A suture construction and method for forming a suture construction is disclosed. The construction utilizes a suture having an enlarged central body portion defining a longitudinal passage. First and second ends of the suture are passed through first and second apertures associated with the longitudinal passage to form a pair of loops. Portions of the suture lay parallel to each other within the suture. Application of tension onto the suture construction causes constriction of the longitudinal passage, thus preventing relative motions of the captured portions of the suture.

A device for use within an occluded biological vessel and a method of using same to remove occlusion material from a vessel are provided. The device includes an elongated body configured for delivering extensions arranged around a distal portion thereof into the biological vessel. Each of the extensions includes an array of projections spaced apart to match openings in a biological mesh forming a part of the occlusion material.

A one piece molded polymeric ligating clip comprises a pair of curved legs having a unitary hinge at a proximal end and a latch at a distal end. The inner face of each leg includes two rows of transverse ribs, with the rows separated from one another along a longitudinal center line of each leg. The ribs of one row are staggered with respect to the ribs of the other row of the same leg as well as ribs of the corresponding rows on the other leg. Each rib includes a sloped flexible tapered sharp pointed prong which projects away from the inner face of the respective leg and toward the longitudinal center of the leg. The sharp pointed prongs impale the vessel wall when the clip is closed around a vessel or duct.

A method includes: delivering a biodegradable expandable member into a body cavity of a patient; insufflating the biodegradable expandable member in the body cavity to expand the body cavity; sealing the biodegradable expandable member against an inner wall of the body cavity to seal the body cavity internally; and delivering an endoscope into the body cavity.

Provided is a jaw tool formed from two separable units and which includes a fastening device that attaches the two units together when the jaw tool is in use and which may automatically separate the units after the device performs its function such as clamping and/or cutting. Also provided is a jaw tool having a cutting blade wherein the contours of the device are shaped so that force is concentrated on the cutting bade when the device is closed. The jaw tool may be manufactured from a single injection molded-component that is used in duplicate to form the jaw tool. The jaw tool may be used in various applications in which it may be beneficial to simultaneously clamp and cut an object, such as various medical applications including vascular, gastrointestinal, respiratory, and placental.

A surgical device includes gripping sleeves that can be secured to jaws of the surgical device to allow the device to function as a grasper. The gripping sleeves include nonslip surfaces which are brought into juxtaposed alignment with each other when the surgical device is moved from an open position to a clamped position to clamp tissue between the nonslip surfaces of the gripping sleeves.

A differential dissecting instrument for differentially dissecting complex tissue is disclosed. The differential dissecting instrument comprises a handle and an elongate member having a first end and a second end, wherein the first end is connected to the handle. The differential dissecting instrument comprises a differential dissecting member configured to be rotatably attached to the second end and further comprises at least one tissue engaging surface. The differential dissecting instrument comprises a mechanism configured to mechanically rotate the differential dissecting member around an axis of rotation, thereby causing the at least one tissue engaging surface to move in at least one direction against the complex tissue. The at least one tissue engaging surface is configured to selectively engage the complex tissue such that the at least one tissue engaging surface disrupts at least one soft tissue in the complex tissue, but does not disrupt firm tissue in the complex tissue.

A surgical instrument includes a gripping assembly, a shaft assembly, an end effector, and a pivoting member. The gripping assembly defines a first opening for receiving a finger or a thumb of a user. The gripping assembly includes a first deformable feature that is configured to be moved in order to increase or decrease a cross-sectional area of the first opening. The shaft assembly extends distally from the gripping assembly. The end effector is positioned at a distal end of the shaft assembly and includes a first member. The pivoting member is pivotably coupled with the shaft assembly. The pivoting member is pivotable with respect to the first member of the end effector between an open position and a closed position to thereby clamp tissue between the first member and the pivoting member.

A method and apparatus for coupling a soft tissue implant into a locking cavity formed within a bone is disclosed. The apparatus includes a member to pull the soft tissue implant into a femoral tunnel. The member includes a suture having first and second ends which are passed through first and second openings associated with the longitudinal passage to form a pair of loops. Portions of the suture lay parallel to each other within the suture. Application of tension onto the suture construction causes retraction of the soft tissue implant into the femoral tunnel.

A sternal elevator apparatus is disclosed. The sternal elevator may include a panel, a support beam traversing the panel, and a post coupled to a proximal end of the panel. The apparatus may also include an indicator handle coupled to the sternal elevator, an actuator drive pivotably coupled to the indicator handle, and a housing movably coupled to the actuator drive. The sternal elevator apparatus may have an actuator drive incorporating a linear rack. The housing further may include a cylindrical gear where the cylindrical gear is engaged with the linear rack.