Abstract: A medical fastening device is provided. The fastening device may include a first arcuate needle adapted to rotate about a first axis in a first direction, entering through a first section of one of a tissue and a prosthetic material, and exiting through a second section of one of the tissue and the prosthetic material; a second arcuate needle adapted to rotate about a second axis in a second direction, entering through the second section of one of the tissue and the prosthetic material, and exiting through the first section of one of the tissue and the prosthetic material; and a drive mechanism operatively coupled to each of the first and second arcuate needles and configured to engage each of the first and second arcuate needles between a retracted position and an extended position.

Abstract: A suturing device is provided. The suturing device may include at least one suturing needle, a drive mechanism and an impulse mechanism. The drive mechanism may be operatively coupled to the suturing needle and configured to advance the suturing needle from a retracted position to an extended position during engagement, and retract the suturing needle from the extended position to the retracted position during disengagement. The impulse mechanism may be operatively coupled to the drive mechanism and configured to accumulate energy during engagement of the suturing needle, and instantaneously release the accumulated energy through the drive mechanism during disengagement.

Abstract: A suturing device provided. The suturing device may include at least a firing aperture, a drive mechanism and an autoloading mechanism. The firing aperture may include at least one needle rotatably disposed therein configured to engage a suture for deployment. The drive mechanism may be operatively coupled to the needle and configured to advance the needle from a retracted position to an extended position during engagement, and retract the needle from the extended position to the retracted position during disengagement. The autoloading mechanism may be operatively coupled to the drive mechanism and configured to slidably retrieve and position a suture to be deployed over the firing aperture during disengagement of the drive mechanism.

Abstract: A tissue fastening device is provided. The tissue fastening device may include an elongate member having fastener guides extending between a working end and a control end and a firing aperture disposed on the working end, an arcuate needle disposed within the firing aperture of the working end and rotatable between a retracted position and an extended position, the arcuate needle including an antegrade recess configured to engagably receive an end of a fastener during advancement of the arcuate needle, and a drive mechanism operatively coupled to the arcuate needle and configured to, upon actuation, advance the arcuate needle in a forward rotation to engage the end of the fastener to be installed and push the end of the fastener through one of a tissue and a prosthetic material into a helical configuration.

Abstract: A suturing device is provided. The suturing device may include at least one needle configured to engage a suture for deployment, at least one release mechanism coupled to the needle configured to release an engaged suture upon deployment, and a drive mechanism operatively coupled to the needle and configured to advance the needle from a retracted position to an extended position during engagement, and retract the needle from the extended position to the retracted position during disengagement.

Abstract: A suturing device is provided. The suturing device may include a firing aperture having at least one needle and a stripper plate, the needle being rotatable relative to the stripper plate and the firing aperture, and configured to engage a suture for deployment; and a drive mechanism operatively coupled to the needle and configured to advance the needle from a retracted position to an extended position during engagement, and retract the needle from the extended position to the retracted position during disengagement.

Abstract: A suturing device is provided. The suturing device may include at least one suturing needle, a drive mechanism and an impulse mechanism. The drive mechanism may be operatively coupled to the suturing needle and configured to advance the suturing needle from a retracted position to an extended position during engagement, and retract the suturing needle from the extended position to the retracted position during disengagement. The impulse mechanism may be operatively coupled to the drive mechanism and configured to accumulate energy during engagement of the suturing needle, and instantaneously release the accumulated energy through the drive mechanism during disengagement.

Abstract: A suturing device provided. The suturing device may include at least a firing aperture, a drive mechanism and an autoloading mechanism. The firing aperture may include at least one needle rotatably disposed therein configured to engage a suture for deployment. The drive mechanism may be operatively coupled to the needle and configured to advance the needle from a retracted position to an extended position during engagement, and retract the needle from the extended position to the retracted position during disengagement. The autoloading mechanism may be operatively coupled to the drive mechanism and configured to slidably retrieve and position a suture to be deployed over the firing aperture during disengagement of the drive mechanism.

Abstract: A suturing device provided. The suturing device may include at least a firing aperture, a drive mechanism and an autoloading mechanism. The firing aperture may include at least one needle rotatably disposed therein configured to engage a suture for deployment. The drive mechanism may be operatively coupled to the needle and configured to advance the needle from a retracted position to an extended position during engagement, and retract the needle from the extended position to the retracted position during disengagement. The autoloading mechanism may be operatively coupled to the drive mechanism and configured to slidably retrieve and position a suture to be deployed over the firing aperture during disengagement of the drive mechanism.

Abstract: A tissue fastening device is provided. The tissue fastening device may include an elongate member having fastener guides extending between a working end and a control end and a firing aperture disposed on the working end, an arcuate needle disposed within the firing aperture of the working end and rotatable between a retracted position and an extended position, the arcuate needle including an antegrade recess configured to engagably receive an end of a fastener during advancement of the arcuate needle, and a drive mechanism operatively coupled to the arcuate needle and configured to, upon actuation, advance the arcuate needle in a forward rotation to engage the end of the fastener to be installed and push the end of the fastener through one of a tissue and a prosthetic material into a helical configuration.

Abstract: A medical fastening device is provided. The fastening device may include a first arcuate needle adapted to rotate about a first axis in a first direction, entering through a first section of one of a tissue and a prosthetic material, and exiting through a second section of one of the tissue and the prosthetic material; a second arcuate needle adapted to rotate about a second axis in a second direction, entering through the second section of one of the tissue and the prosthetic material, and exiting through the first section of one of the tissue and the prosthetic material; and a drive mechanism operatively coupled to each of the first and second arcuate needles and configured to engage each of the first and second arcuate needles between a retracted position and an extended position.

Abstract: A medical fastening device is provided. The fastening device may include a first arcuate needle adapted to rotate about a first axis in a first direction, entering through a first section of one of a tissue and a prosthetic material, and exiting through a second section of one of the tissue and the prosthetic material; a second arcuate needle adapted to rotate about a second axis in a second direction, entering through the second section of one of the tissue and the prosthetic material, and exiting through the first section of one of the tissue and the prosthetic material; and a drive mechanism operatively coupled to each of the first and second arcuate needles and configured to engage each of the first and second arcuate needles between a retracted position and an extended position.

Abstract: A suturing device is provided. The suturing device may include a firing aperture having at least one needle and a stripper plate, the needle being rotatable relative to the stripper plate and the firing aperture, and configured to engage a suture for deployment; and a drive mechanism operatively coupled to the needle and configured to advance the needle from a retracted position to an extended position during engagement, and retract the needle from the extended position to the retracted position during disengagement.

Abstract: A suturing device is provided. The suturing device may include at least one needle configured to engage a suture for deployment, at least one release mechanism coupled to the needle configured to release an engaged suture upon deployment, and a drive mechanism operatively coupled to the needle and configured to advance the needle from a retracted position to an extended position during engagement, and retract the needle from the extended position to the retracted position during disengagement.

Abstract: A suturing device provided. The suturing device may include at least a firing aperture, a drive mechanism and an autoloading mechanism. The firing aperture may include at least one needle rotatably disposed therein configured to engage a suture for deployment. The drive mechanism may be operatively coupled to the needle and configured to advance the needle from a retracted position to an extended position during engagement, and retract the needle from the extended position to the retracted position during disengagement. The autoloading mechanism may be operatively coupled to the drive mechanism and configured to slidably retrieve and position a suture to be deployed over the firing aperture during disengagement of the drive mechanism.

Abstract: A medical fastening device is provided. The fastening device may include a first arcuate needle adapted to rotate about a first axis in a first direction, entering through a first section of one of a tissue and a prosthetic material, and exiting through a second section of one of the tissue and the prosthetic material; a second arcuate needle adapted to rotate about a second axis in a second direction, entering through the second section of one of the tissue and the prosthetic material, and exiting through the first section of one of the tissue and the prosthetic material; and a drive mechanism operatively coupled to each of the first and second arcuate needles and configured to engage each of the first and second arcuate needles between a retracted position and an extended position.

Abstract: Certain aspects of the invention relate to an applicator, and methods of use thereof, which can house multiple component formulations in separate material receptacles, which can then be easily reconstituted at time of use without any assembly by the user. A device of the invention can be used for, but is not limited to, applying hydrogel formulations to dura mater, abdominal tissue in hernia repair, tissues near the spine, lung tissue, intestinal tissue, and any of the internal tissues. A device of the invention can be configured to apply a spray or a stream of liquid formulation onto a surface to be treated. A device of the invention can be configured to deliver the formulation through an endoscope or laparoscope.

Abstract: Circular stapling instruments for cutting and applying one or more surgical staples to tissue are disclosed. The instruments include various forms of anvil locking systems designed to selectively prevent the anvil from moving axially relative to the stapling head of the stapling instrument. One embodiment employs an elongated gear rack that is selectively engagable with locking gears to prevent axial motion of the elongated gear rack and an adjustment shaft used to axially position the anvil. Other embodiments employ a gear assembly that cooperates with the elongated gear rack. A locking member is movably supported by a handle assembly that houses the gear assembly and elongated gear rack. The locking member is configured for selective meshing engagement with the gear assembly to ultimately prevent axial movement of the gear rack and adjustment shaft.

Abstract: Circular stapling instruments for cutting and applying one or more surgical staples to tissue are disclosed. The instruments include various forms of anvil locking systems designed to selectively prevent the anvil from moving axially relative to the stapling head of the stapling instrument. One embodiment employs an elongated gear rack that is selectively engagable with locking gears to prevent axial motion of the elongated gear rack and an adjustment shaft used to axially position the anvil. Other embodiments employ a gear assembly that cooperates with the elongated gear rack. A locking member is movably supported by a handle assembly that houses the gear assembly and elongated gear rack. The locking member is configured for selective meshing engagement with the gear assembly to ultimately prevent axial movement of the gear rack and adjustment shaft.

Abstract: Certain aspects of the invention relate to an applicator, and methods of use thereof, which can house multiple component formulations in separate material receptacles, which can then be easily reconstituted at time of use without any assembly by the user. A device of the invention can be used for, but is not limited to, applying hydrogel formulations to dura mater, abdominal tissue in hernia repair, tissues near the spine, lung tissue, intestinal tissue, and any of the internal tissues. A device of the invention can be configured to apply a spray or a stream of liquid formulation onto a surface to be treated. A device of the invention can be configured to deliver the formulation through an endoscope or laparoscope.