Abstract: A surgical suturing device is disclosed. The surgical suturing device may include a first or a second tissue gap, a first pair of needles configured to be movable across the first tissue gap, a second pair of needles configured to be movable across the second tissue gap, and a first suture having first and second ends. The surgical suturing device also includes a second suture having first and second ends and a needle actuator which selectively engages either: the first pair of needles to drive them through the first tissue gap and into communication with the first end of the first suture and the first end of the second suture, respectively; or the second pair of needles to drive them through the second tissue gap and into communication with the second end of the first suture and the second end of the second suture.

Abstract: A device for vessel harvesting is disclosed. The device for vessel harvesting includes a distal housing, a dissector coupled to the distal housing, a drive element coupled to the dissector, and an actuator coupled to the drive element. The device for vessel harvesting may also include a rotatable dissector, a shaft coupled to the distal housing having a first articulation joint movable within a first plane, and a second articulation joint movable within a second plane, which is substantially perpendicular to the first plane, a barrel chain drive element coupled to the rotatable dissector, and an actuator coupled to the drive element. The device for vessel harvesting may also include a member slidably engaged to the distal tip.

Abstract: A prosthetic suturing device is disclosed. The prosthetic suturing device has a guide tip defining a cuff receiving area. The device also has a guide tip having at least one needle guide configured to guide at least one needle through the cuff receiving area. Another prosthetic suturing device is disclosed. The prosthetic suturing device has a guide tip defining a cuff receiving area and comprising first and second apertures for receiving a suture adapter. The prosthetic suturing device also has first and second needles, each needle having an end configured to engage a suture adapter. The prosthetic suturing device further has at least one set of needle guides configured to guide the first and second needles through the cuff receiving area. The prosthetic suturing device also has a grip pointing in a direction substantially orthogonal to the cuff receiving area.

Abstract: A loader for a surgical suturing instrument is disclosed. The loader has a head having a protrusion configured to be releasably held by a tissue bite area of a surgical suturing instrument. The loader also has a tube interface. The loader further has one or more ferrule holders. The loader also has one or more ferrules, each corresponding to and held by one of the one or more ferrule holders and coupled to a suture end that leads from a tube releasably held by the tube interface.

Abstract: A sternal elevator apparatus is disclosed. The sternal elevator may include a panel, a support beam traversing the panel, and a post coupled to a proximal end of the panel. The apparatus may also include an indicator handle coupled to the sternal elevator, an actuator drive pivotably coupled to the indicator handle, and a housing movably coupled to the actuator drive. The sternal elevator apparatus may have an actuator drive incorporating a linear rack. The housing further may include a cylindrical gear where the cylindrical gear is engaged with the linear rack.

Abstract: A sternal elevator apparatus is disclosed. The sternal elevator may include a panel, a support beam traversing the panel, and a post coupled to a proximal end of the panel. The apparatus may also include an indicator handle coupled to the sternal elevator, an actuator drive pivotably coupled to the indicator handle, and a housing movably coupled to the actuator drive. The sternal elevator apparatus may have an actuator drive incorporating a linear rack. The housing further may include a cylindrical gear where the cylindrical gear is engaged with the linear rack.

Abstract: A surgical suturing device has a guide tip defining cuff receiving and tissue bite areas. The guide tip has at least one needle guide configured to guide at least one needle through the cuff receiving area and the tissue bite area. Another surgical suturing device has a guide tip defining cuff receiving and tissue bite areas. The guide tip has at least one pair of needle guides configured to guide both the needles of at least one pair of needles through the cuff receiving area and the tissue bite area. The guide tip also has at least one pair of ferrule receiving apertures. The cuff receiving area and the tissue bite area are oriented to avoid cross-over of a suture passed by the at least one pair of needles through tissue in the tissue bite area and a replacement anatomical device sewing cuff in the cuff receiving area.

Abstract: A minimally invasive suturing device is disclosed. The minimally invasive suturing device has a shaft and a distal tip. The minimally invasive suturing device also has a flexible span coupling the distal tip to the shaft. The flexible span has an angling link, a plurality of bending links, and an end link.

Abstract: The torque enhancing apparatus including a first socket and a second socket coupled to the first socket, including an extendable moment arm. The torque enhancing apparatus includes a ball pivotably and captively held between the first socket and the second socket. The torque enhancing apparatus may include one or more extendable moment arms. The extendable moment arm or arms are configured such that they provide a mechanical advantage for moving the first socket and the second socket relative to one another. The torque enhancing apparatus may include a first socket, a second socket coupled to the first socket including four extendable moment arms. The torque enhancing apparatus including a ball pivotably held between the first socket and the second socket.

Abstract: A medical device assembly includes a hinge rod having a first portion and a second portion, and a pedestal is coupled to the second portion of the hinge rod, the pedestal having a top surface, and portions of the pedestal cooperate to define a trough that is configured to hold a first portion of a vessel on the top surface of the pedestal. A retainer is movably coupled to the pedestal, and the retainer has a planar member having a lower surface configured to oppose the top surface of the pedestal. A joint member is coupled to the hinge rod, and a clamp assembly is releasably coupled to the joint member such that when the clamp assembly is in a locked configuration, the hinge rod is not repositionable, and when the clamp assembly is in an unlocked configuration, the hinge rod is repositionable.

Abstract: A surgical device includes a distal housing assembly disposed at a distal end of a shaft, the distal housing assembly including a housing portion extending from a proximal end to a distal end along a non-linear housing axis. The distal housing assembly also includes a blade portion having a blade tip that is configured to cut through tissue. The blade portion is coupled to a lever of the surgical device such that (a) when the lever is in a first lever position, the blade tip is in a first blade position in which the blade tip is disposed proximal to the distal end of the housing portion and (b) when the lever is in a second lever position, the blade tip displaces to a second blade position in which the blade tip is disposed distal to the distal end of the housing portion.

Abstract: A surgical suturing device is disclosed. The surgical suturing device may include a first or a second tissue gap, a first pair of needles configured to be movable across the first tissue gap, a second pair of needles configured to be movable across the second tissue gap, and a first suture having first and second ends. The surgical suturing device also includes a second suture having first and second ends and a needle actuator which selectively engages either: the first pair of needles to drive them through the first tissue gap and into communication with the first end of the first suture and the first end of the second suture, respectively; or the second pair of needles to drive them through the second tissue gap and into communication with the second end of the first suture and the second end of the second suture.

Abstract: An atrial clip assembly includes a first arm assembly having a first arm body that includes a first support portion, and a first spine portion, with a first portion of the first spine portion extending along and within a corresponding first portion of the first support portion. The first arm assembly further includes a first suture, wherein a first portion of the first suture is disposed around the first portion of the first spine portion, and wherein a second portion of the first suture extends external to the first support portion. The atrial clip assembly also includes a second arm assembly including a second arm body that includes a second support portion. The atrial clip assembly further includes a hinge portion coupling a first end of the first arm body to a first end of the second arm body, the hinge portion being flexible.

Abstract: A surgical access system is disclosed. The surgical access system having a cannula may include a distal tip having one or more longitudinal channels distributed around a circumference of the distal tip, and one or more circumferential channels around the distal tip. The surgical access system also includes an obturator coaxially insertable within the cannula which may include a distal tip and a retractable cutting element having an actuator. The surgical access system also includes an articulation interface. The surgical access system may also include a distal tip of the cannula that may further include one or more bridges distributed circumferentially along the one or more circumferential channels of the distal tip. The obturator further may include an elongated tube and a slidable plunger element configured to control fluid flow inside the elongated tube of the obturator.

Abstract: A vascular clamp assembly includes a first arm assembly that is pivotably coupled to a second arm assembly. The first arm assembly includes a first pulley disposed in a first recess, and the second arm assembly includes a second pulley disposed in a second recess. A coupling member extends from a portion of the first arm assembly, the coupling member including a cylindrical portion having a first channel and a second channel extending along a portion of the cylindrical portion, and each of the first and second channels is configured to receive a portion of an engagement rod of a delivery device to secure the coupling member within a securement portion of the delivery device in one of at least two possible orientations. A portion of suture contacts each of the first and second pulley to displace the vascular clamp assembly from an opened position to a closed position.

Abstract: A sternal elevator apparatus is disclosed. The sternal elevator may include a panel, a support beam traversing the panel, and a post coupled to a proximal end of the panel. The apparatus may also include an indicator handle coupled to the sternal elevator, an actuator drive pivotably coupled to the indicator handle, and a housing movably coupled to the actuator drive. The sternal elevator apparatus may have an actuator drive incorporating a linear rack. The housing further may include a cylindrical gear where the cylindrical gear is engaged with the linear rack.

Abstract: A retractor assembly includes a retractor body assembly includes first and second primary retractor blade assemblies and first and second secondary blade assemblies that each have a base portion and a blade portion. The base portions of the blade assemblies may be connected to form a ring, and the ring may be inserted into an incision formed in a patient. The blade portions of the blade assemblies may then be folded towards and secured to a ring assembly, with the blade portions retracting tissue around the incision.

Abstract: An endoscope port having a housing is disclosed. The housing of the endoscope port may include a channel passing therethrough, and a hub which may include a first roller and a second roller. The endoscope port may further include an entrance at an end of the channel, and an exit at an opposite end of the channel. The endoscope port may be configured such that when an actuator moves in a first rotational direction, a first roller moves in a second rotational direction, and a second roller moves in the first rotational direction.

Abstract: A surgical suturing device has a guide tip defining cuff receiving and tissue bite areas. The guide tip has at least one needle guide configured to guide at least one needle through the cuff receiving area and the tissue bite area. Another surgical suturing device has a guide tip defining cuff receiving and tissue bite areas. The guide tip has at least one pair of needle guides configured to guide both the needles of at least one pair of needles through the cuff receiving area and the tissue bite area. The guide tip also has at least one pair of ferrule receiving apertures. The cuff receiving area and the tissue bite area are oriented to avoid cross-over of a suture passed by the at least one pair of needles through tissue in the tissue bite area and a replacement anatomical device sewing cuff in the cuff receiving area.