Abstract: A shapeable passer for surgical cable or suture is made from a flexible tubular extrusion which includes at least one lumen arranged to receive the leading end of a surgical cable or suture, and at least one lumen arranged to contain a malleable stiffener element. The lumens and stiffener element are arranged parallel to each other and lengthwise along longitudinal axis of the extrusion, such that the malleable stiffener element enables the malleable portion of the passer to be shaped as desired. The leading ends of the lumens are preferably sealed, capped or tipped, while the trailing ends of the lumens arranged to receive the surgical cables or sutures are preferably flared to facilitate manual insertion of the cables or sutures.

Abstract: A shapeable passer for surgical cable or suture is made from a flexible tubular extrusion which includes at least one lumen arranged to receive the leading end of a surgical cable or suture, and at least one lumen arranged to contain a malleable stiffener element. The lumens and stiffener element are arranged parallel to each other and lengthwise along the long axis of the extrusion, such that the malleable stiffener element enables the malleable portion of the passer to be shaped as desired. The leading ends of the lumens are preferably sealed, capped or tipped, while the trailing ends of the lumens arranged to receive the surgical cables or sutures are preferably flared to facilitate manual insertion of the cables or sutures.

Abstract: A surgical method and apparatus employs a trochanteric grip or bone plate having cable guides adapted to direct the necessary transitions in cable direction smoothly in different planes, thereby directing the cable in the direction of tension and preventing wear and concentration of stress in the cable.

Abstract: A surgical instrument includes an elongated cannula having a forward expulsion end and a rearward breach end, arranged to include a bio-compatible material; a drive member arranged to urge the bio-compatible material in a reciprocating motion having two alternating phases; and a directional brake disposed to contact the bio-compatible material. The directional brake has a preferred braking direction for resisting motion of the bio-compatible material. The preferred braking direction of the directional brake is oriented to resist retreat of said material during the retreating phase and to allow advance of said material during the advancing phase, thus producing a net advance of the material to expel it from the expulsion end. The directional brake is disposed nearer to the expulsion end than the breach end of the instrument, to prevent undesired axial compression of the bio-compatible material during ejection.

Abstract: A surgical instrument includes an elongated cannula having a forward expulsion end and a rearward breach end, arranged to include a bio-compatible material; a drive member arranged to urge the bio-compatible material in a reciprocating motion having two alternating phases; and a directional brake disposed to contact the bio-compatible material. The directional brake has a preferred braking direction for resisting motion of the bio-compatible material. The preferred braking direction of the directional brake is oriented to resist retreat of said material during the retreating phase and to allow advance of said material during the advancing phase, thus producing a net advance of the material to expel it from the expulsion end. The directional brake is disposed nearer to the expulsion end than the breach end of the instrument, to prevent undesired axial compression of the bio-compatible material during ejection.