be adapted for endoscopic and laparoscopic surgical procedures requiting the application of microsurgical clips.

Abstract: A one-piece or two-piece knotless suture anchor assembly for the attachment or reattachment or repair of tissue to a bone mass. The assembly allows for an endoscopic or open surgical procedure to take place without the requirement of tying a knot for reattachment of tissue to bone mass. In one embodiment, a spike member is inserted through tissue and then inserted into a dowel-like hollow anchoring sleeve which has been inserted into a bone mass. The spike member is securely fastened or attached to the anchoring sleeve with a ratcheting mechanism thereby pulling or adhering (attaching) the tissue to the bone mass.

Abstract: A surgical instrument facilitates tying of a knot in a length of suture material at a remote surgical location. The instrument is comprised of an inner rod having a length of suture wrapped over the rod in a particular pattern. A needle may be secured to a free end of the suture and the pattern of wrapping the suture on the rod enables loops of suture to move off the rod end and over the needle to form a knot in the suture. The inner rod is received in an interior bore of an outer rod for manually controlled reciprocating movement therein. The inner rod is manually retracted into the interior bore of the outer rod to cause the outer rod to move the loops of suture off the inner rod end and over the needle in forming a knot in the suture. An extendable filament is contained in the inner rod and has a connector at its distal end for holding the free end of the suture.

Abstract: A hemostatic surgical instrument is provided for coagulation, cauterization and/or welding of tissue especially in the performance of endoscopic procedures. The instrument compresses the tissue between interfacing surfaces of first and second elements. A preferred application of the invention is in a cutting instrument wherein a hemostatic line is formed along a cut line using therapeutic heat energy. Surgical fasteners, for example, staples may be also included in the instrument.

Abstract: A method and device for the placement of sutures and for the purpose of approximating tissue. A particular utility is effected in the approximation of the tissue separated by means of an endosurgical trocar being inserted into a body cavity. The invention provides for the loading of suture material including needles into the device, introduction and placement of the device into the body cavity, with the distal end having deployable needle guides, extending the needle guides either simultaneously or individually to the periphery of the wound, engaging the wound with the needle guides, driving the needles and suture material through the tissue to be approximated into a catch mechanism, retracting the needle guides and withdrawing the device, leaving a loop of suture material in the margin of tissue. The suture may then be tied to approximate the wound and excess suture material cut off.

Abstract: A blood clot filter including an anchoring portion including a generally cylindrical self-expanding body formed from resilient material, the generally cylindrical body having proximal and distal ends and defining an axial direction and having a structure of variable size diameter expandable from a low-profile compressed condition to a larger profile expanded condition, wherein the resilient material urges the generally cylindrical body to radially expand and to thereby apply anchoring radial force against the inner wall surface of the blood vessel; and a generally conical filtering portion axially aligned with the generally cylindrical body having an open proximal end coupled to the distal end of the anchoring portion and having an apical distal end. Also disclosed is a blood clot filter having one or more hooks fixedly coupled to the anchoring portion and formed from compliant material having an original shape that bends under stress yet returns to its original shape when unstressed.

Abstract: An endoscopic intracorporeal suture tying aid allows a suture to be looped around itself multiple times and cinched, enabling a throw of a surgeon's knot to be easily made. The tying aid includes a needle holder connected to a proximal end of a shaft for releasably holding a needle; a hook that slides longitudinally with respect to the beaks; and the shaft being axially rotatable with respect to the hook.

Abstract: A surgical instrument for use in placing suture or fasteners in tissue at a remote location such as a laproscopic surgery is comprised of an elongated handle having a coiled projection at its distal end. The coiled projection is employed in penetrating and positioning a length of suture or fastener in tissue, for example, as in tissue proximation.