Abstract: A biological sealant comprising a gelatin slurry. The slurry contains gelatin, saline or water and thrombin.

Abstract: A system for closing together a first side of a sternum and a second side of the sternum of a patient. The system includes a first grommet to be disposed in the first side. The system includes a second grommet adapted to be disposed in the second side. The system includes a mechanism for placing a grommet into the sternum. The placing mechanism is adapted to hold the grommet for placement in the sternum. The system includes a first wire suture for insertion through the first and second grommets. The system includes a stop mechanism for allowing the placing mechanism to place a grommet into the sternum only in a desired location of the patient and any other portion of the patient is protected from damage by the placing mechanism during operation. A grommet. An approximator. A drill stop mechanism. A placement tool. A method of threading a wire suture through a hole in a sternum. A method of bringing together a first side of a sternum and a second side of the sternum.

Abstract: A ligating band dispenser capable of retraction during movement and exploration to offer an unimpaired field of view for an image sensing device of a hosting endoscope as well as extension to facilitate a conventional ligating procedure. Actuating the ligating band dispenser is accomplished with an actuating mechanism that includes a controller to enable a user to selectively dispense one or more ligating bands and/or retract/extend the dispenser.

Abstract: A soft and pliable surgical support mesh exhibiting increased resistance to inhabitation of infectious matter. The mesh includes a support trellis formed of multifilament yarns wherein the interstitial voids located between the filaments of said yarns are enclosed within an infection-impervious matrix. The meshes may be designed to be extremely thin yet retain the requisite strength for repairing soft tissue, which allows for a low profile when folded for delivery.

Abstract: A method and a device for locking two implant elements to each other. A sleeve-shaped locking means (19) made of a polymeric material is arranged in a space adapted thereto inside the one element (3) which is placed in a corresponding hole (6) in the other element (1), alternatively between the two elements. The locking means (19) is subjected to compressive tightening, such that the resulting "pressure increase" in the means yields a locking effect on the elements (1, 3).

Abstract: A single unit surgical fastener and system and method for repairing torn meniscus tissue in an arthroscopic, all-inside procedure. The desired length of the single unit surgical fastener is first determined by measuring the distance from the interior of the meniscus across the tear and across the joint capsule, and then a single unit surgical fastener of desired length is then inserted across the tear in one or more places through a curved, slotted cannula.

Abstract: Surgical repairs of torn or ruptured tendons and ligaments are made by re-fastening the torn or ruptured tendon or ligament with a biocompatible or bioabsorbable hook-and-loop fastener.

Abstract: A system and method of use for effecting the bypass or other anastomosis of a portion of a native blood vessel, duct, lumen or other tubular organ within the body of a living being. The system includes an anastomosis connector device and a deployment instrument for carrying the device to the desired position within the vessel, duct, lumen or tubular organ. The deployment device may include a dilator to facilitate the placement of the anastomosis device within the interior of the vessel, duct, lumen or other tubular organ. The anastomosis device is preferably formed of a resorbable material and is configured to minimize blood or other fluid turbulence therethrough. The device may include snap-connectors or other components for securing it to the tissue of the vessel, duct, lumen or tubular organ and hemostasis-inducing sealing rings to prevent blood leakage. Other components may be included in the device for expediting the anastomosis procedure, with or without the use of sutures.

Abstract: A system for establishing an anastomotic passageway between first and second structures within an animal, the first and second structures each having an intima-exposing opening comprises a first plate sized and configured for attachment to the opening of the first structure, the first plate including an attaching portion having means for gripping first structure at its opening, the first plate further including a coupling portion which is positioned exterior of the first structure when the first plate is attached to the first structure; a second plate sized and configured for attachment to the opening of the second structure, the second plate including an attaching portion having means for gripping the second structure at its opening, the second plate further including a coupling portion which is positioned exterior of the second structure when the second plate is attached to the second structure; and means for connecting the coupling portion of said first plate with the coupling portion of said second plate.

Abstract: A system and method of use for effecting the bypass or other anastomosis of a portion of a native blood vessel, duct, lumen or other tubular organ within the body of a living being. The system includes an anastomosis connector device and a deployment instrument for carrying the device to the desired position within the vessel, duct, lumen or tubular organ. The deployment device may include a dilator to facilitate the placement of the anastomosis device within the interior of the vessel, duct, lumen or other tubular organ. The anastomosis device is preferably formed of a resorbable material and is configured to minimize blood or other fluid turbulence therethrough. The device may include snap-connectors or other components for securing it to the tissue of the vessel, duct, lumen or tubular organ and hemostasis-inducing sealing rings to prevent blood leakage. Other components may be included in the device for expediting the anastomosis procedure, with or without the use of sutures.

Abstract: A behavior modification reinforcement bracelet for providing mildly painful stimuli to a user when the user thinks about or performs a behavior that the user wishes to change. The behavior modification reinforcement bracelet includes an elastic annular band with opposite inwards and outwards faces, and a pair of side edges. A plurality of stimuli regions are provided on the band. Each of the stimuli regions has a plurality of nubs extending in a radially inwards direction from the inwards face of the band.

Abstract: A two-part captured-loop knotless suture anchor assembly which includes a suture anchor with a snag device thereon or therein, and a catch and loop device. The device facilitates reattachment and repair of soft tissue which has torn away from a bone mass.

Abstract: A suture-free clamp for sealing body tissue during introduction of medical devices, such as a cannula, aspirator, stent, endoscope, and pressure monitor. The clamp may be used in a patient's vascular tissues, such as the right atrium and the aorta. The clamp comprises a generally cone-shaped housing which includes a lumen for receiving a medical device, and a collar having a central opening for passage of a medical device, the collar connected to a proximal end of the housing by a plurality of struts. The proximal end of the housing and the collar each has an annular surface. The two surfaces are opposed, and are operable to clamp tissue therebetween, and to thereafter release the tissue by releasing the clamp. Methods are also disclosed for using the suture-free clamp for sealing body tissues during introduction of a medical device.

Abstract: An apparatus and method for forming a cut end of a surgical suture tip. The apparatus including a first and second cutting dies with a channel for receiving a suture. Mechanical actuators are provided to moving the cutting dies from an open to a closed position. The cutting dies are adapted to trap and compressing the suture. A cutting blade is provided for cutting the surgical suture tip adjacent to the first and second cutting dies when the cutting dies are closed.A second cutting die having a notch which is aligned to insert in said channel and secure a suture there between. A mechanical activator is provided to move said dies. A cutting blade is provided to cut the suture secured between said dies. A method for forming cut ends of a suture tip is also described.

Abstract: A device for introducing and polymerizing polymeric biomaterials in the human body. The device has a first elongate tubular member having proximal and distal extremities and a longitudinal axis. An expansile member is carried by the distal extremity of the first elongate tubular member and is movable between contracted and expanded positions. The expansile member has a predetermined configuration in the expanded position. A deformable membrane covers the expansile member and is sized so as to be capable of overlying and underlying the expansile member in the expanded position. A second elongate tubular member has proximal and distal extremities, a longitudinal axis and a first lumen extending from the proximal to the distal extremity of the second elongate tubular member. The distal extremity of said second elongate tubular member terminates proximal to the distal extremity of said first elongate tubular member and adjacent to said expansile member.

Abstract: An improved surgical fastener of the type used in a surgical applicator which has been modified to enhance the gripping capability of the fastener once secured. The fastener can have apertures therethrough or the surface can be knurled, crimped, etched with a laser, layered with an abrasive coating, sand blasted, punched, notched, or modified in any other manner which enhances the grip of the fastener when secured. Additionally, the fastener can be formed from or coated with a magnetic material, which provides additional holding power to maintain the clip closed after it has been secured into the tissue. An alternate embodiment includes a double wall to reinforce the fastener when secured.

Abstract: A heart stabilizer and suture control device for stabilizing the heart and for occluding a preselected portion of coronary artery by developing a downward force on the heart and simultaneously developing an upward force across a coronary artery in a predetermined position. The device has at least two stabilization pads, the stabilization pads each having an operative size and shape, and each having a first end and a second end and a lower contacting surface. The second ends have suture retaining grooves, and the stabilization pad has a suture locking means for securing the distal end of a suture means thereto. The device also comprises a linking member locking the two stabilization pads an operative distance apart. The device has suture means with a proximal end coupled to the linking member and extending from the first end to the suture retaining groove of the second end, the suture means having a distal end which can be locked to the stabilization pad with the suture locking means thereon.

Abstract: A bioabsorbable surgical implant for use in supporting soft tissue in a superior position in the body is described. The surgical implant includes a shaft that connects the implant to a bone or hard tissue and a head secured to the shaft. The head of the implant has a concave lower surface so that a suture (or sutures) can easily be wound around the shaft below the head and locked to this position by tightening the head against bone or hard tissue and by pushing or turning the shaft into the bone or hard tissue. The connected shaft and head are formed from a resorbable polymer, copolymer, polymer alloy or composite, which maintains a specified strength for a period of time at least equal to a healing period for the patient. Thereafter, the surgical implant is substantially resorbed by the body over a period of time needed for healing.

Abstract: An improved tongue cleaner includes a U-shaped scraper portion and handle portions integrally formed that extend from respective ends of the U-shaped scraper portion. The U-shaped scraper portion has a flange projected perpendicularly from an inner face of the scraper portion and extending therealong to define a corner space on each of two opposed sides of the flange and the inner face for containing matter scraped from the tongue or a user.

Abstract: This invention is a blood clot filter having an anchoring portion (402) which includes a generally cylindrical self-expanding body. A generally conical filtering portion (400) is axially aligned with the cylindrical body (402), has an open proximal end (406) coupled to a distal end of the anchoring portion, and an apical distal end (404). In a preferred embodiment, the filter portion (400) is formed from strands (410) of resilient material that extend from the apical distal end (404) to the open proximal end (406). The strands (410) form twisted pairs (408) that converge at the apical distal end (404). The strands (410) diverge from the twisted pairs (408) in crossing paths to form a pattern of open filtering cells (A)(B)(C). The filter also has hooks (413) coupled to the anchoring portion (402) and formed from compliant material having an original shaped that bends under stress yet returns to its original shaped when unstressed.