Boston Scientific Scimed, Inc.

Scimed Life Systems, Inc.

Medos International Sarl

Boston Scientific Corporation

Depuy Mitek, Inc.

Ethicon Endo-surgery, Inc.

Ethicon, Gmbh

Gary B McAlister

Gregory R Whittaker

Mehmet Ziya Sengun

Paul K Norton

Robert Sakal

John C Holmes

Jim Windheuser

Jim Yearick

Yem Chin

Nathan Stewart Cauldwell

Jose E Lizardi

John A Griego

Oscar Carrillo

Jonathan Howe

David B Spenciner

Gerome O Miller

Joseph Hernandez

Paul Sanders

Frederick E Shelton, IV

Stephen J Balek

Jason Hamilton

Charles B Warich

Tamara S Vetro Widenhouse

Jerome R Morgan

David A Witt

Prasanna Malaviya

John B Schulte

Roy H Sullivan, Iii

Oscar R Carrillo, Jr

Benjamin Cleveland

Stuart K Morgan

Stefan Gabriel

Michael D Cronin

Rebecca J Mollere

Steven N Bittenson

Joseph P Schowalter

Ronald Paille

Mark Agro

Donald E Barry

Daniel Perkins

Patrick D Dugan

Frank Capuano

Kenneth L Jensen

José E Lizardi

Daniel Brillo

Gordon Nelson

Aaron Chamberlain

Philipp Moroder

Marc Jacofsky

Annemarie Bridgette Von Rechenberg

John M Tokish

Brianna Lee

Frederick E Iv Shelton

In general, scapular tethers and methods of using scapular tethers are provided. A tether is configured to be implanted in a body of a patient and to control movement of the patient's scapula. In an exemplary embodiment, the tether is configured to be attached to at least one body structure in a patient. The tether includes a flexible member configured to, when implanted in the patient, flex in response to movement of the patient's scapula accompanying arm movement of the patient.

Method for using scapular tethers

An adjustable anchor system provides for securing tissue to bone and includes an anchor with a collapsible suture loop affixed thereto and a tissue suture connected to the collapsible suture loop. After the tissue suture is loaded into the tissue and the anchor implanted into the bone the collapsible loop is collapsed to tension the tissue suture.

Adjustable anchor systems and methods

Methods and devices are provided for anchoring suture to bone. In one embodiment, an elongate weave of fibers can be provided having a first portion with a first pick count and a second portion with a second pick count that is greater than the first pick count. The first portion can have a cross-section that deforms in response to a force that is applied thereto. The first portion can have a collapsible diameter and can have a bending stiffness that is lower than a bending stiffness of the second portion of the suture. The first portion can also have a first pattern that is different than a second pattern on the second portion of the suture. The first portion can be threaded into a suture anchor such that it can be doubled over upon itself. The present invention also provides exemplary sutures and drivers that can be used with the various methods and devices disclosed herein, or with other methods and devices known in the art.

Methods and devices for threading sutures

In general, devices, systems, and methods for driving an anchor into bone are provided. In one embodiment, a surgical tool is provided that includes a driver tool with a handle and an elongate shaft. A resistance element is disposed within the handle. An inner portion of an anchor is retained on a distal end of the elongate shaft, and a guidewire extends between the resistance element and an outer portion of the anchor that is in bone. As force is applied distally to the handle, the guidewire pushes the anchor into the bone before overcoming force of the resistance element and thereby allowing the inner portion of the anchor to be driven into the outer portion of the anchor.

Devices, systems, and methods for driving an anchor into bone

Methods and devices are provided for anchoring suture to bone. In one exemplary embodiment, a cannulated suture anchor is provided and it includes a suture-engaging member formed therein and configured to receive a suture therearound such that trailing ends of the suture can extend through the suture anchor. The present invention also provides exemplary sutures and drivers that can be used with the various methods and devices disclosed herein, or with other methods and devices known in the art.

Suture anchor with pulley

A cannula system provides a cannula formed of a soft conformable material such as silicone and having an exterior thread. The cannula lacks rigidity, especially axially, and an obturator therefor is provided with an external thread to interact with the cannula an maintain its shape as it is inserted into a patient's body.

Flexible cannula and obturator

Various methods and devices are provided for accessing an interior surgical site using an access portal which can be inserted and removed with minimal tissue damage and which can form a seal with tissue while inserted. Generally, a device is provided having a rigid elongate surgical access member with a lumen extending therethrough that is configured to receive a surgical tool. The device can also include a flexible sleeve having a lumen extending therethrough that is configured to receive the elongate surgical access member. A substantially rigid collar is provided disposed adjacent to a proximal end of the flexible sleeve and having a lumen extending therethrough that is configured to receive the elongate surgical access member. In an exemplary embodiment, the collar is movable relative to the elongate surgical access member to selectively configure the flexible sleeve in a relaxed condition in which the flexible sleeve has a relatively smooth outer tissue-contacting surface and a compressed condition in which the flexible sleeve has a plurality of protrusions formed on the outer tissue-contacting surface that are configured to create a seal between the outer tissue-contacting surface and tissue.

Compression expanded cannula

A medical instrument converts linear movement of a shaft at a proximal end of the instrument to a rotational movement of an end effector of the instrument. According to one embodiment, the medical instrument includes an end effector formed of a snare loop connected to a shaft that is located within a sleeve. Once the sleeve is located near a desired location within a patient, the snare loop may be rotationally positioned with linear movement of the shaft by the operator. The shaft is formed with a threaded portion that matches threads formed in a torque transmitter element fixed within the sleeve. Linear movement of the shaft through the torque transmitter element causes the shaft to rotate. The medical instrument may also include a pivot connector for reducing torque build-up of the shaft and/or a clutch assembly for restricting controlled rotation of the snare loop to only one direction.

Medical device having linear to rotation control

A surgical stapler includes first and second tissue clamping members and a knife member. The first tissue clamping member is configured to receive a plurality of staples. The second tissue clamping member comprises an anvil configured to form the staples. A tissue treatment member is positionable between the first and second tissue clamping members. The tissue treatment member comprises a rupturable pouch or baffle that is configured to receive a medical fluid including at least one tissue cell. The tissue treatment member may have a spiral shape, an annular disc shape, or an elongate sleeve shape. The tissue treatment member may also include outwardly extending tabs. The tissue treatment member may also include an injection port. In use, the staples and/or the knife pierce the tissue treatment member to release at least a portion of the medical fluid held by the tissue treatment member.

Methods and apparatus for delivering tissue treatment compositions to stapled tissue

A surgical device is operable to coextrude a multilayered biocompatible tissue repair plug in situ within a lumen in a patient. The device comprises a handle, a shaft extending from the handle, a plurality of conduits extending through the shaft, a plurality of media chambers, and an actuator. At least one of the media chambers contains a suspension of at least one tissue fragment having at least one viable cell in a biocompatible carrier. The actuator is operable to cause media in each of the chambers to be urged through, and expelled from the orifice of, the conduit in communication therewith. The orifices are located at the distal end of the shaft such that media from the media chambers may be ejected into a lumen in a patient in order to form a multilayered biocompatible tissue repair plug in situ. The conduits and their orifices are all coaxially aligned.

Fistula repair plug having multiple layers

A stapling unit for use with an endoscopic stapling system adapted to be advanced along an endoscope to a predetermined location within a body lumen to staple the portion of tissue, as part of an occlusal or full thickness resectioning procedure. The stapling unit comprises a first casing having a distal end, a proximal end and a stapling device mounted thereto adjacent to a first window extending through a periphery of the first casing. The invention includes methods for the stapling, severing and removal of tissue by using the device.

Stapling and cutting in resectioning for full thickness resection devices

Growing community of inventors

Franklin, MA, United States of America

Gary B McAlister