Ethicon, Gmbh

Ethicon Endo-surgery, Inc.

Bernard J Durman

James H Chambers

Brenton K Ahrens

Horace R Trumbull

Mary E Kay

A self sealing flexible elastomeric valve is disclosed. The valve can be used to seal a trocar device from loss of gas pressure during a laparoscopic surgical procedure when a surgical instrument is inserted therethrough as well as when no instrument is inserted. The preferred one piece valve includes a flange having an aperture, and a cylindrical wall section which extends to a pair of mutually opposed sealing wall sections defining a generally S-shaped slit. This slit configuration at the end of these wall sections define the sealing surfaces. The flange preferably includes a concentrically dome shaped region with the aperture centrally displayed. The valve also is preferably composed of a silicone rubber. The valve has the advantages of simplicity of manufacture and assembly and the ability to provide an adequate seal against the surface of any surgical instrument inserted through it. Also, the improved valve will require a small amount of force to insert instruments and will resist eversion of the valve walls when instruments are withdrawn. A trocar assembly incorporating the sealing valve as described above is also disclosed.

Self sealing flexible elastomeric valve and trocar assembly for

A method and apparatus to achieve hemostasis along a staple line by utilizing a pledget material positioned adjacent at least one surface of tissue. A line of staples extends through the tissue and the pledget material. The pledget material substantially uniformly distributes pressure along the staple line and thereby causes substantial hemostasis along the tissue cut. The pledget material may also absorb blood that may escape from a partially open blood vessel.

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Loveland, OH, United States of America

Bernard J Durman