Abstract: An annuloplasty ring to resize a dilated aortic root during valve sparing surgery includes a scalloped space frame having three trough sections connected to define three crest sections. The annuloplasty ring is mounted outside the aortic root, and extends in height between a base plane and a spaced apart commissure plane of the aortic root. At least two adjacent trough sections are coupled by an annulus-restraining member or tether that limits the maximum deflection of the base of the annuloplasty ring. In use, the tether is preferably located in proximity to the base plane of the aortic root. The annuloplasty ring is movable between a first, substantially conical configuration occurring during a diastolic phase of the cardiac cycle, and a second, substantially cylindrical configuration occurring during a systolic phase of the cardiac cycle.

Abstract: A surgical loop for constricting or ligating, partially or fully, an anatomic conduit during a surgical intervention. The surgical loop includes an elastomeric tubular body, a curved needle that is attached to one free end of the tubular body to facilitate its insertion through a body tissue containing an anatomic conduit, and a pledget which is frictionally engaged and positionable along the length of the tubular body. The pledget is frictionally engaged with a first portion of the tubular body through a closed-perimeter opening. A second portion of the tubular body is subsequently frictionally engaged or restrained with the pledget through a slot. The pledget is configured with a bias structure which maintains the slot in a biased-closed configuration to engage and restrain the second portion of tubular body.

Abstract: A tissue retractor for displacing body tissue during surgery includes a tissue piercing member such as a surgical needle, a wire-like filament such as a suture line affixed to the surgical needle, a fixed element such as an anchoring port being associated with a stable surgical platform such as a sternum retractor and a movable element such as an anchoring plug cooperating with anchoring port to engage a portion of suture line after the suture line is threaded through the body tissue with the surgical needle and after the suture wire is tensioned to effect a predetermined displacement of the body tissue. The predetermined displacement of body tissue is maintained by retention of the engaged portion of suture line by the fixed anchoring port and the movable anchoring plug.

Abstract: A binding component for binding together a pair of biological tissues. The binding component includes an elongated body defining a body longitudinal axis, the body being made, at least in part, of a shape memory material. The body is configured and sized so as to be both substantially flexible and substantially compressible in a direction substantially perpendicular to said longitudinal axis.

Abstract: An annuloplasty ring to resize a dilated aortic root during valve sparing surgery includes a scalloped space frame having three trough sections connected to define three crest sections. The annuloplasty ring is mounted outside the aortic root, and extends in height between a base plane and a spaced apart commissure plane of the aortic root. At least two adjacent trough sections are coupled by an annulus-restraining member or tether that limits the maximum deflection of the base of the annuloplasty ring. In use, the tether is preferably located in proximity to the base plane of the aortic root. The annuloplasty ring is movable between a first, substantially conical configuration occurring during a diastolic phase of the cardiac cycle, and a second, substantially cylindrical configuration occurring during a systolic phase of the cardiac cycle.

Abstract: A tissue retractor for displacing body tissue during surgery includes a tissue piercing member such as a surgical needle, a wire-like filament such as a suture line affixed to the surgical needle, a fixed element such as an anchoring port being associated with a stable surgical platform such as a sternum retractor and a movable element such as an anchoring plug cooperating with anchoring port to engage a portion of suture line after the suture line is threaded through the body tissue with the surgical needle and after the suture wire is tensioned to effect a predetermined displacement of the body tissue. The predetermined displacement of body tissue is maintained by retention of the engaged portion of suture line by the fixed anchoring port and the movable anchoring plug.

Abstract: An annuloplasty ring to resize a dilated aortic root during valve sparing surgery includes a scalloped space frame having three trough sections connected to define three crest sections. The annuloplasty ring is mounted outside the aortic root, and extends in height between a base plane and a spaced apart commissure plane of the aortic root. At least two adjacent trough sections are coupled by an annulus-restraining member or tether that limits the maximum deflection of the base of the annuloplasty ring. In use, the tether is preferably located in proximity to the base plane of the aortic root. The annuloplasty ring is movable between a first, substantially conical configuration occurring during a diastolic phase of the cardiac cycle, and a second, substantially cylindrical configuration occurring during a systolic phase of the cardiac cycle.

Abstract: A tissue retractor for displacing body tissue during surgery includes a tissue piercing member such as a surgical needle, a wire-like filament such as a suture line affixed to the surgical needle, a fixed element such as an anchoring port being associated with a stable surgical platform such as a sternum retractor and a movable element such as an anchoring plug cooperating with anchoring port to engage a portion of suture line after the suture line is threaded through the body tissue with the surgical needle and after the suture wire is tensioned to effect a predetermined displacement of the body tissue. The predetermined displacement of body tissue is maintained by retention of the engaged portion of suture line by the fixed anchoring port and the movable anchoring plug.

Abstract: The invention provides a surgical apparatus and method for performing less-invasive, closed chest cardiac surgery through a transabdominal approach, without cardiopulmonary bypass. In a preferred embodiment, the invention provides a heart manipulator and a coronary stabilizer which are deployed through an access cannula and secured relative to a stationary support through a surgical arm. Heart manipulator and coronary stabilizer cooperate together to enable access to all the coronary artery territories of the heart through a single access cannula. Also provided is a diaphragm tissue retractor.

Abstract: An apparatus for binding together two biological tissue portions with a binding component. The apparatus includes a body defining a body handle for receiving a hand; at least one drum rotatably mounted to the body, the at least one drum including a binding component attachment for attaching the binding component thereto; a drum actuating lever mounted to the body, the drum actuating lever being operatively coupled to the at least one drum for rotating the at least one drum in a predetermined direction when the drum actuating lever is moved; and a crimping assembly operatively coupled to the body for holding a crimp component and selectively crimping the crimp component to the binding component.

Abstract: A binding component for binding together a pair of biological tissues. The binding component includes an elongated body defining a body longitudinal axis, the body being made, at least in part, of a shape memory material. The body is configured and sized so as to be both substantially flexible and substantially compressible in a direction substantially perpendicular to said longitudinal axis.

Abstract: The invention provides a surgical apparatus and method for performing less-invasive, closed chest cardiac surgery through a transabdominal approach, without cardiopulmonary bypass. In a preferred embodiment, the invention provides a heart manipulator and a coronary stabilizer which are deployed through an access cannula and secured relative to a stationary support through a surgical arm. Heart manipulator and coronary stabilizer cooperate together to enable access to all the coronary artery territories of the heart through a single access cannula. Also provided is a diaphragm tissue retractor.

Abstract: An intervention is performed on a target anatomic structure of a patient body by first altering the configuration of the diaphragm through displacement or puncturing of the latter, in order to create a passageway leading into the thoracic cavity. An implement is introduced into the thoracic cavity through the passageway. The implement is then used while extending through the passageway to alter a biological tissue of the target structure or manipulate the latter. Optionally, a separating component having a peripheral wall encompassing a component channel is introduced into the passageway for receiving the implement and separating the latter from the non-target anatomic structure.

Abstract: A tissue retractor for displacing body tissue during surgery includes a tissue piercing member such as a surgical needle, a wire-like filament such as a suture line affixed to the surgical needle, a fixed element such as an anchoring port being associated with a stable surgical platform such as a sternum retractor and a movable element such as an anchoring plug cooperating with anchoring port to engage a portion of suture line after the suture line is threaded through the body tissue with the surgical needle and after the suture wire is tensioned to effect a predetermined displacement of the body tissue. The predetermined displacement of body tissue is maintained by retention of the engaged portion of suture line by the fixed anchoring port and the movable anchoring plug.

Abstract: A retractor assembly for retracting a surgical incision in a patient, having a plurality of perimeter mounting rails. The retractor having first and second generally opposed spreader arms movable relative to each other along a guide member connected thereto, through the actuation of a drive mechanism. Each of first and second spreader arms having respectively a first and second blade portion adapted to retract opposing edges of a surgical incision. The first and second spreader arms and guide member are provided with a mounting rail configured and sized for selectively mounting an instrument-positioning member thereto. The instrument-positioning member is adapted to cooperatively engage mounting rail on either of spreader arms or rack bar and is slidable along a length of the mounting rail when it is in an loosened configuration and adapted to resist any movement along the mounting rail when it is in a locked configuration.

Abstract: An articulation member for use in a surgical apparatus provides articulation between a surgical tool and a surgical arm configured with a spherical ball. The articulation member includes a pair of opposed clamping members each having a socket portion for receiving the ball end of the surgical arm, and each having a clamp surface for receiving an insertable portion of the surgical tool. The articulation member also includes a locking member moveable between a loosened and a tightened configuration. In the loosened configuration, the orientation of the ball relative to the socket portions is modifiable so as to permit relative pivotal movement between the surgical arm and the surgical tool. In the tightened configuration, the locking member simultaneously urges the socket portions toward the ball, and the clamp surfaces toward the insertable tool portion, thereby frictionally locking the orientation of the surgical tool relative to the surgical arm.

Abstract: A suture deflector for retracting a body tissue by deflecting a surgical suture that is simultaneously attached to a body tissue and a surgical retractor. The suture deflector imparts a deflecting force on the surgical suture to retract a body tissue between a first and second retracted position. The suture deflector consists of a securing mechanism for attaching the suture deflector to a surgical retractor and a deflection member extending from the securing mechanism. The deflection member includes a suture contacting section that is configured so as to prevent the severing of the surgical suture when it is deflected by the suture deflector. In certain embodiments, the deflection member includes a connecting section that extends between the securing mechanism and the suture contacting section and that is also movable relative to the securing mechanism in order to impart a deflecting force on the surgical suture.

Abstract: An annuloplasty ring to resize a dilated aortic root during valve sparing surgery includes a scalloped space frame having three trough sections connected to define three crest sections. The annuloplasty ring is mounted outside the aortic root, and extends in height between a base plane and a spaced apart commissure plane of the aortic root. At least two adjacent trough sections are coupled by an annulus-restraining member or tether that limits the maximum deflection of the base of the annuloplasty ring. In use, the tether is preferably located in proximity to the base plane of the aortic root. The annuloplasty ring is movable between a first, substantially conical configuration occurring during a diastolic phase of the cardiac cycle, and a second, substantially cylindrical configuration occurring during a systolic phase of the cardiac cycle.

Abstract: A surgical device and method for retracting a pericardium tissue, the surgical device having a tissue-engaging member for providing a negative pressure suction force to the pericardium tissue which is sufficient to retract same. The surgical device may be positioned in a retracting configuration wherein it provides a tensile load on the contacted portion of pericardium tissue thereby also positioning the patient's heart, that is anatomically attached to the pericardium tissue, within the thoracic cavity of the patient. The surgical device may be temporarily coupled to a surgical platform in its retracting configuration.

Abstract: A retractor for performing surgery, for instance cardiac surgery on the coronary organs of a patient, which has a driving member to which the surgeon input is applied in the form of a mechanical force or torque, a thoracic structure engaging member which interfaces and retracts the patient's thoracic structure when surgeon input is applied to the movable driving member, and a surgeon input load-reducing and load-normalizing mechanism provided in at least one mechanical interface between retractor components where relative motion therebetween occurs. The load-reducing and load-normalizing mechanisms are preferably non-lubricated, thereby tending to ensure an inert and sterile environment during surgery. The retractor is comprised of a locking arrangement allowing a retractor spreader arm to be secured at any longitudinal position along the rack bar, independently of the pinion's position.