Abstract: A surgical knife for introduction through a cannula includes a handle portion with an angled transition to a reduced portion. A blade connected to the reduced portion has a width perpendicular to the longitudinal axis that is equal to or greater than half the effective handle dimension. The blade is connected to the handle so that the outer transverse edge of the blade is outwardly offset from the outer surface of the handle. The blade width is preferably 80% of the effective dimension of the handle. The blade includes a cutting edge that extends across the width of the blade. In use, the knife can be extended through a cannula to make a first incision, retracted and rotated 180°, and then make another incision colinear with the first incision to create a single incision having a length greater than the width of the cannula.

Abstract: A method and apparatus are disclosed for cutting a strand of suture. The apparatus comprises a solid outer member defining a lumen there-through. An inner member is received at least partially within the lumen, a portion of the inner member defining a curve. The inner member further defines a feature for retaining a strand of suture. At least one of the inner and outer members are moveable with respect to the other of the inner and outer members for cutting the strand of suture.

Abstract: An electrosurgical device comprising: (a) forceps including: (i) a first working arm and (ii) a second working arm; (b) a blade electrode; wherein the electrosurgical device is capable of being switched between a first electrical configuration so that the electrosurgical device delivers a first therapy current through the first working arm, the second working arm, or both, and a second electrical configuration so that the electrosurgical device delivers a second therapy current through the blade electrode; and wherein the first working arm and the second working arm of the forceps are immobilized in the second electrical configuration so that both the forceps and the first therapy current are disabled.

Abstract: Methods and devices are used to treat a dorsal vein to reduce blood flow in patients suffering from erectile dysfunction. For example, a clip may be advanced distally across the deep dorsal vein and an anchor on the clip deployed on a proximal side of the Tunica albuginea. The clip can then be pulled back and a distal anchor on the clip deployed to reduce a cross-sectional area of the deep dorsal vein and anchor the deep dorsal vein to the Tunica albuginea. Anchoring of the dorsal vein to the Tunica albuginea further reduces the cross-sectional area of the deep dorsal vein in response to expansion of the patient's corpora cavernosa.

Abstract: A surgical fastener comprising a generally flat, circular body and a generally cylindrical post fixedly coupled to a center of the body extending perpendicular to the body. Both of the body and the post include through holes configured for passage of a suture. A length of the post is selected to extend through both of a bone graft and at least a portion of bone for providing shear and/or anti-rotational support to the surgical fastener across a fracture line in the bone.

Abstract: A device for closing a tissue opening includes a body extending from a first end to a second end and a first anchoring element connected to the first end of the body and a second anchoring element connected to the second end of the body. At least one of the first anchoring element and the second anchoring element is movable between an insertion configuration, in which the at least one of the first and second anchoring elements is insertable through a target tissue such that the body extends across a tissue opening to be treated, and an anchoring configuration, in which the first and second anchoring elements engage target tissue on a first side and a second side, respectively, of the tissue opening.

Abstract: This invention provides a suture system and method that does not require knots. A locking suture includes a needle and a thread that is provided with a plurality of locking barbs. The needle is applied over an end of the thread by conventional systems. The exterior surface of the thread is covered with barbs. The barbs can be arranged in rows of at least one barb each, circumscribing the thread of the suture and are oriented so that they are uniformly feathered, being closed in the direction of the needle and open toward the terminal (posterior) end. The feathering provides for the barbs to lie flat when drawn through a membrane or other material, and the bias causes them to splay open when a tension towards the terminal/posterior end is exerted. This splaying creates a locking force.

Abstract: A sewer's multi-tool assembly for performing multiple sewing tasks with a single tool includes a pair of scissors that is hingedly coupled together for cutting fabric. A pair of magnets is provided and each of the magnets is coupled to a respective one of the scissors. Each of the magnets magnetically engages a sewing machine when the scissors are positioned on the sewing machine. In this way the scissors are inhibited from falling off the sewing machine. A pair of grips is each coupled to a respective one of the scissors for transporting the object without cutting the object. Each of the grips is spaced apart from each other when the scissors are closed such that neither of the grips impedes the scissors from closing and thusly cutting. A seam ripper is coupled to a respective one of the grips for ripping seams.

Abstract: A device for suture thread cutting, containing: a handle; a stationary external element having a channel at the distal end, and a proximal end connected to said handle, said channel is fitted and shaped for holding a suture thread; a movable cutter having a cutting edge, partially inserted into said handle, said cutting edge is configured to move between a first position and a second position in said channel; wherein in said first position the suture thread is retained within the channel and in said second position the suture thread is cut.

Abstract: An instrument for securing a knot disposed in surgical suture is provided. The instrument includes a side-loading channel disposed along the side of a knot pusher, the side-loading channel configured to receive the suture into the knot pusher. A method of operation is disclosed.

Abstract: A vascular filter retrieval device and methods of using the same are disclosed. In particular, some embodiments disclose a vascular filter retrieval device having a strut engaging member coupled to a loop. A retrieval device with an elongate member coupling a strut engaging member and loop are also disclosed. The present disclosure also provides a device having an orienting member arranged to extend at least partially around a vascular filter and orient a strut engaging member with a portion of the vascular filter. Other embodiments are disclosed.

Abstract: A fastener for attaching a sheet-like implant to tissue or bone. The fastener includes a first arm having a proximal end and a distal end, a second arm having a proximal end and a distal end, and a bridge extending therebetween. Each of the first and second arms include a trunk portion defining at least a portion thereof, the trunk portion having a cavity therein and an aperture through a wall thereof. A claw is disposed in the cavity which is moveable from a first delivery position to a second deployed position. A pull member engages each claw to move the claw from the delivery position to the deployed position.

Abstract: A forceps includes an end effector assembly having first and second jaw members moveable with respect to one another between an open position and a closed position. A knife channel having a body and a base is defined within each jaw member. A knife assembly includes a knife having a bifurcated distal end. The bifurcated end includes first and second cutting members each defining an opposed cutting surface and having a tab at a free end thereof for translation through the base of a knife channel. The knife is translatable into the channels when the jaw members are in the closed position such that the cutting members are approximated when translated through the channels. The knife is also translatable into the channels when the jaw members are in the open position such that the cutting members are flexed apart when translated through the jaw members.

Abstract: A method and system for qualifying a surgical clip applier with surgical clips are proposed. After successive firing operations of the surgical clip applier, an image capture unit captures sampling images associated respectively with angularly equidistant radial recesses in a rotatable clip-receiving disk for receiving anything fired from the surgical clip applier. Upon determining that each sampling image contains an individual target image portion showing a single fired surgical clip, a processing unit verifies the qualification of the surgical clip applier based on a predetermined specification and characteristic parameters obtained respectively from the individual target image portions and associated respectively with the surgical clips, which are received respectively in the radial recesses.

Abstract: A cutting device includes a body and a cutting blade assembly. The cutting blade assembly includes a cutting blade having a cutting edge and is reciprocally secured to the body. Movement of the cutting blade assembly from a retracted position to an engaged position causes the cutting edge to engage a line, such as a monofilament trimmer line, to cut the line to a desired length. Tension may be created in the line prior to cutting by positioning the line in a non-linear trough in the body.

Abstract: An instrument for placing a graft into a bone tunnel comprises an elongated shaft having a forked distal end comprising a pair of tines. A suture spans a space defined between the tines whereby the graft may be positioned between the tines and against the suture so as to be manipulated into the bone tunnel. The tendon folds about the suture, the suture having a releasable tension such that the instrument can be removed from the bone, leaving the tendon behind without the tendon hanging up on the suture.

Abstract: A scalpel blade holder including a handle, a blunt probe, and a blade. A method of using the scalpel blade holder including inserting the blunt probe into a small incision, and advancing the scalpel blade holder to create the incision.

Abstract: A fastener for attaching a sheet-like implant to tissue or bone. The fastener includes a first arm having a proximal end and a distal end, a second arm having a proximal end and a distal end, and a bridge extending therebetween. Each of the first and second arms include a trunk portion defining at least a portion thereof, the trunk portion having a cavity therein and an aperture through a wall thereof. A claw is disposed in the cavity which is moveable from a first delivery position to a second deployed position. A pull member engages each claw to move the claw from the delivery position to the deployed position.

Abstract: A surgical fastener applying apparatus includes an anvil section and a cartridge section, where the cartridge section and the anvil section are movable from an unclamped position to a clamped position. The cartridge section has a plurality of retention slots, a plurality of first surgical fasteners and a plurality of second surgical fasteners. The plurality of first surgical fasteners has a first backspan with a first configuration and the plurality of second surgical fasteners has a second backspan with a second different configuration. In addition, when the first configuration applies a first compressive force to tissue and the second configuration applies a second different compressive force to tissue.

Abstract: The present device is a suture removal instrument having a disposable guarded blade. The disposable guarded blade comprises of a guard component and a blade component. The present suture removal instrument provides a quick, efficient, and atraumatic removal of the suture. It also decreases discomfort associated with suture removal by severing the suture loop without any need to insert an instrument or part of an instrument into the loop of the tied suture.

Abstract: Knot pushers and suture cutter apparatuses to be used arthroscopically, for example, in an arthroscopic knee surgery may be operated with a single control to both lock the suture within the distal end of the apparatus and cut the suture once the knot has been pushed to the appropriate location. The apparatus may include a safety lock preventing deployment of the cutter until the safety lock (e.g., cutter release) has been released.

Abstract: A suture retention device includes a stack of suture engaging members which can be provided by coils or other segments of a spring. A suture engages with the stack so as to permit travel of the retention device along the suture in one direction more facilely than travel along the suture in the other direction. The retention device can include a housing that encloses the spring or other stack structure, and the suture can pass from a first hole in the housing, through the suture engaging members, and to a second hole in the housing. A suture anchor can be attached to the suture, and the resulting assembly can be combined with a needle designed to introduce the anchor and suture into patient tissue, e.g. in the conduct of a gastropexy procedure.

Abstract: Herein is provided an anastomosis device which includes a cylindrical support housing having a tapered section being formed of a plurality of compliant fingers integrally formed around the circumference of an end of the cylindrical section which can flex at their connection point to the cylindrical section. Each compliant finger holds a suture needle. The device includes a push rod having a cam head at one end of the rod section. The cam head is located adjacent to the tapered portion. In operation the anastomosis device is aligned with the anatomical tubular structure undergoing an anastomosis process. When a back end of the push rod is pushed towards the tapered section of the support housing, the cam head section bears against an inner surface causing each compliant finger to flex radially outwards forcing the suture needles to simultaneously pierce the wall of the anatomical tubular structure.

Abstract: Provided is a device for extracting from a body tissue surgical fasteners having a crown, a baseplate and prongs extending from the crown to the baseplate. The device includes a shaft having a lumen with a cross-sectional shape and dimensions to allow the crown to enter the lumen while preventing the baseplate from entering the lumen. Also provided is a method for extracting from a body tissue a fastener having a crown, a baseplate and prongs extending from the crown to the baseplate. According to the method of the invention, the crown of a fastener is introduced into the hollow portion of the device of the invention while preventing the advancement of the baseplate by the distal part of the hollow shaft.

Abstract: Dislodging an anchor sleeve from an implanted device may be accomplished with a tool that includes a support portion and a sleeve dislodging element, wherein a collar of the support portion engages a distal end of the anchor sleeve while the dislodging element, positioned at a proximal end of the sleeve, is moved toward the collar to dislodge the anchor sleeve. The tool preferably includes a handle member held in sliding engagement with a base member, for example, by a snap-fit, wherein the support portion is part of the handle member, and a distal segment of the base member is terminated by the dislodging element. A tool kit may include a plurality of base members, each one including a different type of dislodging element, from which an operator may select for snap-fitting to a handle member of the kit.

Abstract: An improved, versatile suture cutting and removal tool comprises an elongated, hand-held body terminating in a distal end section including an upwardly oriented suture-cutting blade. Right and left tweezers on opposing side of the blade grasp and remove suture material once cut by the blade. In the preferred embodiment, the right and left tweezers are independently controlled by respective right and left depressible buttons. In particular, the right and left tweezers may include inclined ramp surfaces, with the right and left tweezers being independently controlled by respective right and left depressible buttons having respective inclined ramp surfaces that engage with the ramp surfaces of the tweezers. The blade is preferably supported on a central member having opposing right and left side edges, with the right and left tweezers each including an edge that bears against one of the edges of the central member to grasp and remove suture material.

Abstract: A soft tissue graft suitable for replacing a tendon or ligament is fastened in a bone opening provided in a human or animal patient by press-fitting an end portion of the graft and a fastener into the bone opening such that the graft end portion is pressed against a first portion of the bone wall inside the bone opening. The fastener is anchored in a second portion of the bone wall by liquefying a material having thermoplastic properties by the fastener and making the fastener penetrate into the bone wall. An end portion of the graft is tied to the fastener with the aid of at least one suture extending from the graft end portion. Tying is carried out after anchoring, during anchoring or between anchoring and press-fitting. The tied connection between the fastener and the graft end portion successfully counteracts potential graft slipping.

Abstract: A surgical fastener having a top element including a crown, with prongs extending from the crown. A baseplate having two or more slots that are dimensioned to receive a tip of a prong in the undeployed configuration of the fastener. Two or more cantilevered catches extend from the crown, each cantilevered beam terminating in a head. The baseplate is provided with a bore and in the deployed configuration, the catches of the top element pass through the bore and latch the top element onto the baseplate.

Abstract: A ligature device for medical treatment has an operating device that has a ligature tool for medical treatment fitted onto a distal end portion thereof. The operating device is provided with a cutting member that is able to move freely backwards and forwards and is used to cut a ligature wire of the ligature tool for medical treatment. A distal end side of the cutting member has an inclined end portion that is inclined relative to the direction of forward and backward movement, and a blade portion is provided in this inclined end portion.

Abstract: The application provides a device (2) for extracting from a body tissue surgical fasteners (20) having a crown, a baseplate and prongs extending from the crown to the baseplate. The device includes a shaft having a lumen with a cross-sectional shape and dimensions to allow the crown to enter the lumen while preventing the baseplate from entering the lumen.

Abstract: Devices and methods are disclosed for retrieving an implant or tissue anchor during the course of a percutaneous medical procedure. An implant is provided having a retrieval tether attached to it. The retrieval tether is attached to the implant on one end, and the proximal end of the tether can be threaded through an implant retrieval device. The retrieval device comprises an inner elongate body that is used to capture and secure the retrieval tether. The retrieval device also comprises an outer elongate body that may be configured to be advanced over the retrieval tether from a location remote from the implant (e.g., outside a patient's body) to contact and retrieve the implant after it has been deployed and/or implanted within a patient's body.

Abstract: A surgical staple remover apparatus includes a handle located at a rear of the apparatus, an upward sloped jaw element comprising a pair of jaws, an arm having a hook element on a distal end, wherein the arm is positioned such that the hook element is disposed over the jaw element, a housing, a spring that couples the housing to the arm, a lever mechanically coupled to the arm, wherein moving the lever closer to the handle results in the hook element pressing against a crown of a surgical staple, deforming the surgical staple for removal and moving the surgical staple proximally, and a strip element located on top of the jaw element, such that when the hook element deforms and moves the surgical staple proximally, the surgical staple is moved under the strip element and held in place by same.

Abstract: An apparatus and method for non-surgically creating a restriction in a tissue is provided where a binding mechanism is inserted into the tissue. This invention also relates to a method and apparatus for creating a stoma of a variable and reproducible size in a hollow organ.

Abstract: A device for closing an opening in tissue includes a shaft having a proximal end, a distal end, and at least one pin associated with a distal end the shaft. A flexible guidebody extends from the distal end of the shaft, while a foot associated with the device is movable with respect to the shaft through the pin connected to at least one slot of the foot. Another device for closing an opening in tissue includes a shaft having a proximal end and a distal end. A plurality of feet are disposed proximate the distal end of the shaft, the plurality of feet being movable with respect to the shaft. The device further includes a flexible guidebody extending from the distal end of the shaft.

Abstract: An improved suture cutter for cutting high strength sutures used in arthroscopic surgeries includes a movable handle that moves rotationally around a pivot. This rotational motion is translated through a linkage into near linear movement at the distal end of a moving member. At the distal end, the moving member pushes a cutting blade onto an inclined stationary blade and thereby cuts a suture captured between the moving cutting blade and the inclined stationary blade.

Abstract: A surgical staple remover apparatus includes a handle located at a rear of the apparatus, an upward sloped jaw element comprising a pair of parallel jaws, an arm having a hook element on a first end, a pivot point located along the arm, such that the arm pivots about the pivot point, a lever coupled to the arm, wherein moving the lever closer to the handle results in the arm pivoting about the pivot point, the hook element moving downwards towards the jaw element and the arm retracting toward the rear, thereby resulting in the hook element pressing against a crown of a surgical staple and moving the surgical staple towards the rear, and a strip element located on top of the jaw element, such that the surgical staple is moved under the strip element and held in place by same.

Abstract: A method and apparatus for sizing a member. The apparatus may include a first member and a second member movable relative to one another to impinge the member. The apparatus may be used in a small area to achieve a selected sizing of the member.

Abstract: A suture cutting device is provided, the device suitable for cutting high strength suture materials used in arthroscopic surgeries. The device includes a distal blade portion movable within a distal suture guide, the distal suture guide including a lateral suture guide slot. The distal blade portion includes a dorsal recess that, in combination with an upper wall of an enclosed blade guide slot, controls an amount of dorsal movement of a cutting edge during a longitudinal movement of the cutting edge. The combined dorsal movement and longitudinal movement of the cutting edge creating a sliding/slicing movement of the cutting edge against a suture in the suture guide slot. At least a proximal blade portion and an extension blade portion are made of a single blade, those portions defining a spring, contacting a trigger, and effectuating a movement from a first position to a second position.

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: A surgical staple remover apparatus includes a handle, an upward sloped jaw element, an arm having a hook element on a distal end, and a channel cut out of a surface of the arm. The apparatus further includes a rigid element having a first portion movably coupled to the channel such that the first portion moves within the channel, and a lever mechanically coupled to the rigid element, wherein moving the lever closer to the handle results in the rigid element moving upwards and proximally within the channel, thereby resulting in the hook element pressing against a crown of a surgical staple, deforming the surgical staple for removal and moving the surgical staple proximally. The apparatus further includes a strip element located, such that when the hook element moves the surgical staple proximally, the surgical staple is moved under the strip element.

Abstract: In accordance with the present invention there is provided a suture trimmer, the suture trimmer comprising a shaft having a proximal end and a distal end and an axis therebetween, the shaft having a groove formed in the side thereof, the groove in communication with an opening formed in the side of the shaft, the opening disposed proximal the distal end. The suture trimmer further including a cutting member slidably disposed within the shaft, and a suture retainer slidably disposed within the shaft. Wherein the suture trimmer in accordance with the present invention may be additionally utilized to position knots formed within a suture loop prior to trimming the free end(s) of the suture loop.

Abstract: A surgical staple remover apparatus includes a handle located at a rear of the apparatus, a housing having an interior volume and a distal opening, and an insert element located in the distal opening, wherein the insert element comprises at least two sidewalls and an upward sloped jaw element comprising a pair of parallel jaws. The apparatus includes an arm having a hook element and a lever mechanically coupled to the arm, wherein moving the lever closer to the handle results in the hook element pressing against a crown of a surgical staple, deforming the surgical staple for removal and moving the surgical staple towards the rear. The surgical staple remover apparatus further includes a strip element, such that when the hook element moves the surgical staple towards the rear, the surgical staple is moved under the strip element and held in place by same.

Abstract: A suture trimmer having a shaft, a cutting member, an actuating device, and a snare. The shaft has a first end and a second end and bounds a bore extending from the first end toward the second end. The shaft has an opening formed in a side adjacent the first end. The cutting member is slidably disposed within the bore of the shaft and can be moved between a first position and a second position, such that when disposed in the second position the cutting member closes the opening formed in the side of the shaft. The actuating device is in communication with the cutting member and is operable to move the cutting member from the first position to the second position. The snare extends through the opening and out of the bore at the first end of the shaft.

Abstract: A sheath for use with a scalpel cutting device including a sheath body configured to cover a scalpel blade at a distal end of a scalpel cutting device. The sheath advantageously includes a slot formed therein that extends from a first end at an edge of the sheath body to a second end adjacent the scalpel blade so that the slot intersects the blade and the blade is exposed only within the second end of the slot. The slot is configured such that an angle between a guiding side wall of the slot and the scalpel blade at the point of intersection is greater than 105° and less than 180°. In another embodiment, the ratio of the length of the shortest side wall to slot width is at least 2.

Abstract: A system for inserting an augmentation pin into an augmentation screw, including a pin-inserter with an axial through-bore and a lateral opening. A pin-magazine with a pin-retainer for an augmentation pin in insertable in the lateral opening. The pin-magazine is placed in the lateral opening of the pin-inserter and an augmentation pin in the pin-retainer is aligned with the axial through-bore. The augmentation pin may be pushed by means of a pusher from the pin-magazine into an augmentation screw, when the augmentation screw is arranged in front of the pin-inserter.

Abstract: A surgical fastening device includes a handle assembly having a stationary handle and a movable handle and an elongated member extending distally from the handle portion. The elongated member includes a distal end portion. The device also includes a pair of firing rods operably coupled with the movable handle and movable between a proximal position and a distal position. A tool assembly has a plurality of helical fasteners supported therein and includes a pair of opposing jaw members. At least one of the jaw members is movable in relation to the other jaw member between spaced and approximated positions. The jaw members are configured to form a pair of radial channels when the jaw members are in the approximated position. The firing rods are configured to advance helical fasteners through at least one radial channel and into tissue upon movement from the proximal position to the distal position.

Abstract: Apparatus and methods for removing surgical fasteners. The apparatus includes a mechanism for opening the fastener so that it may be removed from, for example, tissue, prostheses or graft material.

Abstract: Described here are devices and methods for suture management. In some variations, the devices comprise an elongate tubular member having a proximal end, a distal end, a lumen therebetween, a cantilever blade positioned near the distal end of the elongate tubular member, and an expandable member positioned adjacent the cantilever blade for actuating the cantilever blade. Also described are devices comprising an elongate tubular member having a proximal end, a distal end, a lumen at least partially therebetween, and an aperture in a wall thereof for passage of a suture therethrough. These devices further comprise a blade connected to a blade housing disposed within the lumen, where the blade is oriented parallel to the longitudinal axis of the lumen. The blade and blade housing may be slidable within the lumen, or an inner shaft for may be slidable within the lumen. Methods of using the devices are also described.

Abstract: The surgical suture cutting device contains a body having two bulging sections extended from a front end of the body, forming a notch in between. A knife is wrapped inside the body whose blade is exposed in the notch. With the blade and the bulging sections, the surgical suture cutting device can be operated with a single hand to perform both tissue pressing and suture cutting. In addition, since the blade is protected in the notch, the patient will not be mistakenly wounded. The bulging sections also provide comfortable tissue pressing. Therefore, the surgical suture cutting device greatly enhances the efficiency of the subcutaneous stitching-up operation. A simple knife wrapped in the body also allows simple and inexpensive production.

Abstract: A surgical instrument having the dual functions of gripping a suture needle and cutting a suture. The instrument performs one function when the handles are pivoted together and the other function when the handles are pivoted apart. The instrument also provides for a precise suture tail length when the suture is cut.