Abstract: A device includes a first end portion, a second end portion, an intermediate portion, and a graft material. The first end portion has a first end diameter. The second end portion has a second end diameter smaller than the first end diameter. The first end portion comprises a first material. The second end portion comprises a second material different than the first material. The intermediate portion is between the first end portion and the second end portion. The intermediate portion tapers between the first end portion and the second end portion. The graft material is coupled to at least the intermediate portion.

Abstract: A device includes a first end portion, a second end portion, an intermediate portion, and a graft material. The first end portion has a first end diameter. The second end portion has a second end diameter smaller than the first end diameter. The first end portion comprises a first material. The second end portion comprises a second material different than the first material. The intermediate portion is between the first end portion and the second end portion. The intermediate portion tapers between the first end portion and the second end portion. The graft material is coupled to at least the intermediate portion.

Abstract: A method of diverting fluid flow from a first vessel including an occlusion to a second vessel includes deploying a prosthesis at least partially in a fistula and making valves in the second vessel incompetent. Making the valves in the second vessel incompetent includes at least one of using a reverse valvulotome to cut the valves, inflating a balloon, expanding a stent, and lining the second vessel with a stent.

Abstract: A device for singulating surgical needles from a bulk supply of needles includes a vibratory bowl for receiving the supply of needles. The bowl has a floor to receive the needles, a track extending from the floor to a needle discharge point and a selectively vibrating motor to vibrate the surgical needles into a single file along the track. A discharge device has first and second needle receiving pockets, and positions the first and the second needle receiving pockets below the needle discharge point. A controller selectively vibrates the vibratory bowl and selectively positions the first and second needle pockets below the needle discharge point, the controller singulating individual needles from the single file of needles into the first and second needle receiving pockets. A discharger discharges the singulated needles in a spaced relationship on a conveyor for subsequent imaging at an inspection station.

Abstract: An apparatus for forming armed sutures has a swaging station for receiving, holding and swaging needles that are deposited therein. A linear motor drives a suture insertion gripper, which pulls suture from a supply reel and inserts a cut end thereof into a needle held in the swaging station. A ganged needle transfer assembly with a plurality of spaced needle gripper units carries needles along a line substantially at right angles to the suture line and transfers them to and from the swaging station and other needle processing stations. A precisor orients needles prior to placement in the swaging station and a pull test assembly tests armed sutures in both destructive and non-destructive modes. Both ends of the production line may be automated, e.g., by robots which load and offload needles prior to and after swaging, respectively. The apparatus is capable of forming double armed sutures by using a rotatable mount for the suture insertion gripper and a secondary, loop gripper.

Abstract: A device for singulating surgical needles from a bulk supply of needles including a vibratory bowl assembly for receiving said bulk supply of needles. The bowl assembly having a floor to receive the needles, a track extending from the floor to a needle discharge point and a selectively vibrating motor to vibrate the surgical needles into a single file along the track; a discharge device having first and second needle receiving pockets, the device positioning the first and the second needle receiving pockets below said needle discharge point; a controller for selectively vibrating the vibratory bowl and selectively positioning the first and second needle pockets below the needle discharge point, the controller singulating individual needles from the single file of needles into the first and second needle receiving pockets; a discharger for discharging the singulated needles in the first and second needle pockets in a spaced relationship on a conveyor for subsequent imaging at an inspection station.

Abstract: A device for singulating surgical needles from a bulk supply of needles including a vibratory bowl assembly for receiving said bulk supply of needles. The bowl assembly having a floor to receive the needles, a track extending from the floor to a needle discharge point and a selectively vibrating motor to vibrate the surgical needles into a single file along the track; a discharge device having first and second needle receiving pockets, the device positioning the first and the second needle receiving pockets below said needle discharge point; a controller for selectively vibrating the vibratory bowl and selectively positioning the first and second needle pockets below the needle discharge point, the controller singulating individual needles from the single file of needles into the first and second needle receiving pockets; a discharger for discharging the singulated needles in the first and second needle pockets in a spaced relationship on a conveyor for subsequent imaging at an inspection station.

Abstract: Apparatus for cutting an indefinite length suture to uniform lengths for subsequent threading and swaging to surgical needles includes a drawing tower having first and second guide members defining a drawing axis parallel thereto. First and second grippers are provided to grip the indefinite length suture and to alternately draw it along the drawing axis, with each gripper being mounted for reciprocal movement along a guide member. Each gripper alternately grips the suture and draws it a distance beyond the location of a cutter assembly while the other gripper reciprocates to a start position before the cutter assembly. A tipping assembly heats a predetermined small length of the suture to stiffen the suture thereat after subsequent cooling, in preparation for cutting the suture and inserting a stiffened lead cut end of the suture into an end of a needle for swaging thereto.

Abstract: An apparatus for cutting an indefinite length suture strand to uniform lengths for subsequent threading and swaging to a surgical needle includes a drawing tower having at least one guide member defining a drawing axis parallel thereto. First and second gripping devices are provided to grip the indefinite length suture strand and draw it along the drawing axis; each gripping device mounted for reciprocal movement on at least one guide member. A retractable cutter for cutting the indefinite length suture strand is also provided for cutting the strand at a start position along the drawing axis. The indefinite length suture strand is fed to the drawing axis and drawn a predetermined distance beyond the location of the retractable cutter for positioning within a suture receiving opening formed in the surgical needle, while the second gripping device reciprocates to a start position along the drawing axis.

Abstract: An apparatus for cutting an indefinite length suture strand to uniform lengths for subsequent threading and swaging to a surgical needle includes a drawing tower having at least one guide member defining a drawing axis parallel thereto. First and second gripping devices are provided to grip the indefinite length suture strand and draw it along the drawing axis; each gripping device mounted for reciprocal movement on at least one guide member. A retractable cutter for cutting the indefinite length suture strand is also provided for cutting the strand at a start position along the drawing axis. The indefinite length suture strand is fed to the drawing axis and drawn a predetermined distance beyond the location of the retractable cutter for positioning within a suture receiving opening formed in the surgical needle, while the second gripping device reciprocates to a start position along the drawing axis.

Abstract: A needle sorting device including an infeed device which first singulates a bulk supply of surgical needles into single file with an intermittently driven vibratory feed bowl assembly, and then individually separates and deposits the needles on a first conveyor for transmission to a processing station with a linear slide discharge mechanism. The first conveyor is translucent and during transit, one or more cameras obtain an image of the individual deposited needles. The image is digitized and the digital signals are transmitted to a control system computer which evaluates the position and orientation for needles and processes the information to obtain data for communication to one or more robot assemblies having grippers. Utilizing the position and orientation data, the robot assembly grippers removes selected needles from the first conveyor and transfers each needle to an engagement device located upon a second precision conveyor.

Abstract: A needle sorting device includes an infeed device which first singulates a bulk supply of surgical needles into single file with an intermittently driven vibratory feed bowl assembly, and then individually separates and deposits the needles on a first conveyor for transmission to a processing station with a linear slide discharge mechanism. The first conveyor is translucent and during transit, one or more cameras obtain an image of the individual deposited needles. The image is digitized and the digital signals are transmitted to a control system computer which evaluates the position and orientation for needles and processes the information to obtain data for communication to one or more robot assemblies having grippers. Utilizing the position and orientation data, the robot assembly grippers removes selected needles from the first conveyor and transfers each needle to an engagement device located upon a second precision conveyor.

Abstract: Apparatus for cutting an indefinite length suture to uniform lengths for subsequent threading and swaging to surgical needles includes a drawing tower having first and second guide members defining a drawing axis parallel thereto. First and second grippers are provided to grip the indefinite length suture and to alternately draw it along the drawing axis, with each gripper being mounted for reciprocal movement along a guide member. Each gripper alternately grips the suture and draws it a distance beyond the location of a cutter assembly while the other gripper reciprocates to a start position before the cutter assembly. A tipping assembly heats a predetermined small length of the suture to stiffen the suture thereat after subsequent cooling, in preparation for cutting the suture thereat and inserting a stiffened lead cut end of the suture into an end of a needle for swaging thereto.

Abstract: An automatic pull-testing apparatus for testing the strength of an armed surgical needle comprises a supporting blade for supporting a suture receiving end of the armed needle and having at least one suture receiving guide therein. A first gripping device is provided for releasably retaining the armed needle in an oriented position, and for positioning the armed needle at the supporting blade to enable the suture strand depending therefrom to be threaded at the suture receiving guide. A second suture gripping device grips the suture at a position below the suture receiving guide of the supporting blade. A slide block counterweighted to a predetermined weight is connected to the second suture gripping device for applying a controlled positive downward force upon the suture strand.