The present disclosure includes a plurality of securing devices. For example, the present disclosure includes securing devices comprising sutures, everting anchors, and inverting anchors. The sutures and anchors disclosed herein may be capable of deployment to a depth within a body lumen, such that body tissue external to the body lumen is not damaged by the devices. Moreover, in various embodiments, the securing devices described herein may couple one or more medical devices (e.g., stents, grafts, and/or stent-grafts) to body tissue such as a body lumen.

An introducer sheath is described. The introducer sheath may include a tubular body. The tubular body may extend from a distal end toward a proximal end. The tubular body may include a lumen. The lumen may at least partially be defined by a wall. A channel may be disposed within the wall. The channel may be configured to receive a guidewire. The tubular body may include an expandable portion expandable to increase a cross-sectional area of the lumen.

A staple cartridge assembly is disclosed comprising one or more wire staples and one or more staples formed from a sheet of material.

A multi-staple inserter and drill guide, and methods of use thereof, are disclosed therein. The orthopedic staples can also be used in addition to interfragmentary screws to apply further compression of the bone fragments.

The present invention relates to tissue approximation and fixation, and surgical staples and staple placement devices for surgery and the like. The present invention includes surgical staples having solid first and second legs for anchoring into respective tissue portions, and an elastically deformable bridge monolithically formed with the first leg and the second leg, the legs each forming respective angles greater than 90 degrees with respective portions of said elastically deformable bridge. The present invention also includes staple insertion device comprising a handle portion and substantially parallel insertion portions extending from the handle, the insertion portions each having an interior lateral channel, and each insertion portions having a terminal point.

An orthopedic fixation system includes an implant and an implant insertion device. The implant transitions between a natural shape and an insertion shape. The implant includes a bridge defining a slot with a first end and a second end and first and second anchoring members extending from the bridge. The implant insertion device moves between a loaded position and an unloaded position. The implant insertion device in its loaded position inserts through the slot of the bridge and engages the bridge at the first and second ends of the slot such that the implant insertion device constrains the implant in its insertion shape. The implant insertion device in its unloaded position releases the implant.

A medical device for joining materials is provided. The device comprises a piercing element configured to penetrate materials to be joined. The piercing element is sufficiently sharp to penetrate materials to be joined and comprises a hollow interior along at least a portion of its length configured to distal advancement of a fastener therethrough; and an open tip through which the fastener can be pushed. The device can be used for fastening materials including tissue, synthetic mesh, and biologic mesh (e.g., ADM).

A surgical staple cartridge is disclosed comprising a plurality of staples removably stored within the surgical staple cartridge. The staples comprise staple legs which extend from a staple base portion. The staple legs comprise staple tips configured to pierce tissue and contact a corresponding forming pocket of an anvil of surgical stapling instrument. The staples further comprise zones having different hardnesses.

Methods and apparatus are disclosed for excising a joint between first and second bones to define a resected joint, approximating the first and second bones to reduce the resected joint, and fixing the first and second bones relative to each other. The excising step can be performed using a cut guide that is movable from a first orientation to cut the first bone to a second orientation to cut the second bone. A compressor block can be driven over temporary fixation members that extends into the first and second bones to reduce the resected joint. A staple, along or in combination with other fixation elements, can then permanently fix the first bone to the second bone.

The invention comprises a fusion implant system for a generally u-shaped bone staple in which the staple is provided on a storage block with the two side legs in an unsplayed position, and an inserter having two triangular shaped pivoting handles has detachable tips that engage the staple on the storage block such that when the handles are aligned one over the other in a congruent position, the tips force the side legs into a splayed configuration at 90° and a sliding block holds the handles in this position to allow the staple to removed from the storage block and tamped using the inserter handles into respective bone.