Abstract: A laparascopic incision closure device comprised of an ejector housing having a handpiece trigger that is activated by compression and is biased to return to an initial position. The handpiece is so carried by the ejector housing that compression and retraction of the handpiece sequentially advances a flexible wire push-rod to eject a T-bar suture and retracts the flexible wire push-rod to index a ratchet which feeds the T-bar portion of a T-bar suture into the longitudinal bore of a needle carried by the ejector housing. The strand portion of the T-bar suture trails the T-bar portion through the longitudinal bore. Multiple T-bar sutures are axially spaced and detachably carried on a suture spline by spline mount tabs connected to the T-bar portion of the T-bar sutures and are stored in the interior of the ejector housing for quick and easy placement through fascia on opposite sides of a wound.

Abstract: A laparascopic incision closure device comprised of an ejector housing having finger holding rings and a thumb ring attached to a plunger shaft and plunger for sequentially ejecting T-bar sutures into a trocar site incision through a needle. T-bar sutures are ejected by operation of a trigger mounted in the ejector housing for quick and easy operation to eject a T-bar through fascia adjacent to a trocar site incision. Multiple T-bar sutures are stored in the interior of the ejector housing and needle for quick and easy placement through fascia on opposite sides of a wound. In the preferred embodiment the device is constructed of a disposable plastic material with sutures being formed of an absorbable material.

Abstract: An improved surgical stapler instrument and method for enhancing blood vessel hemostasis is set forth where the improvement consists of the use of flexible body-absorbable or non-absorbable pads carried by the stapler cartridge and interposed between the stapler cartridge and the anvil. The flexible pads are captively and releasably held by the stapler cartridge by overhanging arms which are laterally and oppositely spaced from the longitudinal axis of the stapler instrument and sufficiently spaced laterally to permit the anvil to compressively bear against the anvil engagement face of the stapler cartridge. The flexible pads are captively held during the positioning of body-tissue between the anvil and stapler cartridge and released after the staples penetrate through the pad, then the tissue and then formed against the anvil.