Abstract: A device is provided to rapidly, safely, efficiently and effectively close tissue defects created to access operative sites in a patients body. The device comprises an elongated body with its features in profile to allow use through conduits such as trocars which can be removed over the device. The device has diametrically opposed pivoting extensions which provide a target for flexible needles to attach to suture and provide protection for all vital structures in the body. Once the pivoting extensions are past the innermost layer adjacent to the tissue defect the flexible needles are advanced through the tissue to obtain an adequate and proper amount of tissue to allow for a strong closure. The device leaves a suture behind which can then be tied to close the tissue defect.

Abstract: The dilating device of the preferred embodiments includes a three dimensional dilating surface that functions to dilate an orifice, an alignment surface that functions to align and center the dilating device to the orifice, a coupling element that functions to couple the dilating device to the surgical instrument, a removal element that functions to facilitate the removal of the dilating device from the surgical site such as a hole and/or a grasping surface. The dilating device is preferably designed to dilate an orifice to the size of a surgical instrument, thereby facilitating the use of a surgical instrument during surgery and, more specifically, facilitating the use of a circular stapler in laparoscopic surgery. The dilating device, however, may be alternatively used in any suitable environment and for any suitable reason.

Abstract: Devices and methods are provided for the treatment of obstructive sleep apnea. An implantable device is inserted into the tongue. The implantable device is a flexible elongated structure, which may be a curved or jointed filament; of a sufficient length and diameter to provide support, when implanted, sufficient to restrain obstructive movement of the tongue during sleep.