Abstract: A surgical system for small-pit closure in hollow organs is provided. The surgical system is provided with a surgical device for small-pit closure in hollow organs, with the surgical device including the following components: a suture-member cartridge in which a pair of parallel tubular members that accommodate respective suture members are feedably connected to the rear ends of a pair of arrow-shaped members that latch into tissue in a hollow organ; an auxiliary shooting unit having plungers respectively provided in a pair of cylinders open at both ends; a hollow-organ-insertable unit configured of a pair of flexible air tubes; and a gas shooter that sequentially discharges compressed air or high-pressure gas into the open-ended cylinders in response to operations of a trigger, for sequentially ejecting the arrow-shaped members and driving the same into tissue in the hollow organ on both sides of a small pit site.

Abstract: An anastomotic device for use in the joining of a first tubular structure and a second tubular structure is provided. The anastomotic device includes a cylindrical sleeve configured and dimensioned for placement at least partially within the first tubular structure, the cylindrical sleeve defining a bore therethrough; an inverting member configured and dimensioned for placement at least partially within the second tubular structure, the inverting member defining a bore therethrough which is configured and dimensioned to selectively receive the cylindrical sleeve therein; and a constricting member selectively positionable on the inverting member and movable onto the cylindrical sleeve when the cylindrical sleeve is at least partially positioned within the bore of the inverting member.

Abstract: A pusher assembly for a stent delivery device includes a distal end of an elongate member and a stent-engaging member having proximal and distal ends. The proximal end of the stent-engaging member is mechanically coupled to the distal end of the inner member by a connector, or the proximal end of the stent-engaging member is at least partially inside the distal end of the elongate inner member. The stent-engaging member includes a portion that radially outwardly extends towards the distal end of the stent-engaging member, or the stent-engaging member includes a portion that radially outwardly extends towards the distal end of the stent-engaging member. The stent-engaging member is configured to move a stent when distally advanced and configured to not move a stent when proximally retracted. A stent delivery device includes an elongate outer member, an elongate inner member coaxially positioned within the outer member, and the pusher assembly.

Abstract: A treatment device for endoscopic therapy of the present invention includes a suturing-ligating member having a distal end portion and a proximal end portion, that carries out at least one of suturing and ligation of biological tissue, a stopper provided to be movable forward or backward on an proximal end side of the suturing or ligating member, and stoppable by friction on the suturing-ligating member to maintain the biological tissue in a sutured or ligated state by the suturing-ligating member, and a suturing-ligation releasing member provided movable with relative to the suturing-ligating member to release the suturing-ligation state maintained by firctional stopping between the suturing-ligating member and the stopper by moving the releasing member to the proximal end portion side of the suturing-ligating member.

Abstract: A filter unit (3) for inserting into a blood vessel (1) is disclosed, the filter unit (3) comprising: —a stent-like body (2) having a superior end (4) and a inferior end (5), the stent-like body (2) being able to expand in order to engage a wall of the blood vessel (1), —two cone-shaped units (6, 7) each having a base opening (8, 9) and a tip (10, 11), one base opening (8) being operatively connected to the superior end (4) of the stent-like body (2), the other base opening (9) being operatively connected to the inferior end (5) of the stent-like body (2), wherein the tips (10, 11) of the cone-shaped units (6, 7) point towards each other.

Abstract: An occluding device for occlusion within a body vessel is disclosed. The device comprises an expandable frame having an occluding portion disposed within a closure area of the frame. An anchoring component is attached to the frame to engage the body vessel. A coupling is attached to the frame for repositioning the device.

Abstract: According to an aspect of the present disclosure, an endoscopic surgical device is provided and includes a handle assembly; a tube assembly operatively supported on and extending from the handle assembly, the tube assembly defining a longitudinal axis; an articulation assembly operatively supported on and extending from a distal end of the tube assembly; and a tool assembly operatively supported on and extending from a distal end of the articulation assembly. In use, a rotation of the handle assembly about the longitudinal axis results in a concomitant rotation of the tool assembly; an actuation of the handle assembly in a particular manner results in a concomitant actuation of the tool assembly; and a pivoting of the handle assembly in any off-axis direction relative to the longitudinal axis results in a concomitant articulation of the tool assembly via the articulation assembly.

Abstract: A needle access assembly and method for obtaining percutaneous needle access with little or no fluoroscopy. The method can include selecting a target for percutaneous access, directing a laser guide at a desired needle-insertion angle and in line with the selected target, aligning the needle access assembly with the laser, and inserting the needle into the target.

Abstract: Provided is a manipulator including a first forceps piece and a second forceps piece, which are connected by a pivotal axle and have a gripping part opened or closed on a leading end side thereof. The manipulator includes a manipulation member that is connected to a base end side of the pair of forceps pieces, and moves forward or backward in an axial direction to open or close the gripping part, a first buffer part that has a first spring constant, and undergoes elastic deformation to change a grasping force generated at the gripping part on the basis of the first spring constant and a pulling amount of the manipulation member, and a stopper that regulates the elastic deformation of the first buffer part.

Abstract: An instrument for minimally invasive surgery suitable for use with a manipulator comprising a tube provided at its first end with a mouthpiece wherein control means for the mouthpiece pass through the tube, and wherein at a second end of the tube opposite to the first end comprising the mouthpiece control organs are provided that are coupled with the control means for the mouthpiece that are passing through the tube.

Abstract: A device is provided to assist in closing an incision through body tissue that comprises a tubular body sized for introduction through the incision and carrying a plurality of stabilizer elements at the distal end thereof. The stabilizer elements are configured to be deployed within the body cavity to engage the lowermost tissue layer. In one method, the device is pulled with the stabilizer elements deployed to retract the body tissue away from adjacent body structure. In another method, a plurality of needle tips carrying sutures are guided through the body tissue to a retention device at the ends of the stabilizer elements. With the needle tips captured in the retention devices, the device is withdrawn from the incision so that the sutures form ligatures that can be tied off to close the incision.

Abstract: A surgical device includes a first member, deformable to move a pair of opposing projections toward one another. The projections are received in a pair of opposing openings in a second member, so the first member can pivot relative to the second member about an axis defined by the projections. In another aspect, a surgical instrument includes a first pinless joint pivotably coupling a first jaw to a second jaw, a second pinless joint coupling a distal end of an actuating member to the first jaw, and a third pinless joint coupling a handle to a proximal end of the actuating member. The third pinless joint translates movement of the handle into axial movement of the actuating member, and the second pinless joint translates axial movement of the actuating member into pivotable movement of the first jaw relative to the second jaw about the first pinless joint.

Abstract: A stent (1) comprising a hoselike body obtained by braiding a multiplicity of thin wires (2) of superelastic metal into plaited form. In the longitudinal intermediate portion of the hoselike body, mutually neighboring individual thins wires (2) of superelastic metal are in contact with each other or close to each other with a minute interspace and are formed into a thin wire densely braided hose portion (3) with a length needed to block any opening of blood vessel dilation. At both side portions thereof, mutually neighboring individual thin wires (2) of superelastic metal are formed into a thin wire coarsely braided hose portion (4) provided with an interstice allowing passage of blood flow. The hoselike body when pulled in the longitudinal direction causes the individual thin wires (2) of superelastic metal to stretch into fine gathering, and when released from pulling can make resilient restoration to the original hoselike body.

Abstract: A system for treating a bifurcation includes first and second delivery catheters, each having an expandable member and a stent. The stent on the second delivery catheter has a side hole. A portion of the first delivery catheter is disposed under a portion of the stent on second delivery catheter. The first delivery catheter is slidable relative to the second delivery catheter, and the first delivery catheter passes through the side hole.

Abstract: An improved apparatus for delivering and deployment of an expandable stent with a protection sheath within a blood vessel is provided. The system comprises a fluid pressure device which is coupled with a retraction device for the protection sheath such that after retraction of the protection sheath the stent is automatically deployed by the fluid pressure device. The advantage of the invention is an easy and simple operation of the apparatus.

Abstract: An embolic protection device and medical procedure for positioning the device in the aortic arch is disclosed. The device and method effectively prevent material from entering with blood flow into side branch vessels of the aortic arch. The device is a collapsible embolic protection device devised for temporary transvascular delivery to an aortic arch of a patient, wherein the device has a protection unit that comprises a selectively permeable unit adapted to prevent embolic material from passage with a blood flow into a plurality of aortic side branch vessels at the aortic arch. The protection unit is permanently attached to a transvascular delivery unit at a connection point provided at the selectively permeable unit, and a first support member for the protection unit that is at least partly arranged at a periphery of the selectively permeable unit. In an expanded state of the device, the connection point is enclosed by the first support member or arranged at said support member.

Abstract: System (100, 150, 200) for effecting ischemic necrosis in a foreskin of a penis, including a rigid ring (104, 158, 204), at least one elastic ring (106, 158, 206, 282, 284) and at least one circumferential groove (108), the rigid ring including an inner surface, the inner surface including an inner diameter, and an outer surface, the outer surface including an outer diameter, the elastic ring being configured to substantially fit around a surface of the rigid ring, the circumferential groove being located on a surface of at least one of the rigid ring and the elastic ring, wherein the inner diameter of the rigid ring is at least slightly larger than a diameter of a shaft of the penis, wherein a diameter of the elastic ring in a relaxed state is at least substantially equal to the diameter of the shaft of the penis, wherein the rigid ring is placed around a first surface of the foreskin, wherein the elastic ring is placed around a second surface of the foreskin, the foreskin being placed within the circumferen

Abstract: An articulation mechanism for a surgical instrument includes an articulation assembly, a plurality of cables, and a trigger. The cables are coupled to the articulation assembly at a proximal end thereof and extend distally therefrom. The cables are configured to engage an end effector assembly of the surgical instrument at a distal end thereof. The trigger is coupled to the articulation assembly and is selectively moveable from a shipping position to a use position. In the shipping position, the cables are substantially un-tensioned. In the use position, the cables are disposed in an initial tensioned position. In the use position, the trigger is moveable between an unlocked position and a locked position. In the unlocked position, the cables are selectively tensionable to articulate the end effector assembly. In the locked position, the tensions on the cables are maintained to lock the end effector assembly in position.

Abstract: A handle for an implant deployment device converts rotational movement into longitudinal movement in order to provide controlled release of one or more trigger wires. The handle also allows the trigger wire to be withdrawn into the device so that it does not need to be separately removed. A preferred handle includes a rotatable portion (120) and a slidable portion (122). Releasable locks (88, 188) ensure that the handle is used to carry out implant deployment steps in a specific order.

Abstract: A device comprising a single closed loop of elastic filament configurable between (i) a first configuration for movement along a blood vessel; and (ii) a second configuration for lodging within a blood vessel, the second configuration providing a single flow-restricting face sized and configured to cover the mouth of the aneurysm and obstruct blood flow to the aneurysm while permitting substantially normal blood flow through the blood vessel, with the degree of obstruction at the mouth of the aneurysm being such that the aneurysm thromboses when the face is positioned over the aneurysm, the flow-restricting face comprising a plurality of lengths of the closed loop of filament disposed in close proximity to one another in a switchback configuration, and at least one leg for holding the flow-restricting face adjacent the mouth of the aneurysm, the leg configured so as to maintain substantially normal blood flow through the blood vessel.