surgical medical instruments and apparatus, namely, surgical instruments for bringing suture outside the body, instruments for cinching surgical suture, instruments for securing stay sutures during minimally invasive procedures, instruments used to protect surrounding tissue during device insertion, surgical instruments for maintaining tube cleanliness, surgical instruments to hold shafted surgical instruments, instruments for assisting insertion of surgical instruments during mechanical pump implantation, and surgical instruments for suturing for use with titanium sleeves and titanium sleeves for securing surgical sutures; all marketed to cardiac surgeons