Method for ultrasonically applying a surgical device

A method for use in operating on a patient, comprising the steps of:

• providing a laparoscopic trocar sleeve and a laparoscopic instrument comprising an elongate shaft and bonding means provided at a distal end of said shaft for bonding polymeric materials;
• disposing said trocar sleeve in an abdominal wall of a patient;
• inserting a distal end portion of said laparoscopic instrument through said sleeve and into an abdominal cavity the patient;
• applying a surgical device to an organic structure inside the patient, said surgical device having two portions made of polymeric material, said surgical device being a suture said two portions are end portions of said suture, said step of applying including the step of twisting said end portions about one another;
• manipulating said instrument to place said bonding means in operative contact with said surgical device upon cation thereof to the organic structure;
• and
• operating said bonding means to bond said two portions of said surgical device to one another to lock said surgical device to the organic structure.

A method for use in operating on a patient, comprising the steps of:

• providing a laparoscopic trocar sleeve and a laparoscopic instrument comprising an elongate shaft and bonding means provided at a distal end of said shaft for bonding polymeric materials;
• disposing said trocar sleeve in an abdominal wall of a patient;
• inserting a distal end portion of said laparoscopic instrument through said sleeve and into an abdominal cavity of the patient;
• applying a surgical device to an organic structure inside the patient, said surgical device having two portions made of polymeric material, said two portions of said surgical device including a tack and a locking element at one end of the tack, said step of applying including the steps of passing said tack through the organic structure inside the patient and subsequently positioning said locking element at said one end of said tack;
• manipulating said instrument to place said bonding means in operative contact with said surgical device upon application thereof to the organic structure;
• and
• operating said bonding means to bond said two portions of said surgical device to one another to lock said surgical device to the organic structure.