Abstract: An applicator instrument for dispensing surgical fasteners includes a housing, an elongated shaft extending from the housing, the elongated shaft having a proximal end coupled with the housing and a distal end remote therefrom, and a firing system for dispensing surgical fasteners from the distal end of the elongated shaft. The firing system includes a firing rod disposed in the elongated shaft, the firing system having a firing cycle with a first stage for advancing the firing rod toward the distal end of the elongated shaft at a first rate of speed and a second stage for advancing the firing rod toward the distal end of the elongated shaft at a second rate of speed that is greater than the first rate of speed.

Abstract: An applicator instrument for dispensing surgical fasteners includes a housing, an elongated shaft extending from the housing, a firing rod disposed inside the elongated shaft and being movable within a first plane between a retracted position and an extended position, an advancer disposed inside the elongated shaft and being moveable within a second plane between a retracted position and an extended position, and a staging assembly located adjacent the distal end of the elongated shaft and being adapted to align surgical fasteners with a distal end of the firing rod. The staging assembly is held below the second plane by the advancer when the advancer is in the extended position and the staging assembly is adapted to move into at least partial alignment with the distal end of the firing rod when the advancer is in the retracted position.

Abstract: A system and method for performing a surgical procedure that are based on delivering air to a surgical site to prevent contamination of a wound or surgical instrument. A curtain of air above the surgical site prevents pathogens or pathogen laden particulates eminating from sources such as the skin of health care professionals including operating room staff, room air, and ceiling from contaminating the surgical site. The curtain of air may be turbulent or laminar and heated or humidified with a solution of anti-microbial agent such as an antibiotic or anti-microbial such as triclosan. Optional incorporation of a UV or blue light source into the system may also prevent infection. The system is designed to be ergonomically compatible with existing surgical substrates such as a retractor, bed, or drape. Sources of sterile air can be brought to a manifold pivotably coupled to a shaft that is attached to a bedrail or instrument stand to deliver the air directly over a surgical site.

Abstract: A suture anchoring device comprising (1) a first retaining member having a first surface, a second surface and a first outer edge; where the second surface lies in a first plane; the first retaining member having an opening that extends from the first outer edge to at least partially through the second surface to an inner point of the first retaining member; (2) a second retaining member having a third surface, a fourth surface and a second outer edge; where the third surface lies in a second plane, the second retaining member having a holding means; and (3) a coupler having a third outer edge and a cross-sectional area taken in a plane parallel to the first plane that is smaller than the cross-sectional area of the first retaining member taken in a plane parallel to the first plane; where the coupler joins the first retaining member to the second retaining member at the second surface and third surface; wherein the second and third surfaces are parallel to each other and non-coterminous.

Abstract: An apparatus for evaluating the peel adhesion of a test specimen to a substrate. The apparatus includes a base plate having a surface for receiving the substrate; a substrate clamping plate for securing the substrate to the substrate receiving surface of the base plate; a test specimen clamping mechanism, the test specimen clamping mechanism having a first end for securing a first end of the test specimen thereto and a second end; and a pivotable linkage, the pivotable linkage having a first end for connecting to the second end of the test specimen clamping mechanism and a second end pivotably mounted to an adaptor, the adaptor in communication with a source of tensile force, wherein the source of tensile force is applied through or via the adaptor to draw the pivotable linkage and test specimen clamping mechanism away from the base plate and peel the test specimen away from the substrate. Also disclosed is a method for evaluating the peel adhesion of a test specimen to a substrate.

Abstract: A tissue anchor comprising a body having a longitudinal axis, a proximal end with one set of dimensions and a projected surface area, a distal end with a second set of dimensions and a projected surface area where the respective dimensions of the first and second ends are not identical and the projected areas are substantially the same. The tissue anchor may further have a fixing member to attach the anchor and one or more tissues together or to attach the other structures to tissue.

Abstract: An apparatus for evaluating the peel adhesion of a test specimen to a substrate. The apparatus includes a base plate having a surface for receiving the substrate; a substrate clamping plate for securing the substrate to the substrate receiving surface of the base plate; a test specimen clamping mechanism, the test specimen clamping mechanism having a first end for securing a first end of the test specimen thereto and a second end; and a pivotable linkage, the pivotable linkage having a first end for connecting to the second end of the test specimen clamping mechanism and a second end pivotably mounted to an adaptor, the adaptor in communication with a source of tensile force, wherein the source of tensile force is applied through or via the adaptor to draw the pivotable linkage and test specimen clamping mechanism away from the base plate and peel the test specimen away from the substrate. Also disclosed is a method for evaluating the peel adhesion of a test specimen to a substrate.

Abstract: A deployment device for anchoring a suture to a suture anchoring device, which is made from a helically coiled member, includes a winding tube for winding a suture around the coiled member in a helical path such that the suture is attached to at least one turn of the coiled member. A support mechanism is also provided for supporting the suture anchoring device during the winding of the suture around the coiled member. The deployment device can be used for anchoring a string and the like to any helically coiled member.

Abstract: A suture anchoring device is made from a coiled member having a helical configuration with a multiplicity of turns. When used in connection with a surgical procedure, the device is positioned adjacent to a wound site and a suture is attached to at least two of the turns so as to anchor the suture to the coiled member.

Abstract: A cutting blade for a morcellator has a generally cylindrical shape and includes a sidewall having an inner surface and an outer surface, each of which at least partially resides respectively in concentric first and second cylindrical planes. The blade sidewall further includes a beveled or sloped surface that extends from the inner surface toward the outer surface to define a sharpened edge situated in the second cylindrical plane in which the outer surface of the cutting blade sidewall resides. The sloped surface is provided to protect the sharpened edge of the morcellator blade when it is not obvious to a surgeon operating the morcellator that a tenaculum used to grasp anatomical tissue at the surgical site may have its tissue grasping claws spread to such an extent that the claws may contact the cutting blade of the morcellator.

Abstract: A suture anchoring device comprising (1) a first retaining member having a first surface, a second surface and a first outer edge; where the second surface lies in a first plane; the first retaining member having an opening that extends from the first outer edge to at least partially through the second surface to an inner point of the first retaining member; (2) a second retaining member having a third surface, a fourth surface and a second outer edge; where the third surface lies in a second plane, the second retaining member having a holding means; and (3) a coupler having a third outer edge and a cross-sectional area taken in a plane parallel to the first plane that is smaller than the cross-sectional area of the first retaining member taken in a plane parallel to the first plane; where the coupler joins the first retaining member to the second retaining member at the second surface and third surface; wherein the second and third surfaces are parallel to each other and non-coterminous.

Abstract: A deployment device for anchoring a suture to a suture anchoring device, which is made from a helically coiled member, includes a winding tube for winding a suture around the coiled member in a helical path such that the suture is attached to at least one turn of the coiled member. A support mechanism is also provided for supporting the suture anchoring device during the winding of the suture around the coiled member. The deployment device can be used for anchoring a string and the like to any helically coiled member.

Abstract: A surgical device for severing tissue, the surgical device comprising; a first shaft having a first internal lumen and a first slot disposed at a distal end; a clamp slidingly disposed in the first slot between open and closed positions to capture tissue in the first slot, the clamp having a clamping surface disposed at a distal end; at least one electrode for applying RF energy to the tissue captured in the first slot; a cutting blade slidingly disposed in the first slot between open and closed positions, the cutting blade having a cutting edge to sever the tissue; first actuation means for actuating the clamp between the open and closed positions; and second actuation means for actuating the cutting blade between the open and closed positions.

Abstract: A surgical device for ligating and severing a vessel. The surgical device including: a housing; a flexible suture having a looped portion extending from a distal end of the housing for capturing a periphery of the vessel; ligating means for tightening the looped portion around the periphery of the vessel; and a cutter for cutting the vessel. Also provided is a method for ligating and severing a vessel including: looping a flexible suture material around a periphery of the vessel; looping a flexible cutting material around the periphery of the vessel; ligating the vessel by decreasing the size of the loop of flexible suture material; and severing the vessel by decreasing the size of the loop of flexible cutting material. The method preferably further includes drawing the vessel against a cutting surface, such as a knife blade, which is retractable in a housing.

Abstract: A suture anchoring and tensioning device is made from a resilient strip of polymeric or superelastic material adapted to be coiled into a tight spiral configuration that restricts movement of a suture entwined therein as the device coils about itself.

Abstract: A suture anchoring device is made from a coiled member having a helical configuration with a multiplicity of turns. When used in connection with a surgical procedure, the device is positioned adjacent to a wound site and a suture is attached to at least two of the turns so as to anchor the suture to the coiled member.

Abstract: A surgical device for severing tissue, the surgical device comprising; a first shaft having a first internal lumen and a first slot disposed at a distal end; a clamp slidingly disposed in the first slot between open and closed positions to capture tissue in the first slot, the clamp having a clamping surface disposed at a distal end; at least one electrode for applying RF energy to the tissue captured in the first slot; a cutting blade slidingly disposed in the first slot between open and closed positions, the cutting blade having a cutting edge to sever the tissue; first actuation means for actuating the clamp between the open and closed positions; and second actuation means for actuating the cutting blade between the open and closed positions.

Abstract: A suture anchoring and tensioning device is made from a resilient strip of polymeric or superelastic material adapted to be coiled into a tight spiral configuration that restricts movement of a suture entwined therein as the device coils about itself.

Abstract: A surgical device for severing tissue, the surgical device comprising; a first shaft having a first internal lumen and a first slot disposed at a distal end; a clamp slidingly disposed in the first slot between open and closed positions to capture tissue in the first slot, the clamp having a clamping surface disposed at a distal end; at least one electrode for applying RF energy to the tissue captured in the first slot; a cutting blade slidingly disposed in the first slot between open and closed positions, the cutting blade having a cutting edge to sever the tissue; first actuation means for actuating the clamp between the open and closed positions; and second actuation means for actuating the cutting blade between the open and closed positions.

Abstract: A surgical device for ligating and severing a vessel. The surgical device including: a housing; a flexible suture having a looped portion extending from a distal end of the housing for capturing a periphery of the vessel; ligating means for tightening the looped portion around the periphery of the vessel; and a cutter for cutting the vessel. Also provided is a method for ligating and severing a vessel including: looping a flexible suture material around a periphery of the vessel; looping a flexible cutting material around the periphery of the vessel; ligating the vessel by decreasing the size of the loop of flexible suture material; and severing the vessel by decreasing the size of the loop of flexible cutting material. The method preferably further includes drawing the vessel against a cutting surface, such as a knife blade, which is retractable in a housing.