Abstract: A system for performing an end-to-side vascular anastomosis, including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member, forming the attachment with the bypass graft vessel. The anastomosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple.

Abstract: A system for performing an end-to-side vascular anastomosis, including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member. forming the attachment with the bypass graft vessel. The anastomosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple.

Abstract: A system for performing an end-to-side vascular anastomosis, including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member, forming the attachment with the bypass graft vessel. The anastomosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple.

Abstract: A system for performing an end-to-side vascular anastomosis, including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member, forming the attachment with the bypass graft vessel. The anastomosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple.

Abstract: A system for performing an end-to-side vascular anastomosis, including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member, forming the attachment with the bypass graft vessel. The anastomosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple.

Abstract: According to the present invention, apparatus are provided for applying surgical clips to body tissue with a safety stop for preventing tissue damage resulting from closure of the clip closing mechanism when a clip is not present therein. In one embodiment, the apparatus comprises a shaft having a distal end and a proximal end; means for closing clips having a pair of forming surfaces, and means for limiting closure of the closing means when a clip is absent therefrom such that a gap separates the forming surfaces in the closed position.

Abstract: A trocar assembly consisting of a trocar tube subassembly and a separate interengageable trocar body subassembly is provided. The trocar body subassembly includes an elongated obturator having a sharp pointed tip which is normally housed within an elongated tube of the trocar tube subassembly. The obturator is extendable from a retracted position within the tube wherein the tip is recessed from the tube end to an operative position forward of said tube end and outside the tube. By manually advancing the trocar assembly against a body wall, the resisting force locks the obturator in the operative position. Relaxation of the force incident to passing through the body wall causes the obturator to be automatically unlocked and retracted to its initial position with the tip positioned protectively within the tube, thereby protecting body tissues and organs from being damaged by the tip when it enters a body cavity beyond the wall.

Abstract: According to the present invention, a surgical clip applier includes means for preventing closure of the clip closing mechanism when no clips are left in the applier. The clip applier includes a shaft having distal and proximal ends, means in the shaft for advancing clips to the distal end, means at the distal end for closing clips and a jam clip carried by the advancing means proximally of the surgical clips, wherein the jam clip is positioned in the clip closing means and prevents closure thereof after all surgical clips have been applied.

Abstract: The invention provides a surgical clip for use in conjunction with a clip applier. The clip may be closed in a curved shape, has improved gripping capabilities, and maximizes the gripping surface relative to clip size. The clip preferably includes a longitudinal channel through the gripping surfaces of the clip legs, the channel having at least one sidewall inclined to form an undercut, such that the channel is wider at its floor than at its opening in the gripping surface. The clip further may have one leg longer than the other such that the clip may be closed in a curved shape with the legs parallel and the tips of the legs substantially even. The clip may also have one or more inverse arcuate portions on at least one of its legs to improve the tightness of clip closure.

Abstract: According to the present invention, improved apparatus and methods are provided for applying surgical clips to body tissue in inaccessible places and at various angles with particular usefulness in laparoscopic surgery. In one embodiment, the apparatus comprises a shaft having a distal end and a proximal end; means for advancing clips along the shaft toward the distal end with the legs of the clip oriented in a distal direction; means at the distal end of the shaft for rotating the clips relative to the shaft to orient the legs in a lateral direction and means for closing the legs of the clips after the rotation. The means for advancing usually comprises a movable belt disposed in the shaft having a plurality of retainers for holding clips; means for closing typically includes an anvil mounted at the distal end of the shaft and a hammer movable against the anvil.

Abstract: A trocar assembly comprising an elongate trocar obturator having a piercing tip at its front end, an elongate trocar tube in which the obturator is housed, and a tubular protective shield mounted concentrically around the obturator between a normally extended position in which the obturator tip is covered and a retracted position in which the obturator tip is exposed. Further included is a spring acting on the protective shield, whereby the shield is forced to the retracted position to expose the piercing tip when the trocar is being inserted through the wall of a body cavity and is biased by the spring to the extended position to shield the piercing tip once the trocar has pierced the wall. A protrusion extends radially from the shield. A leaf spring element has one end anchored relative to the obturator and a second end biased to contact the protrusion in a manner preventing movement of the shield from the extended position toward the retracted position when the element is in contact with the protrusion.

Abstract: An apparatus for viewing a region within a body cavity or the like. The apparatus includes an elongate light pipe having a distal end and a proximal end, which light pipe illuminates the region to be viewed adjacent the distal end of the pipe. An objective lens system is carried at that distal end which in a preferred embodiment forms a focused real image of the illuminated region. This image is transmitted to the viewer through a series of relay lenses and, at the proximal end of the apparatus, through a viewing lens system. The light pipe and the lenses are composed of a polymeric material such as styrene, polycarbonate, acrylic, or the like, and are preferably aspheric lenses.

Abstract: A trocar assembly consisting of a trocar tube subassembly and a separable, interfitting trocar subassembly is described. The trocar tube assembly includes a hollow body having a first front opening in which a trocar tube is mounted, a second rear opening for receiving the trocar subassembly, and a manually pivotable flap valve mechanism mounted within the body. The trocar subassembly includes a head having a central bore in which are mounted the (1) rear ends of an elongated obturator having a pyramidal-shaped piercing head with a triangular-shaped base, and a concentric tubular shield having a triangular shaped front opening for the piercing head that is formed by bevels in its leading edge that have approximately the same slope as the surfaces that define the three sides of the piercing head, and (2) a coil spring backing the shield for biasing the shield between retracted and extended positions.

Abstract: A folding camera including a first housing having a chamber for locating a film cassette in position for the exposure of a film unit contained therein, a second housing pivotally coupled to the first housing, a flexible bellows connected to the first and second housings, and an erecting assembly for guiding the second housing between a folded inoperative position and an erected operative position. During movement of the second housing into the folded position, members of the erecting assembly move into engagement with a wall of the bellows and assist in folding it inwardly toward an opposite wall of the bellows such that the members of the erecting assembly support that portion of the bellows and prevent it from drooping into the chamber.

Abstract: A folding camera including first and second housings pivotally mounted for movement between operative and inoperative positions and being interconnected by a flexible bellows. When the housings are in the operative position, areas of the bellows which would ordinarily be exposed to ambient light and to engagement by the fingers of a user are shielded therefrom by three planar, substantially rigid, opaque members which occupy a minimum of space when the housings are in the inoperative position.

Abstract: A structural arrangement for mounting a mirror in a reflex optical system. The mirror is mounted on an apertured rear wall of an opaque plastic structural member which defines an exposure chamber of the system. The aperture formed in the rear wall has edges lying substantially in the mirror plane. These edges define the limits of the reflecting surface of the mirror. The orientation of the plane of the mirror is defined by three mounting bosses extending from an exterior surface of the rear wall. Surrounding the aperture are outwardly extending flanges designed to cradle the mirror when it is placed over the aperture. A capping retainer clips onto the rear wall to secure the mirror in place and cooperates with the flanges to form a light seal.