Abstract: Instruments and methods for passing suture in tissue repair and other surgical procedures are disclosed.

Abstract: A handle for surgical instruments that has a “wishbone” configuration. In one embodiment, the instrument is provided with a ratchet mechanism allows two operating handles to be locked in a predetermined position (for example, when the surgical instrument that is maneuvered is in use) or to move relative to each other when the ratchet is partially or fully released (for example, when the surgical instrument that is maneuvered is not in use). In another embodiment, the instrument is provided with a rotary gear mechanism.

Abstract: A tendon stripper according to an exemplary aspect of the present disclosure includes, inter alia, a shaft including a tip tapering to a point at the distal end of the shaft, and a retention structure moveable between an open position and a closed position to capture and retain a tendon relative to the tip. The tip arrangement increases the ease of separating a tendon from adjacent muscle tissue.

Abstract: Instruments and methods for passing suture in tissue repair and other surgical procedures are disclosed.

Abstract: An instrument for passing sutures in tissue repair and/or other mini-open procedures. The instrument includes a pair of jaws mounted on a distal end of a shaft, a hand assembly mounted on a proximal end of the shaft, and a needle mounted on the hand assembly and through a cannulation of the shaft. The pair of jaws includes a lower jaw and an upper jaw, the lower jaw being provided with a slot configured to engage a plurality of sutures. The hand assembly has a finger lever with a ratchet and a releaser with a hook, the hand assembly being designed to move the needle from a first position to a second position, and to sequentially engage the needle with each of the plurality of sutures.

Abstract: An apparatus for accessing the bed of a pickup truck having a rear bumper and a tailgate includes a step assembly having a lower linkage assembly with first and second ends and being pivotally mounted at the first end to the rear truck bumper; an upper linkage assembly having third and fourth ends and being pivotally mounted at the third end to and proximal the distal edge of the truck tailgate and being pivotally mounted at the fourth end to the second end of the lower linkage assembly; and a step connected to the lower linkage assembly; and includes a handrail assembly including a handrail, a storage locking bracket assembly securing the handrail to the step assembly in an up, closed position, and an erected support assembly for securing the handrail in an upright, user assist position when the step assembly is in a lowered, open position.

Abstract: An apparatus and method for passing suture in tissue repair and other surgical procedures. The apparatus includes a pair of jaws mounted on a distal end of a shaft, a handle assembly mounted on a proximal end of the shaft, and two needles mounted on the handle assembly and through a cannulation of the shaft. A dual-needle actuator communicates with the two needles. A suture is placed at the tip of the lower jaw. By advancing the dual-needle actuator relative to the body of the instrument, the two needles are pushed forward to capture the suture and advance it through the tissue to be sutured.

Abstract: An apparatus and method for passing suture in tissue repair and other surgical procedures. The apparatus includes a pair of jaws mounted on a distal end of a shaft, a handle assembly mounted on a proximal end of the shaft, and a needle mounted on the handle assembly and through a cannulation of the shaft. A suture is placed in a slot at the tip of the lower jaw. By advancing the needle relative to the body of the instrument, the needle is pushed forward to capture the suture and to pull it through the tissue to be sutured in a direction about parallel to the longitudinal axis of the shaft.

Abstract: An instrument for passing sutures in tissue repair and/or other mini-open procedures. The instrument includes a pair of jaws mounted on a distal end of a shaft, a hand assembly mounted on a proximal end of the shaft, and a needle mounted on the hand assembly and through a cannulation of the shaft. The pair of jaws includes a lower jaw and an upper jaw, the lower jaw being provided with a slot configured to engage a plurality of sutures. The hand assembly has a finger lever with a ratchet and a releaser with a hook, the hand assembly being designed to move the needle from a first position to a second position, and to sequentially engage the needle with each of the plurality of sutures.

Abstract: A surgical suture cutter that has a “wishbone” configuration and is provided with a locking mechanism having a mid-point lock that allows two operating handles to be locked in a predetermined position at which point the cutting jaw is held flush with the shaft but suture between the jaws of the cutter is allowed to slide without being cut. The locking mechanism is formed of first and second members provided with a first engagement element (for example, a hook) and a second engagement element (for example, a notch), to allow secure engagement of the first engagement element when the suture cutter instrument is in the mid-point locked position.

Abstract: Apparatus and methods for passing multiple sutures in tissue repair and/or other mini-open procedures. The apparatus includes a pair of jaws mounted on a distal end of a shaft, a hand assembly mounted on a proximal end of the shaft, and a needle mounted on the hand assembly and passing through a cannulation of the shaft. The pair of jaws includes a lower jaw and an upper jaw, the lower jaw being provided with a slot configured to sequentially engage multiple sutures inserted into the instrument. The handle assembly has a cam mechanism and a finger lever with a ratchet and a releaser with a hook, the handle assembly being designed to move the needle from a first position to a second position, and to thereby sequentially capture, in the needle, each of the multiple sutures inserted in the instrument, for subsequent passing through tissue.

Abstract: A handle for surgical instruments that has a “wishbone” configuration. In one embodiment, the instrument is provided with a ratchet mechanism allows two operating handles to be locked in a predetermined position (for example, when the surgical instrument that is maneuvered is in use) or to move relative to each other when the ratchet is partially or fully released (for example, when the surgical instrument that is maneuvered is not in use). In another embodiment, the instrument is provided with a rotary gear mechanism.

Abstract: A hand instrument for retrieving suture and advancing a suture knot within a patient. The instrument has a shaft with proximal and distal ends. A hinged jaw in the form of a crabclaw disposed on the distal end of the shaft captures suture within a closed aperture formed by the jaws or is used to pinch the suture between the jaws. A hand mechanism disposed on the proximal end of the shaft opens and closes the jaw.

Abstract: An apparatus for accessing the bed of a pickup truck having a frame, a rear bumper and a tailgate having a distal edge and being hingedly mounted to the frame includes a lower linkage assembly having proximal and distal ends and being pivotally mounted at its proximal end to the rear truck bumper at a first axis; an upper linkage assembly having proximal and distal ends and being pivotally mounted at its proximal end to and proximal the distal edge of the truck tailgate at a second axis, and being pivotally mounted at its distal end to the distal end of the lower linkage assembly at a third axis; a step connected to the lower linkage assembly; and, wherein the distance between the first and second axes is an effective length LB, the distance between the second and third axes is an effective length LT, and the distance between the first and third axes is an effective length LS, and wherein the ratio of LS to LT to LB to is approximately 2.9 to 1.8 to 4.5.

Abstract: An apparatus and method for passing suture(s) in tissue repair and/or other mini-open procedures. The apparatus includes a pair of jaws mounted on a distal end of a shaft, a hand assembly mounted on a proximal end of the shaft, and a needle mounted on the hand assembly and through a cannulation of the shaft. The pair of jaws includes a lower jaw and an upper jaw, the upper jaw being curve-shaped to enable grasping of thick tissue. The hand assembly has a finger lever with a ratchet and a releaser with a hook, the hand assembly being designed to move the needle from a first position to a second position.

Abstract: A hanger device that includes a sheet of biodegradable material having a first portion and a second portion. Each of the first portion and the second portion defines a hook member and a hanger body. A fold line is located between the hook members for connecting the first portion and the second portion to one another. The first portion and the second portion are positioned adjacent one another such that the hook members and the hanger bodies overlap to form the hanger device.

Abstract: Apparatus and methods for passing multiple sutures in tissue repair and/or other mini-open procedures. The apparatus includes a pair of jaws mounted on a distal end of a shaft, a hand assembly mounted on a proximal end of the shaft, and a needle mounted on the hand assembly and passing through a cannulation of the shaft. The pair of jaws includes a lower jaw and an upper jaw, the lower jaw being provided with a slot configured to sequentially engage multiple sutures inserted into the instrument. The handle assembly has a cam mechanism and a finger lever with a ratchet and a releaser with a hook, the handle assembly being designed to move the needle from a first position to a second position, and to thereby sequentially capture, in the needle, each of the multiple sutures inserted in the instrument, for subsequent passing through tissue.

Abstract: An apparatus and method for passing suture in tissue repair and other surgical procedures. The apparatus includes a pair of jaws mounted on a distal end of a shaft, a handle assembly mounted on a proximal end of the shaft, and a needle mounted on the handle assembly and through a cannulation of the shaft. A suture is placed in a slot at the tip of the lower jaw. By advancing the needle relative to the body of the instrument, the needle is pushed forward to capture the suture and to pull it through the tissue to be sutured in a direction about parallel to the longitudinal axis of the shaft.

Abstract: An apparatus and method for passing suture in tissue repair and other surgical procedures. The apparatus includes a pair of jaws mounted on a distal end of a shaft, a handle assembly mounted on a proximal end of the shaft, and two needles mounted on the handle assembly and through a cannulation of the shaft. A dual-needle actuator communicates with the two needles. A suture is placed at the tip of the lower jaw. By advancing the dual-needle actuator relative to the body of the instrument, the two needles are pushed forward to capture the suture and advance it through the tissue to be sutured.

Abstract: A railway vehicle for inserting plates on rail ties that engage with rails includes a frame configured for movement relative to the track and a plate inserter workhead mounted to the frame. The plate inserter workhead is configured for pivoting the tie plate about a leading edge of the plate so that the trailing edge of the tie plate is lifted off the tie. The plate inserter workhead is configured to subsequently release the plate.