Surgical fastener for use during a surgical procedure

Abstract

An attachment assembly and repair graft are disclosed for securing a graft to repair a vessel having an aneurysm therein. The attachment assembly comprises an attachment cuff such that the graft is not dimensionally dependent upon the size of the vessel. A visualization apparatus is also disclosed for real time direct viewing of an interior of a vessel. A penetration apparatus is disclosed for use in forming treatment specific holes in a potentially calcified vessel wall which facilitates thereafter the securing of the graft and attachment assembly to the vessel wall. An introducer sheath device is also disclosed that comprises a sealing assembly for preventing the loss of blood from the vessel during the insertion and subsequent removal of surgical components during the surgical procedure.

1 - 74 . (canceled)  
   
   
       75 . A fastener assembly for use during a surgical procedure for securing a surgical component to a vessel, comprising: 
 a flexible fastening assembly having a first portion located on one side of the surgical component and a second portion located opposite to the surgical component on one side of the vessel, the first portion and the second portion are drawn substantially together by applying a compressive force to secure the surgical component to the vessel.    
   
   
       76 . The fastener according to  claim 75 , wherein said fastening assembly is a spring assembly.  
   
   
       77 . The fastener according to  claim 76 , wherein said spring assembly is a manipulated coil spring.  
   
   
       78 - 95 . (canceled)  
   
   
       96 . The fastener assembly according to  claim 75 , wherein each of said first portion and said second portion extends substantially parallel to the vessel wall.  
   
   
       97 . The fastener according to  claim 75 , wherein at least one of said first portion and said second portion forms a semi-knotted portion when in said second configuration.  
   
   
       98 . The fastener according to  claim 76 , wherein at least one of said first portion and said second portion forms a semi-knotted portion when in said second configuration.  
   
   
       99 . The fastener according to  claim 77 , wherein at least one of said first portion and said second portion forms a semi-knotted portion when in said second configuration.  
   
   
       100 . The fastener according to  claim 75 , wherein said at least one of said first portion and said second portion comprises an axially wound portion or a radially wound portion.  
   
   
       101 . The fastener according to  claim 76 , wherein said at least one of said first portion and said second portion comprises an axially wound portion or a radially wound portion.  
   
   
       102 . The fastener according to  claim 77 , wherein said at least one of said first portion and said second portion comprises an axially wound portion or a radially wound portion.  
   
   
       103 . A fastener assembly for use during a surgical procedure comprising: 
 a surgical component;    a vessel;    a flexible fastening assembly having at least one coil portion, the coil portion having a first portion located on one side of the surgical component and a second portion located opposite to the surgical component on one side of the vessel, the first portion and the second portion are drawn substantially together by applying a compressive force to secure the surgical component to the vessel.    
   
   
       104 . The fastener according to  claim 103 , wherein the fastening assembly is a spring assembly.  
   
   
       105 . The fastener according to  claim 104 , wherein the spring assembly is a manipulated coil spring.  
   
   
       106 . The fastener according to  claim 104 , wherein the fastening assembly comprises a ring type fastener having a pair of fastener legs incorporated therein.  
   
   
       107 . The fastener according to  claim 104 , wherein the spring assembly comprises a pair of fastening legs.  
   
   
       108 . A fastener assembly for use during a surgical procedure for securing a surgical component to a vessel, comprising: 
 a flexible fastening assembly having at least one coil portion, the coil portion having a first portion located on one side of the surgical component and a second portion located opposite to the surgical component on one side of the vessel, the first portion and the second portion are drawn substantially together by applying a compressive force to secure the surgical component to the vessel.    
   
   
       109 . The fastener according to  claim 108 , wherein the fastening assembly is a spring assembly.  
   
   
       110 . The fastener according to  claim 109 , wherein the spring assembly is a manipulated coil spring  
   
   
       111 . The fastener according to  claim 109 , wherein the fastening assembly comprises a ring type fastener having a pair of fastener legs incorporated therein.  
   
   
       112 . The fastener according to  claim 109 , wherein the spring assembly comprises a pair of fastening legs.