Abstract: A trocar assembly includes a cannula assembly, an obturator assembly, and a catch arm. The cannula assembly has a housing, a cannula, and a working channel defining a longitudinal axis from a proximal opening to a distal opening. The obturator assembly includes a proximal head, a distal tip, and a shaft extending therebetween. The catch arm is selectively moveable from a retracted position to a first and second deployed positions and is configured to releasably capture a suture thread. In the retracted position, the catch arm is positioned radially inward from the first deployed position. In the first deployed position, the catch arm is positioned radially outward from the retracted position. In addition, the catch arm is configured to be moved a predetermined distance from the first deployed position to the second deployed position and release the captured suture thread therefrom.

Abstract: A suture apparatus having a housing, actuator and capture rod, the actuator being engaged to the capture rod to form an actuator-capture rod assembly, an elongated cannula shaft having a lumen that extends through the shaft, and capture rod retraction means, the housing including an internal region that is configured to receive and support the capture rod retraction means, actuator proximal end and actuator rod distal end therein, wherein said capture rod retraction means is in communication with said actuator. The actuator-capture rod assembly and capture rod retraction means being positioned and configured to transition from a retracted position to an extended position when an actuation force is applied to the actuator and return the retracted position by the retraction means when the actuation force is released.

Abstract: Devices, systems and/or methods for repairing soft tissue, such as, a lacerated tendon. A repair device includes a frame having a tubular structure with a longitudinal length and struts at least partially defining the tubular structure. The frame includes a first portion and a second portion with an intermediate portion therebetween, each extending along the longitudinal length. The intermediate portion is configured to substantially maintain a fixed position and is configured to be positioned over first and second ends of the lacerated tendon to substantially maintain the first end abutted against the second end. The first portion and the second portion of the frame are configured to be positioned over separate portions of the tendon and configured to move and elongate along a length of the respective first portion and second portion of the frame as the portions of the tendon elongate.

Abstract: The maxillary frenum clamping tool includes two articulating members, each of the members having a clamping end and a gripping end. The clamping ends of the articulating members are curved to retract the upper lip while clamping the maxillary labial frenum and have blunt tips to minimize damage to the surrounding tissue. Immediately below the blunt tips, each member defines a jaw section having a serrated inner edge. The outer edges of the jaw sections define guide indentations for guiding a curved suture needle. The gripping end of each member defines a finger loop and part of a ratcheting lock mechanism for locking the members at set positions. During use, the clamping too may be used to clamp the maxillary frenum with the jaw portions so that the clamped tissue can be easily sutured using the guide indentations.

Abstract: An exemplary suture anchor system includes a first suture anchor having a central axis, a distal end portion, a proximal end portion, and an internal passage extending along the central axis between the distal end portion and the proximal end portion. The resilient member is at least partially external to the internal passage, and a flexible strand is connected to the resilient member. An exemplary method includes fixating a spring loaded first suture anchor in a first bone, passing a flexible strand from the spring loaded first suture anchor to a second suture anchor, and fixating the second suture anchor in a second bone.

Abstract: Devices, systems, and methods are provided for managing suture filament during a tissue repair procedure. One exemplary embodiment of an anchor insertion tool includes a handle, an elongate shaft extending distally from the handle, and a ring disposed around the elongate shaft. The ring can be configured to slide along a length of the shaft, and can be configured to engage a filament extending from an anchor removably coupled to the shaft's distal end during a suture anchor insertion procedure. In some embodiments, the ring can include one or more slots for receiving a filament and maintaining a tension applied to the filament. The ring can also include features that prevent it from rotating with respect to the shaft, such as a boss formed on a ring's central opening that engages a slot formed in the shaft. Other devices, systems, and methods for suture anchor insertion are also provided.

Abstract: A surgical suturing device having an axis extending between a proximal end and a distal end is operable to move a suture through body tissue. An actuating rod extends between the handle assembly and the shaft. A needle assembly at the distal end of the actuating rod is movable with the actuating rod between an extended state and a retracted state. Bifurcated portions of the needle assembly define a suture slot, the bifurcated portions have a proximate relationship when the needle assembly is in the retracted state and having a separated relationship when the needle assembly is in the extended state. The needle assembly is biased to the retracted state and the bifurcated portions are biased to the separated relationship. A handle assembly is configured to releasably receive the needle assembly and is operable to move the needle assembly between a free suture state and a captured suture state.

Abstract: A system and method for closing a fascial opening is disclosed. The system may include a strap that may be locked into each of a pair of anchors placed anterior to a muscle and on opposite sides of a fascial opening, one or more delivery tubes for delivering the anchors, and a needle for pulling the strap into each anchor. The method may include the steps of placing a dilating port through a skin incision, inserting an anchor through the dilating port, placing a strap into the body cavity, whereupon the strap may be pulled through the anchor. A second anchor may be placed on the contralateral side of the defect so that the strap may be pulled through the second anchor and cinched tightly closing the defect. The anchors may have a locking aperture that engages with the strap.

Abstract: This document relates to the apparatus and methods used in the minimally invasive creation of arteriovenous fistula (AVF). In particular, the invention relates to the creation of an AVF using catheters and an alignment methodology that is based upon detection of asymmetric electric fields. The invention finds particular application in vascular access (VA) in the hemodialysis (HD) population.

Abstract: An implant system for providing stabilized fixation of tissue includes a button having a slot, a band threaded through the slot, and a lock including a member having a slot for receiving an end of the band and a movable member for clamping the band in place. The movable member is movable between an open position and a locking position. The lock is a plug assembly which includes a flange. The slot is disposed in the flange. The movable member is a cap which is movable between clamping and non-clamping orientations relative to the flange. The plug assembly further comprises a screw for moving the cap between its clamping and non-clamping orientations relative to the flange. The flange is a portion of a plug, which plug further includes a boss extending from one side of the flange.

Abstract: An aiding and guiding instrument for surgical sutures includes a frame that can be rested on a patient proximate to a wound to be sutured and/or to flaps of body tissue and/or prosthetic tissue to be mutually fixed. The frame defines, on the other side from the area configured to be placed on the patient, a plurality of raised portions arranged in series. At least some of the raised portions are mutually spaced to define respective seats for accommodating blocks. In the gap between each block and each contiguous raised portion, it is possible to temporarily stably accommodate a portion of a suture thread. At least one portion of the frame, associated with the raised portions and seats, can be plastically deformed to maintain the shape obtained following a deformation imparted by a user, and freely select the frame shape, and of the mutual arrangement of the raised portions and blocks.

Abstract: An apparatus includes an end effector including an anvil and lower jaw. The anvil is pivotable toward the lower jaw to capture tissue. The apparatus further includes a stapling and severing assembly configured to sever and staple tissue clamped between the anvil and the lower jaw. A staple cartridge is coupled with the lower jaw. The staple cartridge includes a deck facing the anvil, a plurality of staples positioned in a plurality of staple openings formed through the deck, and a cinching feature positioned on the deck. At least a portion of the cinching feature is configured to be captured by the staples as the staples are driven out of the staple openings in response to activation of the stapling and severing mechanism. The cinching feature is configured to cinch severed and stapled tissue.

Abstract: Disclosed are devices and methods for delivering several sutures accurately and simultaneously around the perimeter of an annular prosthetic device (prosthetic heart valve, annuloplasty ring, etc.) to secure the prosthetic device within a native heart valve region. Devices can comprise a proximal handle portion including an actuator and a distal suturing portion including several curved and straight needles arrayed around the shaft axis. The straight needles and the curved needles are configured to simultaneously guide a plurality of sutures through the native tissue and through the annular prosthetic device. The actuator can cause the straight needles to move axially relative to the curved needles and can also cause the curved needles to rotate, such that the motions are coordinated to simultaneously place all the sutures.

Abstract: In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare.

Abstract: An apparatus includes a buttress body, an adhesive material, and a containment sheet. The buttress body is sized to fit on an anvil or a staple cartridge deck of a surgical stapler. The adhesive material is disposed on the buttress body. The adhesive material is configured to flow across the buttress body in response to a temperature exceeding a melting temperature. The containment sheet is disposed on the adhesive material. The containment sheet is secured relative to the buttress body such that the containment sheet is configured to contain the adhesive material on the buttress body.

Abstract: A staple cartridge assembly for use with a surgical instrument is disclosed. The staple cartridge assembly comprises a staple cartridge and a compressible tissue thickness compensator. The staple cartridge defines a longitudinal axis. The staple cartridge comprises a cartridge body and a plurality of staples stored in the cartridge body. The compressible tissue thickness compensator comprises a deck-facing side, a tissue-facing side, a first portion, and a second portion. The second portion comprises a curved depression on the tissue-facing side of the compressible tissue thickness compensator. The curved depression partially extends through the second portion of the compressible tissue thickness compensator. The curved depression is transverse to the longitudinal axis defined by the staple cartridge.

Abstract: A surgical stapling apparatus, a surgical stapling loading unit and a staple cartridge assembly are provided including a buttress releasably disposed against a tissue contacting surface of a cartridge assembly and/or an anvil assembly, a continuous length of suture securing a respective surgical buttress against the respective the tissue contacting surface, wherein the suture extends transversely across the respective surgical buttress, and a retaining feature securing each suture to the respective cartridge assembly and anvil assembly. The retaining feature may include an adhesive adhering the suture to a surface of the cartridge assembly and/or anvil assembly. The adhesive may adheres the suture to multiple locations along the surface of the cartridge assembly and/or anvil assembly.

Abstract: Disclosed herein is a surgical instrument having a cylindrical tube affixed thereto. A guidewire can be threaded through the cylindrical tube to allow for advancement of the surgical instrument to a surgical site.

Abstract: The suture passer includes a body from which two mechanisms protrude: a hollow needle through which a suture is guided, the suture exiting at the surgical site; and a sliding hollowing tube with a distal opening, exposing a resilient member. When gripping of a suture is required, the resilient member is intentionally over-extended, causing the resilient member to bow and protrude from the distal opening. A suture is then passed into the resulting gap between the sliding hollowing tube and resilient member, the resilient member then allowed to retract back into place, thereby clamping the suture.

Abstract: The present invention discloses a suturing method and system 10 for repairing hernia. The method comprises applying multiple layers of sutures for closing a primary defect 101. The invention comprises a suturing means for strengthening the repair by securing the primary defect to non-damaged tissue 120 The method of the present invention can decrease the chances of recurring hernia.

Abstract: A buttressed anvil assembly is provided for use with a surgical stapling instrument. The buttressed anvil assembly generally includes an anvil member having a strip of buttress material attached thereto by a pair of sutures. A tensioning mechanism is provided to secure or tension the buttress material to the anvil member prior to use and allow for release of the buttress material after stapling of tissue. The tensioning mechanism includes a cinch track engageable with one of the pair of sutures.

Abstract: A suture retention device is described. The suture retention device has various uses, one being for a gastropexy. A gastropexy may use a suture to hold the stomach against the abdominal wall of a patient. According to one example, a suture retention device is described that may have a shell having a thickness and an upper surface and a lower surface spaced apart by the thickness, the shell having an outer diameter that is greater than the thickness, the shell defining an internal chamber. A spring may be mounted within the internal chamber. The shell may be movable relative to a suture that passes through the shell and engages the spring.

Abstract: In one embodiment, the present invention include a method of securing tissue using a filamentary construct, the method including the steps of passing a length of filament through or around tissue; implanting a filamentary sleeve, formed of filament, into tissue; and passing at least a portion of the length of filament at least partially through the filamentary sleeve to form a one-way cleat. The present invention also provides for various devices, systems, assemblies, kits and methods of use, assembly and manufacture thereof.

Abstract: A surgical instrument comprising a loading unit and an end effector is disclosed. The end effector comprises a first jaw, a second jaw, an anvil, a staple cartridge, a firing member, a first adjunct, a second adjunct, a first pair of restraint members, and a second pair of restraint members. The staple cartridge comprises a staple cartridge deck, staple cavities, staples, and staple drivers. The staple cartridge deck comprises a stepped profile. The first adjunct comprises a strain relief portion. The second adjunct comprises a strain relief portion configured to extend over the staple cartridge deck and a stepped profile that is fitted to the stepped profile of the staple cartridge deck. The first pair of restraint members are configured to releasably attach the first adjunct to the anvil. The second pair of restraint members are configured to releasably attach the second adjunct to the staple cartridge.

Abstract: Devices and methods for inserting an implant into skin or other tissue of a patient can include an insertion device having moveable portions that can retain, move, or otherwise control engagement and injection of a hyaluronic thread. The device can include a tubular member and a handle. The handle can include two or more components that each include apertures through which a needle can be placed. The handle can be manipulated to align or offset the apertures with respect to each other to modify a clearance through the apertures and selectively engage or disengage the needle or thread.

Abstract: A suturing device of the present invention is in the form a compact, light-weight handheld device that includes a needle and suture assembly, a mechanism for gripping and releasing the needle/suture (a “needle transfer mechanism” or “needle shuttle mechanism”), safely capturing the needle/suture upon exit from the patient's tissue, and returning the needle to a position such that the process of delivering additional sutures to the patient can be repeated. A safety shield mechanism ensures the user is protected from the needle at all times. The device of the present invention accommodates the right or left-handed user, rests comfortably in the user's hand, allows sufficient visualization of the procedure site, and permits the user to either control penetration depth of the needle or default to a device-determined depth. The present device permits the user to utilize a wrist-rotation (pivoting) suture delivery technique.

Abstract: To arrange surgical end effectors used in minimally invasive surgery, the disclosure provides an instrument holder which can be arranged inside the body of the patient. An instrument holder of this kind has a base part having multiple receptacles. The volume of the base part can be varied for the purpose of inserting the base part into the human body, and removing it therefrom, by way of a trocar. A method is also provided for arranging an instrument holder for surgical end effectors used in minimally invasive surgery inside the patient body.

Abstract: A medical device insertion system, and a method of using the system, to mate trocars inside a patient during a medical procedure, the system including a first trocar having a first end to insert into a patient, and a second end at which a first user control is provided, and a second trocar having a first end to insert into a patient, and a second end at which a second user control is provided, wherein the respective first ends of the first and second trocars are formed so as to mate to one another inside the patient to form a continuous path between the respective second ends.

Abstract: A suture device comprises a shaft and a needle which creates a curved pathway for delivery of a suture. The curved needle is rotatably movable from a retracted to an extended configuration. The suture is housed in a feed channel within the shaft. The shaft also houses a suture receiving channel with an open distal end. A suture cutter is located adjacent to the suture feed channel distal end for cutting the suture, when required. The device also comprises a rotatable twisting element having a rotating shaft and a pair of radially extending arms, having through suture-receiving through holes. A heating rod in the form of a heating element is also provided to heat meld a twist when formed in the suture.

Abstract: Injection devices are provided which include a handpiece capable of housing a cartridge containing an injectable composition, and a head coupled to the handpiece and housing a plurality of retractable needles and a dosing mechanism. Methods of treating skin surfaces are also provided.

Abstract: Described herein are tissue repair implants comprising at least a first layer of peritoneal membrane. The first layer of peritoneal membrane can be located adjacent to a second layer of peritoneal membrane and can be in direct contact with the second layer of peritoneal membrane. Additional layers (e.g., a third or fourth layer) can be included. Where more than one layer is present, the layers can be affixed to one another. For example, a first layer of peritoneal membrane can be attached to the second layer of peritoneal membrane by an adhesive bond, suture, or staple. One or more of the peritoneal membranes can be non-crosslinked, partially crosslinked, or substantially fully crosslinked. Any of the layers of peritoneal membrane may be attached to a wall (e.g., an interior or exterior wall) of an abdominal tissue by an adhesive, suture, and/or staples.

Abstract: Bronchus sealants and methods of sealing bronchial tubes are provided. In general, the bronchus sealants and methods of sealing bronchial tubes can facilitate sealing of stapled bronchial tubes. In some embodiments, a reinforcement material can be introduced into a bronchial tube, and then the bronchial tube and the reinforcement material can be stapled using a surgical stapler. A sealant can be introduced into the bronchial tube and can harden therein, thereby helping to seal the bronchial tube where the bronchial tube was stapled. The sealant can be introduced into the bronchial tube before and/or after the stapling of the bronchial tube and the reinforcement material.

Abstract: A suturing assembly including a first puncture element including a sharp distal end for puncturing tissue, a second puncture element including a sharp distal end for puncturing tissue, the distal ends of the first and second puncture elements being spaced from each other by a gap, and a spacer arranged for sliding distally and proximally on at least one of the first and second puncture elements.

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 wound closure device for positioning within a wound gap defined between at least two tissue segments has an effect of drawing the at least two tissue segments to a state of proximity that closes the wound gap. The wound closure device includes a tubular collapsible member having an expanded configuration and a collapsed configuration. The wound closure device further includes tissue engaging structure for attaching the tissue segments to the tubular collapsible member.

Abstract: An active annuloplasty ring holder having a template that can be folded or pivoted to the side allowing the template to align longitudinally with the handle and enter the patient's chest through a small incision. The holder may include a mechanism to remotely detach sutures fastening the ring to the holder, thereby detaching the ring while avoiding the risk associated with introducing a scalpel into the operating field. A detachment mechanism may include a movable pin actuated by a pull wire that releases a plurality of holding sutures, or a hot wire, knives, or pull wire that severs the sutures. The holder may have a built-in light source for better visualization of the ring inside the heart. The holder may also have an optical means of visualizing the inside of the heart from the proximal end of the handle.

Abstract: A suture bridge to accommodate many common types of sutures, including a first leg and a second leg, where first leg and second leg include a patient contacting surface configured to contact a patient's skin. A first support connects to the first leg and second support connects to the second leg. A traversing member connects to the first support and the second support, and the first support and the second support elevate the traversing member away from the patient contacting surfaces of the first leg and the second leg creating a wound eversion void below the traversing member. This forms a wound eversion void which is a void configured to accept an everting wound. In some examples, the suture bridge includes notches on the first leg and the second leg to accommodate more types of sutures.

Abstract: A suturer may include a base mechanism. The base mechanism may include a first arm having a first driving member. The base mechanism may include a second arm having a second driving member. The suturer may be configured to selectively pass a needle from an enclosed position within the first arm to an enclosed position within the second arm.

Abstract: A method of fixating an implantable material in a patient includes forming an incision in the patient. The method includes inserting an anchor into a bore of a cannula, with the anchor attached to a support by a suture that is looped through an eyelet of the anchor and engaged through the support. The method includes inserting the cannula into the incision and along a cannula path into soft tissue, and ejecting the anchor out of the bore of the cannula and into the soft tissue. The suture is pulled in a direction away from the patient, moving the anchor to position a length of the anchor transverse to the cannula path. The method includes tying a knot in the suture, driving the knot against the support, and fixating the support in the patient.

Abstract: A multiple-firing crimp device comprises crimps, a shaft, a crimp movement assembly, and a snare. Each crimp has an internal hollow. The shaft has a distal crimping location, an exterior surface, and an interior with the clips stacked therein, the crimps moving therein along a longitudinal axis. The shaft defines a lateral opening proximal to the crimping location and communicates the interior to the environment outside the exterior surface. The crimp movement assembly within the shaft delivers the first crimp to the distal crimping location by moving the first crimp longitudinally from a first proximal position into the distal crimping location and returning to a second proximal position without the first crimp. The snare pulls at least one cord from distal of the first crimp through the first crimp and through a portion of the shaft and out the side of the shaft through the lateral opening.

Abstract: A handle assembly for operating a surgical instrument is provided and includes a housing; a trigger operatively supported on the housing; and an articulation assembly supported on the housing for effectuating an articulation of an end effector operatively connected to the housing, the articulation assembly being operable to effect articulation of the end effector in a first pair of opposed directions and a second pair of opposed direction which is substantially transverse to the first pair of opposed directions.

Abstract: A stent delivery system includes a wire collection device which is constructed with a thumbwheel coupled to a collection spindle that is rotatable to collect a retraction wire about a varying collection diameter of the collection spindle. A proximal end of an outer stent-constraining sheath is coupled to the collection spindle by the retraction wire and a distal end of the outer sheath retractably surrounds a distally-disposed self-expanding stent. The collection spindle includes a substantially constant outer diameter greater than the varying collection diameter, and the varying collection diameter increases from a first end of the spindle towards a second end of the spindle along a spiral groove formed between the varying collection diameter and the substantially constant outer diameter in a manner that provides substantially constant rotating force on the thumbwheel, thereby accommodating changing resistance as the outer sheath is retracted and releases binding force of the stent.

Abstract: Various embodiments of the present invention provide a conduit device including an attaching device configured for defining a helical pathway through a tissue wall and complementary ring in cooperation for securing the device within an aperture defined in the tissue wall. Some embodiments of the present invention further provide a system for implanting a conduit device in a tissue wall. More specifically, some embodiments provide a system including a coring device for defining an aperture in a tissue by removing and retaining a tissue core and securely implanting a conduit device therein so as to provide fluid communication between a first and second surface of the tissue wall via the conduit device.

Abstract: In a method of manufacturing a surgical implant, a flexible areal basic structure having a first face and a second face is provided. At least one linear marking thread is placed, in a floating manner, onto one of the faces of the basic structure and mechanically fixed (e.g. by stitching) to the basic structure at a first location and at a second location which are spaced from each other. Thereafter, the linear marking thread is thermally fixed to the basic structure in an area between the first location and the second location by a melt-fusing process.

Abstract: A treatment catheter system for treatment of a heart valve includes a circumferential valve tissue structure and an elongate catheter member, and has an inner lumen, proximal and distal end portions. The system includes a catching component which can be positioned at the distal end portion of the catheter member to be non-separable from the catheter member. An outer member extends circumferentially around the catheter member. The circumferential valve tissue structure is correspondingly arranged between the catheter member and the outer member. A catching mechanism reduces a radial distance between the catheter member and the outer member to catch the valve tissue between the outer member and the catheter member via a catching opening to immobilize and treat the caught valve tissue on the distal end portion of the catheter member.

Abstract: A medical cutting instrument for cutting muscles and tendons, having a shaft on whose distal end a tool is mounted consisting of two jaw members, such that one jaw member can be moved with respect to the other jaw member, and on whose proximal end a handle is mounted, such that the movable jaw member and the handle operatively interact by way of an actuation element, in such a way that the movable jaw member can be shifted by actuating the handle between a closed position and an opened position. The other jaw member is U-shaped such that the two parallel legs of the U are disposed diagonally to the instrument longitudinal axis and the opening of the U points toward one side of the other jaw member, so that the other jaw member can be pushed from the side onto the muscle/tendon tissue that is to be severed.

Abstract: A system for treating a diverticulum in a body lumen includes a tubular member including a lumen and an elongate member in an elongated state within the lumen of the tubular member. The elongate member is configured to form a coiled state when removed from the tubular member.

Abstract: A telescopic wire guide is disclosed. The telescopic wire guide comprises an outer wire having a proximal end and a distal end. The outer wire has a lumen formed from the proximal end through the distal end. The telescopic wire guide further comprises a core wire disposed within the lumen and slidably movable therealong relative to the outer wire for distally telescopically extending the wire guide a predetermined length.

Abstract: A wound dressing for use in the application of negative pressure to a wound, comprising a support member and a cover member positionable over the wound in use. The support member can have a first support element having a first portion aligned with a first axis and a body portion coupled with and extending away from the first portion, and a second support element having a first portion aligned with the first axis and a body portion coupled with and extending away from the first portion of the second support element. At least the body portion of each of the first support element and the second support element can be independently rotatable about the first axis. The support member can support at least a middle portion of the cover member above a surface of the wound so as to define a space between the wound cover and the wound.

Abstract: A system for closing an aperture in a biological tissue includes at least one clip connected to at least one frame arm and for releasably retaining a surgical implant to the frame arm. The clip includes at least one locking structure for engaging a lock bar. A portion of the lock bar selectively engages or contacts the locking structure of the at least one clip to lock the at least one clip in a closed position by inhibiting rotation of the at least one clip when the lock bar is in a locked position. The lock bar allows the at least one clip to rotate to an open position when the lock bar is in an unlocked position. Methods for utilizing the system are also disclosed.