Abstract: A cannulated bone screw for anchoring bidirectional suture threads to bone is provided, comprising a biocompatible body having a proximal end and a distal end, the body including exterior screw threads, preferably self-tapping, for inserting and retaining the body into the bone; a passageway extending through the body, the passageway including a central portion, a proximal portion, and preferably a distal portion, the central portion being sized to receive a suture thread therethrough, the proximal and distal portions each being sized to receive a suture thread knot, the central portion being sized smaller than the proximal and distal portions, the central portion being sufficiently small as to prevent a suture thread knot from being drawn therethrough; and a drive socket, formed into the proximal end of the body, the drive socket being sized to prevent a drive tool from contacting a suture thread knot within the proximal portion of the passageway.

Abstract: A ligating instrument includes a handle for securing a proximal end of a ligating device externally of the body with one hand, the ligating device defining a lumen for passage therethrough of a length of ligature material formed with a ligature loop for being disposed externally of a distal end of the ligating device to be positioned around anatomical tissue to be ligated within the body, and an operating member coupled with the ligature material for being manually moved with the same hand as that securing the ligating device proximal end to pull the ligature material through the ligating device to form a ligature with the ligature loop in the anatomical tissue.

Abstract: An atraumatic occluder for the temporary occlusion of tubular vessels in the human body. The occluder includes a first jaw and a second jaw, each of which have a pressure face. A mounting member joins the jaws so that the pressure faces are opposed to one another. Spacer members are located on at least one of the pressure faces and rise to a known height above the pressure face so as to contact the other pressure face when the jaws are brought together. The height of the spacer members is approximately equal to twice the wall thickness of a vessel to be clamped so that the vessel is compressed and its lumen closed to flow when the spacer members make contact with the pressure face. A plurality of spacer members are spaced from one another along the pressure faces so as to prevent a vessel held therebetween from slipping from the jaws. The spacer members are spaced from one another at least and approximately the width of the vessel to be clamped.

Abstract: A 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. A spike member is inserted through tissue mass through a loop and 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: The invention provides a system and method for performing less-invasive surgical procedures within a body cavity. In a preferred embodiment, the invention provides a system and method for temporarily occluding a blood vessel in an arterial graft in a thoracoscopic coronary artery bypass grafting procedure. The system comprises a clamp (2) and an introducer (1) for introducing the clamp through a percutaneous penetration into the body cavity and applying the clamp to a tissue structure such as a blood vessel. The clamp has a pair of movable jaws (65, 67) coupled to one another, each jaw having a distal portion for engaging the tissue structure and a proximal portion having a camming surface (66, 68). The introducer has a longitudinal shaft (3) with a clamp engaging member (25) slidably coupled to the distal end of the shaft for releasably holding the clamp. A handle (11) is coupled to the proximal end of the shaft.

Abstract: A system for linking a first member with a second member. The system is comprised of a first plurality of micromechanical barbs disposed on the first member. The system is also comprised of a second plurality of micromechanical barbs disposed on the second member. The barbs on the first member and the second member are of a shape such that a locking connection is formed between the first member and second member through the first plurality and second plurality of barbs when placed together. Each of the barbs of the first plurality and second plurality of barbs extend from the first member and second member, respectively, to a height no greater than 5 millimeters. The present invention also pertains to a micromechanical barb for linking with an object. The micrormechanical barb comprises a base. The micromechanical barb is also comprised of a support which extends from the base.

Abstract: A surgical instrument provides a simplified method of inserting sutures in laparoscopic surgery. A suture needle is hollow, and the suture thread extends through the needle. A liquid, such as a saline irrigation fluid, is driven through the hollow needle. This liquid carries the suture thread. The suture needle initially passes through the tissue, and the liquid is then actuated to drive the suture thread through the needle. The needle may then be withdrawn, leaving the suture thread in the tissue. The suture thread can then be tied off to complete the suture. In another aspect of this invention, the suture needle, or any other surgical tool, is connected to the body of the surgical instrument through a universal connection such that the angular orientation of the surgical tool relative to the surgical instrument can be universally adjusted in a three dimensional space.

Abstract: An endoscopic ligating instrument has an outer tube having a rear end in which the tip end of an endoscope is mounted. An inner tube with a trip wire connected thereto is axially movably inserted in the outer tube. When the inner tube is moved rearwardly, the inner tube is urged to move forwardly by a spring. Three ligating O-rings are mounted respectively at axially equally spaced positions on the outer circumferential surface of a portion of the inner tube which projects from the outer tube. Four arms extending forwardly from the outer tube are disposed respectively at circumferentially equally spaced positions over the outer circumferential surface of the inner tube. Each of the arms has teeth disposed behind the ligating O-rings, respectively, and having front pushing surfaces for pushing the ligating O-rings forwardly when the inner tube is moved rearwardly and rear slant surfaces for riding over the ligating O-rings and spreading the arms radially outwardly when the inner tube is moved forwardly.

Abstract: A surgical instrument for endoscopic surgery is provided which is capable of articulation in the endoscopic arm portion of the instrument to supply the surgeon with improved adjustability in the orientation of the arm. The instrument provides means through which the surgeon can change the angle at which the instrument actuates. This articulation functions without disruption of the rotatability of the arm or the mechanism for applying staples, clips, and the like. Because this articulation can be performed in conjunction with a rotation feature, a large degree of adjustment is generated.

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.

Abstract: A method and apparatus for elevating, approximating and/or restraining internal organs or structures, and more particularly for treating female urinary stress incontinence are provided. The apparatus include an anchoring device having an elongated suture with an anchor at each end thereof and a cinching member therebetween for adjusting the operative length of the suture, an articulating apparatus for applying the anchoring device during an endoscopic or laparoscopic procedure, and an apparatus for drawing the suture relative to the cinching member after it has been emplaced.

Abstract: A method for opening and closing an incision in which a plurality of opposed sets of aligned closure components are adhesively adhered to a patient's skin, prior to making the incision, along opposite sides of the intended incision and spaced a first distance from one another transversely of the incision line. After the surgeon has made the incision and closed the wound in conventional fashion except for final closing of the epidermis, a bridge having a length shorter than the first distance anchored between the opposed closure components and spanning the incision draws the closure components toward each other so as to bring the skin at the edges of the wound into alignment and everting contact under a slight, but precise amount of tension which is maintained while the wound heals. The closure components and the bridge are all perforated and thus breathable, and the bridge material is transparent so as to permit healing of the incision to be monitored.

Abstract: An apparatus for suturing body tissue is provided having an elongated housing, first and second jaws pivotably mounted to the distal portion of elongated housing, and first and second needles movable with respect to the first and second jaws. A first actuating mechanism is operatively associated with the first and second jaws such that actuation moves the jaws from the first position to a second position. A second actuating mechanism is operatively associated with the first and second needles wherein actuation advances the first and second needles into body tissue. Each of the jaws has a recess for receiving body tissue and a ferrule attached to each end of the suture such that advancement of the needles engages the ferrule to pull the ferrule and suture through the body tissue when the needle is retracted.

Abstract: A staple remover is disclosed for removing surgical staples wherein said surgical staples have side members spaced from each other in a fired position at a staple spacing. The staple remover has a housing, a first arm having a first end and a second arm having a second end, said first and second arms being positioned within said housing so that said first and second ends extend from said housing at a first spacing which is less than said staple spacing, and a widening member for widening said first spacing of said first and second ends to a second spacing wider than said staple spacing.

Abstract: The present invention relates to a surgical implant made of a polymer or a polymeric compound which is substantially absorbable in tissue and contains reinforcing structures made of a polymer or a polymeric compound. The implant has a body with a first end formed as a stem and a second end formed as a head. The implant also contains arresting members for arresting the implant in a position in a direction opposite to the direction of installation. The stem protrudes from the outer surface of the body and substantially formed of at least one wing extending in the longitudinal direction of the body. The wing is connected to the body at one edge. The body contains a plurality of cuts adjacent the head which define the arresting members and are formed in a direction substantially parallel to the body.

Abstract: A suture passer comprises a longitudinally extending hollow cannula having a central passage slidingly receivable of a surgical suture; a manually graspable handle connected to the hollow cannula for manipulation thereof, the handle having an upper surface; first guide means, connected to the upper surface of the handle, proximate a distal end of the handle for releasably, guidingly, holding the surgical suture; second guide means, connected to the upper surface of the handle, proximate to the first guide means, for releasably, guidingly, holding the surgical suture. The suture passer can be provided in a kit, for use in the suturing of internal tissue, along with a cannula bender, various hollow surgical needles and surgical suture material. The suture passer finds particular use in the suturing of internal tissues which are at least partially accessible through a body cavity, e.g. arthroscopic surgery.

Abstract: A suture passer comprises a longitudinally extending hollow cannula having a central passage slidingly receivable of a surgical suture; a manually graspable handle connected to the hollow cannula for manipulation thereof, the handle having an upper surface; first guide means, connected to the upper surface of the handle, proximate a proximal end of the handle for releasably, guidingly, holding the surgical suture; second guide means, connected to the upper surface of the handle, distal to the first guide means, for releasably, guidingly, holding the surgical suture. The suture passer can be provided in a kit, for use in the suturing of internal tissue, along with a cannula bender, various hollow surgical needles and surgical suture material. The suture passer finds particular use in the suturing of internal tissues which are at least partially accessible through a body cavity, e.g., arthroscopic surgery.

Abstract: A compression device for the anastomosis of a tubular hollow organ, having a first collapsible member movable between an expanded configuration and a collapsed configuration, said first collapsible member having a first end and a second end; a second collapsible member movable between an expanded configuration and a collapsed configuration, said second collapsible member adapted to be joined with said first end of said first collapsible member; and a third collapsible member adapted to be joined with said second end of said second collapsible member; wherein at least one of said first, second or third collapsible members comprises at least one resilient hinge portion disposed thereon which is parallel to the longitudinal axis of said device to facilitate the collapsibility thereof. Also provided are surgical instruments for carrying and placing the compression device components and a device for approximating surgical devices. A method for forming a compression anastomosis, is also provided.

Abstract: A needle holder which is used in laparoscopic surgeries by being inserted into a trocal tube inserted into a body cavity of a patient includes an elongated insertion rod having a tip portion; a holding member provided at the tip portion of the insertion rod for removably holding the needle; position control mechanism operable from the outside of the body for adjusting the position of the needle to be held by the holding member; fixing members for fixing the holding member with respect to the insertion rod at a state that the holding member has been adjusted by the position control mechanism; and switching mechanism for switching the state of the holding member between a first state in which the holding member is adjustable with the position control mechanism and a second state in which the holding member is fixed with respect to the insertion rod by means of the fixing members. The holding member is formed from a pair of pinch members each having a semi-spherical shape.

Abstract: A surgical needle holder for facilitating safe and efficient surgery. The surgical needle holder has a plurality of grooves to secure a surgical needle at a selected position within the holder.