Abstract: Surgical bolts are useful for solid visceral wound hemostasis. The devices utilize flexible, variable depth transfixing bolts that penetrate the viscera. These bolts bring the tissue into apposition and hold said tissue in apposition while the wound heals. These bolts, or soft tissue rivets, overcome the limitations of sutures that are currently used for the same purposes. The devices are flexible, bendable, and conformable in their wet or dry state. The bolts include pressure plates that are capable of exerting compressive pressure over broad areas of visceral wounds without causing tearing of the friable parenchyma. The bolts are placed and removed by open surgery or laparoscopic access. The bolts can be placed into tissue where both sides of the bolt are exposed, or they can be placed blindly into tissue where the bolt does not protrude out of the tissue at its distal end.

Abstract: A device and method for achieving hemostasis and leakage control in vascular structures and other body ducts or vessels in an emergency room or trauma situation. The device has at least one shunt that contains an obturator on an end of the shunt. The shunt is inserted into a damaged vessel or lumen for sealing the leak or hemorrhage. Two shunts that both contain obturators on one of their ends can be inserted into two different vessels or lumens when the vessel or lumen has been severed. The obturators allow for the improved ease of insertion into the vessel or lumen. The two shunts are then releasably attached to restore fluid communication through the vessel or lumen. The shunt is placed temporarily within the patient and then removed when definitive repair can be achieved by a qualified physician.

Abstract: Surgical bolts are useful for solid visceral wound hemostasis. The devices utilize flexible, variable depth transfixing bolts that penetrate the viscera. These bolts bring the tissue into apposition and hold said tissue in apposition while the wound heals. These bolts, or soft tissue rivets, overcome the limitations of sutures that are currently used for the same purposes. The devices are flexible, bendable, and conformable in their wet or dry state. The bolts include pressure plates that are capable of exerting compressive pressure over broad areas of visceral wounds without causing tearing of the friable parenchyma. The bolts are placed and removed by open surgery or laparoscopic access. The bolts can be placed into tissue where both sides of the bolt are exposed, or they can be placed blindly into tissue where the bolt does not protrude out of the tissue at its distal end.

Abstract: The invention consists of a hands-on, physically simulated human or animal body interior, containing physically simulated representations of all of the solid organs, hollow viscera, bladders, glands, major ducts, large and medium-sized blood vessels, muscle groups and interstitial tissues. The organs and vessels are life-sized and are composed of molded or sculpted open cell or closed cell foam rubber of varying density and load deformation, matching the physical properties of the specific biologic organs or tissues simulated. The organs, tissues and vessels may be treated with pigments, sealants and/or hardening agents to reflect the contours, appearances, densities, textures, elasticity, and deformability of normal or pathologically-altered internal organs and tissues. Organs contain molded vascular channels, reversibly attached to the larger blood vessels of the simulator. The model has a pressurized, watertight, simulated vascular system, monitored by electronic sensors.

Abstract: A heart massager for substernal heart massage is disclosed. The heart massager has a heart-contacting member having a surface which is at least partially concave for contacting the heart, cushioning on the surface of the contact member, and a handle attached to the heart-contacting member for manually manipulating the massager. The partially concave surface allows the heart-contacting member to conform to the shape of the heart. The handle is substantially upright with respect to the surface of the heart-contacting member. The handle is significantly offset from a central portion of the heart-contacting member in the region where it attaches to the member. The cushioning covers substantially the entire surface of the heart-contacting member so as to form a solid surface.

Abstract: A heart massager for substernal heart massage is disclosed. The heart massager utilizes a heart-contacting member adapted for insertion into a thoracic cavity for directly contacting the heart and a handle attached thereto for manually manipulating the apparatus. The heart-contacting member includes a cup having one end which is open and which receives the handle, and another end which is closed by an at least partially concave-shaped diaphragm which forms a heart contacting surface and allows the member to conform to the shape of the heart's surface. The ends of the cup are joined by a flexible sidewall which flares outward from the handle in its operative state. The cup's flexible sidewall allows the heart-contacting member to collapse so that it can be inserted into a relatively small incision in the chest cavity. After the heart-contacting member is inserted, fluid pressure is applied to the inside of the cup, thereby causing it to expand into its operative state.

Abstract: Methods for employing a heart massager for substernal heart massage are disclosed. The heart massager comprises a heart-contacting member connected to a handle. The disclosed method comprises the following steps: making an incision in the skin in an intercostal space; surgically separating the intercostal space; inserting the heart massager through the intercostal space and guiding heart-contacting member of the massager onto the ventricular region of the heart; and periodically pressing and releasing the handle so that the heart's ventricles are compressed and allowed to return to their non-compressed condition.