Surgical tools and methods for their use

Abstract

Surgical tools and kits for performing methods include a grommet with cylindrical shaft, cutting tip, annular flange with suture retaining anchoring fixture; a grommet jig for extending between adjacent grommets and guiding a needle therebetween; a family of needles with single and double pointed ends, reinforced eyelets, stops to limit inadvertent exiting, double shaft construction with a longitudinal gap and sharpened, slicing ends, including a “J” shape embodiment; a bone anchor with ring to secure sutures about a patient's clavicle; a tissue dissector having radially extending cones to nick taut connecting tissues; a tissue rasp having a series of crisscrossing grooves along an end; a tissue mesher comprising one or more blocks having a matrix of holes for clamping a plurality of needles and a supporting framework; and a kit device and a method of surgically inserting an internal mesh brassiere under the breast skin.

1 . A kit for surgical use in performing a breast reconstruction, said kit comprising a temporary bra for application to a patient's breast intended for reconstruction, said bra being pliable for adjusting its shape to closely conform to the patient's breast and having a pattern of markings thereon, at least some of said markings identifying locations for the surgeon to thread sutures thereat which exit the patient's breast, and at least one mechanical device to maintain an opening at one of said pattern markings, said mechanical device having an anchor for securing a suture which exits the bra at said mechanical device. 
     
     
         2 - 39 . (canceled)