Abstract: In accordance with the present invention, there is disclosed surgical methods and apparatus for accessing and stabilizing the heart. The methods and apparatus facilitate access to an anastomosis site, allows various instruments or devices to be maneuvered and secured in place, and provide stabilization of the heart. In particular, the apparatus involves a retractor apparatus having one or more opposing blades having a channel adapted to engage an incision in a patient. The retractor blades may have features to cooperatively engage an instrument mount. The instrument mount preferably is configured to hold an instrument, such as a tissue stabilizer, and allows the instrument to be easily maneuvered. The retractor blades may have a number of suture locks for securing sutures used during surgery. The retractor system is particularly useful in accessing, positioning and stabilizing the beating heart for coronary artery bypass graft surgery.

Abstract: A directed stream blower is provided for removing materials from a surgical site, thus improving the visibility of the surgical site. Preferably, the directed stream blower provides a directed stream of pressurized gas combined and intermixed with a sterile fluid which may be used to clear or wash away blood, debris, particulate, or other materials from the target surgical site. The directed stream blower may be provided with flow control positioned directly on the handle for convenient one-handed operation during use.