Abstract: Apparatus for applying at least one row of two-part surgical fasteners to body tissue, each surgical fastener having a pronged fastener portion for piercing body tissue, and an aperture retainer dimensioned and configured for engaged reception of the pronged fastener portion in interference fit therewith for gripping the body tissue therebetween. The apparatus includes means for holding a plurality of the fastener portions in generally aligned relation, means spaced from the fastener portion holding means for gripping body tissue therebetween and for releasably holding a plurality of the retainers in generally aligned relation and positioned opposite the fasteners when the body tissue is positioned therebetween.

Abstract: A fastener for securing adjacent layers of body tissue to each other and being configured and composed of a material so as to emerge from the body tissue after a limited period of time. The fastener includes a backspan and at least two prongs extending from the backspan. Each prong has a tapered tip culminating in a sharp point. The prongs each include a shaft having a cylindrical portion of uniform diameter. In one embodiment the prong includes a serrated portion having a plurality of notches spaced apart so as to define ridge portions therebetween.

Abstract: A surgical skin fastener with inwardly biased prongs. The fastener comprises a backspan, horizontal arms, and at least two prongs, each prong having at least one inwardly pointing barb. The prongs are resiliently biased inward for holding adjacent edges of body tissue in close contact.

Abstract: A method and apparatus for repairing a tear in a knee meniscus of a patient utilizes a delivery device having a distal end dimensioned to extend into the interior of the patient's knee. A fastener is fitted within the distal end and is manipulated to extend toward the tear in the meniscus, and extended across the tear to close and bind the tear without passing out of the knee.

Abstract: A suture anchor (10) for securing a suture (20) to body tissue (38) in an athroscopic surgical procedure. The suture anchor is an elongatyed tubular member (12) having first and second ends (14,16). The distal or terminal end (24) of the suture is secured to the first or leading end (14) of the suture anchor (10) with the suture (20) extending through the suture anchor (10). A slot (18) is formed on the suture anchor (10) which extends from the second or trailing end (16) of the suture anchor (10) toward the leading end (14) of the suture anchor (10). The suture anchor (10) is inserted in a first position with the suture (20) extending through the suture anchor (10) from the leading end (14) of the suture anchor (10) to the trailing end (16).

Abstract: An improved portal-caval shunt (20) includes a male section (25) and a female section (26). A cutter (52) is first inserted through a patient's vena cava and is used to punch or cut an opening between proximate portions of the vena cava and portal vein. The female section (26) is then inserted through the opening. Once so inserted, spokes (36') on the female section move to their outward positions. The male section (25) is then inserted through the vena cava, is aligned with, and is joined to the female section, with its spokes (36) being aligned with the female section spokes (36'). The improved shunt is particularly useful in relieving a portal hypertension condition.

Abstract: A surgical fastener for fastening layers of body tissue as in skin grafting procedures. The fastener comprises a backspan and at least two barbed prongs. The barbs are flat, triangular and are coplanar with respect to each other, as well as being in parallel alignment with the axis of the backspan. The surgical fastener is made of bioabsorbable material to eliminate the need for removal.

Abstract: An apparatus for repairing in vivo torn cartilaginous or other bodily tissue, particularly torn meniscus tissue during arthroscopic surgery, employs a repair tack of biodegradable material chosen to have a degradation time in excess of the required healing time for the tissue. The repair tack has a shaft portion with a longitudinal bore and a grip portion adapted for releasable engagement by a hollow applicator. In one embodiment the grip portion of the tack is a cross bar, at the proximal end of the shaft, which fits into an open-sided slot at the forward end of the applicator.

Abstract: A tissue fastening device comprising (a) a fastener member having a pair of legs extending from the same side of a connecting cross piece, said fastener member adapted to be placed on one side of the tissue to be joined with the legs penetrating the tissue, said fastener member being an oriented crystalline polymeric material, whereby the fastener member has sufficient inherent strength and stiffness so said legs can penetrate the tissue to be fastened, and (b) a receiver member to secure said fastener member in place. The fastener member is formed by forming an oriented polymeric filament into the configuration of the fastener member, and annealing the filament while in such configuration while it is being restrained so as to prevent shrinkage.

Abstract: The fascia clip is of two-piece construction having an elongated base and a flexible strap. The base is sized to bridge over an incision in fascia tissue and has openings at opposite ends. The strap has a pointed distal end for passage through the opening at the proximal end of the base so as to pierce through the fascia tissue. After being directed under the incision, the strap can again pierce the tissue to pass through the opening at the distal end of the base in order to be gripped therein. The strap has an enlarged head at the proximal end to prevent complete passage through the opening at the proximal end of the base. In one embodiment, resilient teeth are used at the distal end of the strap to engage with a web about the opening at the distal end of the base. In another embodiment, a resilient tab on the enlarged head of the base engages in an opening in the distal end of the strap.

Abstract: A corneal rivet for passing internally through the cornea and for providing closure of an incision in the cornea with a mechanically and optically configured rivet body including a first rivet head secured at one end thereto and a second member for securing to the other end of the rivet. The securing can either be through frictional engagement of the second member to the rivet body, through a knotting, a crimping, staking, threading, pinning, heat forming a ball or mushroom member, or a ratcheting engagement. The corneal rivet body can be utilized to suture other tissues besides the cornea, such as sclera, iris, other ocular tissues, skin, flesh or the like.

Abstract: A bioabsorbable surgical fastener comprising a fastener member and an interlocking retainer member. The retainer member has longitudinally extending slots on the lateral sides of the retainer for allowing transverse expansion of the columnar members into which the prongs of the fastener member are locked. Fins on both the lateral and transverse sides of the prongs provide extra strength, and stability during implantation. Stopping surfaces prevent the fastener's barbed tip from exiting the opposite side of the retainer.

Abstract: A sterile internal organ fastening device comprising a staple and a receiver. The legs of the staple have a tapered portion terminating in a sharp point with the taper having a specific configuration to minimize penetration forces and reduce trauma and with the receiver protecting the surrounding tissue from the sharp point.

Abstract: There is described a surgical fastener comprising a glycolide-rich blend of two or more polymers, one polymer being a high lactide content polymer and another being a high glycolide content polymer. The blend as a whole contains from about 65 to 85 weight percent polymerized glycolide, with the high glycolide content polymer constituting at least 50 weight percent of the blend.