Abstract: The present invention provides a detection element for lancets in lancing devices which will indicate that a lancet element is inserted completely again after the lancet has been changed. The invention includes a blood lancet apparatus which has a base body for the arrangement of a plurality of apparatus components, comprising a lancet reception device for coupling the blood lancet apparatus to a lancet element, at least one spring element for acting upon the lancet reception device with spring force and an actuating element for initiating a movement of the lancet reception device. The invention may further comprise a detection device for emitting at least for a time a signal with respect to a fixing position of the lancet element coupled at least in part to the lancet apparatus.

Abstract: A method and apparatus for sealing a puncture or incision formed percutaneously in a tissue. The apparatus including an anchor, a sealing plug, a filament secured to the sealing plug and the anchor, a compaction member assembly, a spool, a driving plate, and a follower. The compaction member assembly is disposed adjacent the sealing plug and structured and arranged to apply an axially directed compressive force to automatically compact the sealing plug toward the anchor. The spool has a portion of the filament wound thereon. The driving plate is connected to the spool and arranged to contact and apply a force to a proximal end of the compaction member assembly upon rotation of the driving plate to advance the compaction member assembly. The follower is operable between the spool and driving plate to releasably connect the spool and driving plate to provide a clutch action.

Abstract: The present invention discloses a vaginal manipulator configured to be inserted through a vaginal opening. The vaginal manipulator includes an elongated portion having a proximal end portion and a distal end portion. The elongated portion has an actuating mechanism. The vaginal manipulator further includes a head portion extending from the distal end portion of the elongated portion. The head portion includes a linear piercing member. The piercing member is configured to temporarily help retain a bodily implant proximate an outer surface of a vaginal wall. The piercing member is configured to move from a retracted position to an extended position with respect to the head portion. Further, the actuating mechanism is operatively coupled to the piercing member and is configured to move the piercing member from its retracted position to its extended position.

Abstract: A stylet for inserting an electrode array into a cochlea includes a first sensor insertable within a lumen of the electrode array and sensitive to force applied by a lumen wall to the first sensor and a first actuator adapted to move the electrode array in response to the force sensed by the first sensor.

Abstract: Suture constructs and methods are provided for securing soft tissue to bone. One exemplary embodiment of a construct includes a first limb, a second limb, a coaxial region, and a collapsible snare defined by the first and second limbs. The coaxial region can be formed by a portion of the second limb being disposed in a volume of the first limb, which allows for a low profile construct that is useful in various soft tissue repair procedures. The construct can be configured to be disposed in tissue to draw the tissue toward bone, and the coaxial region can be deconstructed so that the first and second limbs can be used to help secure the desired location of the tissue with respect to the bone. Various features of the construct and methods for using the same in a surgical procedure are also provided.

Abstract: A hand-held, power operated debridement tool (2000) includes a rotary disk knife blade (2300) with a cutting edge (2360) on an outer peripheral edge (2362) of the knife blade, the cutting edge defining a cutting plane (CP) of the disk knife blade. The debridement tool further includes an annular skin guide (2700) including an outer wall (2716) defining a skin contact surface (2720) disposed above the cutting plane (CP) of the disk knife blade and positioned radially inwardly of the disk knife blade cutting edge to receive and direct an excised layer of skin tissue (EST) cut by the disk knife blade upwardly away from the blade cutting edge. The debridement tool additionally includes an axially adjustable depth gauge (2620) including a depth gauge plate (2622) disposed above the cutting plane of the disk knife blade and positioned radially outwardly of the cutting edge of the disk knife blade.

Abstract: Medical devices, systems, and methods reduce the distance between two locations in tissue, often for treatment of congestive heart failure. In one embodiment an anchor of an implant system may reside within the right ventricle in engagement with the ventricular septum. A tension member may extend from that anchor through the septum and an exterior wall of the left ventricle to a second anchor disposed along an epicardial surface. Deployment of the anchor within the right ventricle may be performed by inserting a guidewire through the septal wall into the right ventricle. The anchor may be inserted into the right ventricle over the guidewire and through a lumen of a catheter. An anchor force may be applied within a desired range to secure the anchors about the septum and epicardial surface. The anchor force may inhibit migration of the anchors relative to the septum and epicardial surface.

Abstract: Medical devices, systems, and methods reduce the distance between two locations in tissue in a minimally invasive manner, often for treatment of congestive heart failure. In one embodiment, an anchor of an implant system may, when the implant system is fully deployed, reside within the right ventricle in engagement with the ventricular septum. A tension member may extend from that anchor through the septum and an exterior wall of the left ventricle to a second anchor disposed along an epicardial surface of the heart. Deployment of the anchor within the right ventricle may be performed by inserting a guidewire through the septal wall into the right ventricle. The anchor may be inserted into the right ventricle over the guidewire and through a lumen of a delivery catheter. Delivering the anchor over the guidewire may provide improved control in the delivery and placement of the anchor within the right ventricle.

Abstract: A stent delivery device includes a first retaining polymer disposed about and retaining a self-expanding stent at a proximal end portion, a second retaining polymer disposed about and retaining the self-expanding stent at a distal end portion, a first resistance member in thermal communication with the first retaining polymer, and a second resistance member in thermal communication with the second retaining polymer. The second retaining polymer and second resistance member are configured to allow release and expansion of the distal end portion of the self-expanding stent without expansion of the proximal end portion of the self-expanding stent.

Abstract: A circumcision clamp system and related methods of use. The clamp system includes an inner ring that is placed under the foreskin proximate to the corona of the glans penis, and an outer ring that clamps the foreskin against the inner ring. In an embodiment suitable for necrotic circumcisions, the inner and outer rings include one or more break-off sections that enable a clinician to adjust the diameter of the clamp accordingly. The inner ring includes a key and lock arrangement that ensures the inner ring maintains a circular shape by denying all degrees of freedom to the joined sections thereof. The outer ring includes a plurality of clamping members extending radially inward from an inner surface thereof. In some embodiments, the outer ring includes castellations that work in cooperation with longitudinal grooves in the inner ring to aid in suture placement.

Abstract: An endoscope-like implanting instrument includes an endoscope cap having a holding and withdrawing mechanism for a tissue clip adapted to be slipped onto an expanding sleeve of the endoscope cap. The endoscope cap has a front groove opening at the front edge of the sleeve. A withdrawing thread radially crosses the front groove at an axial front cap portion. The instrument further includes a tissue grasping mechanism being shiftably inserted into the working channel for manually grasping and drawing the tissue inside the endoscope cap. A clamping mechanism is integrally arranged inside the endoscope cap in axial extension to the working channel, holding a capsule-like device and connected with the tissue clip via a thread, band or string such that the capsule-like device will be automatically detached by the grasping mechanism when being manually actuated for tissue grasping.

Abstract: A tourniquet hazard suppressor suppresses an action initiated by a user of a surgical tourniquet system having a touchscreen user interface if implementation of that action by the system may be hazardous to a surgical patient.

Abstract: Suture anchors are disclosed having suture locking features able to lock multiple suture ends extending from a body tissue, such as from a bone tunnel, with a single device.

Abstract: A shaped medical balloon is provided that has a conforming shape, yet is inexpensive to manufacture, wherein a central portion of the balloon is folded inside and welded together at the fold and is further welded to said lumen, thus creating a conforming depression in the surface of said balloon at the central portion.

Abstract: A surgical instrument may include an end effector, an input drive shaft, a closure drive, and/or a firing drive. The end effector may comprise a jaw assembly including a first jaw member and a second jaw member. The end effector may comprise an I-beam member axially translated between a proximal position and a distal position within the end effector. In one embodiment, the input drive shaft may selectively engage the firing drive and/or the closure drive. In one configuration, the closure drive is threadedly engaged with the firing drive allowing the input drive shaft, during a firing stroke, to simultaneously move the closure drive and the firing drive until the closure drive is disengaged from the firing drive. On a reverse stroke, the closure drive may be reengaged with the firing drive.

Abstract: Vitrectomy probes and system related thereto are disclosed herein. The disclosure describes vitrectomy probes having an adjustable cutting port size. In some instances, the cutting port size may be adjusted by altering a position of a stroke limiter via a pancake motor. Various example features are described for adjusting the size of the cutting port.

Abstract: An injector for inserting an intraocular lens into an eye, comprising a main body (10) and a plunger (50). A guide element (30) is connected to the distal end of the plunger to laterally guide the plunger during movement along a longitudinal axis (L). The distal end of the guide element has a structure for fastening a plunger needle to the guide element. A radial guide pin (40) is in aligned radial bores of the guide element and plunger and extends into a longitudinal slot (17) of the main body to prevent twisting and to secure the guide element to the plunger. A retaining element (24) interacts with a running surface on the perimeter of the plunger, the running surface having a variable radial distance from the longitudinal axis so as to cause an axial resistance force which depends on the axial position of the plunger.

Abstract: A bariatric device for use in inducing weight loss, comprising a cardiac element, a pyloric element, and a connecting element between the two other elements, wherein the connecting element provides structure between the cardiac and pyloric elements, keeping them largely in place and at least intermittently touching and applying pressure to the stomach's cardiac, adjacent fundic and pyloric regions, respectively, which produces a satiety signal to the user, giving the recipient a feeling of fullness and reducing his or her hunger feelings. Alternatively, the cardiac and pyloric elements may be symmetrical, so that the device can orient itself either way in the stomach and still achieve the weight loss function.

Abstract: The invention generally relates to a method and apparatus to treat obesity and controlling weight gain. In an exemplary embodiment, the invention relates to a covered cage device that is implanted within a human's stomach to occupy volume and cause a reduced desire for eating. The covered cage device is made from a wire-mesh, such a Nitinol, and can be adjustable and collapsible. In another embodiment, the covered cage device has edges that provide stimulation to the stomach to induce a feeling of fullness.

Abstract: An obesity treatment device comprises a filament filler material movable between a substantially straight insertion/removal configuration and an operative configuration in which the filament extends along a predetermined curve to occupy a selected volume within the stomach and a retrieval device connected to a proximal end of the filler material facilitating grasping and withdrawal of the filler material. A method of treating obesity, comprises inserting to a desired position within the GI tract a filament filler in a substantially straight configuration and moving the filler into an operative configuration in which the filler curves along a predetermined path to define a desired volume in combination with, after a predetermined treatment period has elapsed, collapsing the filler into the substantially straight configuration for trans-oral removal.