Abstract: A stent can comprise a tubular body having a first region and a second region. The tubular body is defined by a plurality of serpentine bands. Each serpentine band comprises a plurality of alternating proximal turns and distal turns connected by struts. The second region comprises a first serpentine band and a second serpentine band that overlap one another about a common stent circumference. The first region comprises a serpentine band that is not overlapped by another serpentine band about a common stent circumference.

Abstract: An intervertebral distraction tool has a clamshell head with upper and lower halves, each having a curvate outer surface and a flat inner surface. The distal side of the head is hinged so that the head opens and closes from the proximal side of the head. The hinge is a separating hinge that allows the halves to not only angulate with respect to one another about the hinge axis, but also to vertically separate from one another at the hinge. A distraction separator has decreasing taper at its distal end and a longitudinal bore that accommodates the elongate shaft of the trial so that the separator can be moved longitudinally relative to the shaft. Upon forward movement of the separator, the tapered upper and lower surfaces engage the flat inner surfaces of the head, causing the halves to angulate about the hinge axis of the head, thereby opening the head.

Abstract: A composite prosthesis (19, 99, 199) and method are disclosed herein. This endoluminal prosthesis is constructed by separately deploying a first prosthesis (9, 201) and a second prosthesis (14, 208), wherein the first prosthesis is deployed and secured to the interior surface of a body lumen (260). In a subsequent step, the second prosthesis is deployed substantially within and secured to the first prosthesis. Although additional prostheses may be deployed within the second prosthesis, in a preferred configuration the first and second prostheses combine to provide all of the necessary attributes associated with a functioning endoluminal prosthesis. Thus, one of the first and second prostheses is permeable to blood and exerts sufficient radial force to cause the composite prosthesis to securely engage an interior surface of the body lumen at one or both of the composite prosthesis's proximal and distal ends, while the other of the first and second prostheses is impermeable to blood flow.

Abstract: A system for intraluminally delivering and deploying stents and other prostheses includes an outer catheter, an inner catheter movable axially relative to the outer catheter, and an anchoring device mounted to a distal end region of the inner catheter. The anchoring device includes one or more control features that interact with a linking structure proximally disposed on the prosthesis, preferably including one or more loops. The control features and loops interact by surface engagement to anchor the prosthesis relative to the inner catheter in a nonfrictional manner, thus to maintain lower axial prosthesis deployment and retraction forces. In one version of the anchor, the control features extend radially outward from a sleeve. In another version, the control features are formed in respective recesses which also receive the loops or other linking structure.

Abstract: A suturing instrument having a dock at the end for receiving and securing a needle attached to a suture. The suturing instrument includes a cannulated handle attached to the proximal end of a cannulated shaft. The proximal end of a needle is removably received and securely received in the curved needle dock formed on the distal end of the shaft. The suture attached to the needle passes through the shaft and out the proximal end of the handle. Once the instrument is inserted into the body (usually through a cannula), the suture is retracted at the proximal end of the instrument handle, which draws the attached needle into the needle dock. The suture dock preferably has a compound curvature which prevents substantial rotation of the needle upon insertion.

Abstract: A catheter assembly adapted to treat a vessel bifurcation. A balloon member of the catheter assembly includes a main body portion and a cylindrical shaped bulge portion that extends radially outward from the main body portion. The bulge portion extends around a circumference of the main body portion. A stent of the catheter assembly is typically mounted to the balloon member. When treating the vessel bifurcation, the catheter assembly is positioned with the bulge portion aligned axially relative to an ostium of the branch vessel. The balloon member is inflated to expand a portion of the stent into the branch vessel. The circumferential construction of the bulge portion of the balloon member reduces the need for radial (rotational) alignment of the balloon member relative to the ostium of the branch vessel.

Abstract: A retracting two-piece cannula for distracting soft tissue from bone (e.g., the articular surface of a knee) to provide a surgical workspace for osteochondral repair. After inserting an outer cannula provided with a threaded outer surface into an incision (preferably widened by one or more dilators), the outer cannula is rotated to engage the threaded outer surface with the soft tissue to be distracted. An inner cannula is then inserted into the outer cannula and advanced until it contacts the articular surface. Further relative movement between the inner and outer cannulas causes the outer cannula to be drawn away from the articular surface, thereby retracting the soft tissue and establishing the workspace. The inner and outer cannula are then locked together to maintain the workspace, and an osteochondral core may be introduced through the inner cannula.

Abstract: A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and an elongate shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween.

Abstract: By moving a control member 3 in a predetermined direction from a wait position, a lancing device A can perform a lancet retreat operation for retreating a lancet holder 2 to locate a lancet 9 at a predetermined retreated position and a lancet detachment operation for pushing out the lancet 9 forward of the lancet holder 2 after a lancing operation. The control member 3 returns to the wait position by action of a return member 7 both after the lancet retreat operation and after the lancet detachment operation. Thus, the lancing device A is convenient.

Abstract: A device for acquiring a blood sample comprising a lancet, a puncture drive having a drive rod coupled on the lancet, and a compression spring, which propels it is disclosed. A flywheel mass, which is mounted as to make it movable, is coupled to the drive rod. The flywheel mass can absorb kinetic energy during a propulsion phase and cause retraction of the lancet after reaching a maximum piercing depth. The flywheel mass can be a flywheel connected via a connecting rod to the drive rod and is set into rotation during propulsion of the lancet. After overcoming a dead center defining the maximum piercing depth, rotational energy stored in the flywheel causes the retraction of the lancet. At a specific angle, the rotation of the flywheel is stopped and the residual piercing depth is defined.

Abstract: The present invention provides for a method and apparatus related to a releasable mechanism having a first connector having a first end and a second end, a second connector having a top and a bottom, a first notch positioned near the first connector second end to releasably mate with the second connector bottom, and a second notch located near the second connector bottom to releasably receive the first connector second end.

Abstract: A vascular graft comprises a perforate tubular compressible frame having a fabric liner disposed over at least a portion of the frames lumen. The graft may be used in combination with a base structure to form a bifurcated graft in situ. The base structure compresses a compressible frame having a fabric liner which defines a pair of divergent legs. The base structure is positioned within the aorta so that one leg enters each iliac. The tubular grafts can then be introduced into each leg to form the bifurcated structure. A graft delivery catheter includes a controllably flared sheath which facilitates recapture of a partially deployed graft.

Abstract: A balloon catheter stent deployment system is disclosed wherein a balloon catheter is provided and a tubular stent is crimped onto a distal portion of the balloon with a distal end of the stent in close proximity to a point where the distal end of the balloon is attached to the inner tube of the catheter. A proximal section of the balloon extending from a proximal end of the stent to a point where the proximal end of the balloon is attached to the outer shaft of the catheter remains uncovered by the stent and, has a larger uninflated outer diameter than the crimped stent. Thus, in some embodiments, the proximal section of the balloon provides a protective cone for the proximal end of the stent to help resist frictional forces from disengaging the stent from the balloon in the event the balloon catheter and stent are withdrawn back into a guide catheter during a procedure.

Abstract: A surgical cutting instrument for cutting tissue includes an outer cannula with a cutting opening and a cutting member within the cannula. The cutting member is connected to a source of reciprocation, and as the cutting member reciprocates the cutting member head is guided by a sloped member within the cannula to essentially a zero clearance position relative to a cutting edge of the cutting opening of the cannula. The instrument cleanly severs tissue extending through the cutting opening into the outer cannula.

Abstract: A binding component for binding together a pair of biological tissues. The binding component includes an elongated body defining a body longitudinal axis, the body being made, at least in part, of a shape memory material. The body is configured and sized so as to be both substantially flexible and substantially compressible in a direction substantially perpendicular to said longitudinal axis.

Abstract: A lancing device comprises a main housing, a movable housing and a pushbutton. The main housing encloses a portion of a lancing mechanism. The lancing mechanism includes a lancet holder attached to a shaft. The lancet holder receives a lancet and has a slot formed therein. The lancing mechanism moves between a rest position, a cocked position, and a puncture position. The movable housing is adjacent to the main housing. The movable housing moves from a rest position to a cocking position and a lancet-release position. The pushbutton allows the lancing mechanism to move from the cocked position to the puncture position upon depression of the pushbutton. The pushbutton includes a lancet-release tab that extends into the slot formed in the lancet holder and engages the lancet. The lancet is released from the lancet holder in response to the continued depression of the pushbutton and the movable housing is moved from the rest position to the lancet-release position.

Abstract: Described herein are a group of degradable, thermoplastic polymers, which are able to change their shape after an increase in temperature. Their shape memory capability enables bulky implants to be placed in the body through small incisions or to perform complex mechanical deformations automatically. The shape memory polymers are preferably biocompatible and can be biodegradable or non-degradable polymers. Preferably, the biodegradable polymer has a linear degradation rate. In a specifically preferred embodiment, the suture is formed of biodegradable polymer capable of forming a self-tightening knot. In a most preferred embodiment, the suture is used to close a wound or body scission.

Abstract: A stent for delivery of a therapeutic agent is disclosed. The stent includes a polymer coating for reducing the rate of release of the therapeutic agent. The polymer has a crystalline structure wherein the polymer is capable of significantly maintaining the crystalline lattice structure while the therapeutic agent is released from the stent such that the aqueous environment to which the stent is exposed subsequent to the implantation of the stent does not significantly convert the crystalline lattice structure of the polymer to an amorphous structure.

Abstract: A catheter system 1 has an internal reception space for an embolic protection filter 10 to enable the filter 10 to be transported through a vasculature 20 and a treatment means such as a stent 15 to facilitate treatment. The catheter system may be used for retrieval of a filter 10 and stenting of a lesion with a stent 15. The procedure may also involve post dilatation using an on-board balloon 16.

Abstract: Apparatus and methods are provided for removing obstructive material within a body lumen. The apparatus includes a macerator device deployable from a sheath that includes an expandable cage carried by a shaft and within a constraint tube. The shaft is movable relative to the constraint tube for deploying and expanding the cage within a body lumen such that an open end of the cage is oriented towards obstructive material. The cage is advanced to capture the material or the material is directed into the cage using an expandable member expanded beyond the material and retracted to direct the material into the cage. The cage is withdrawn into the constraint tube to compress the cage radially inwardly. Material extending through apertures in the cage are sheared off by a sharpened edge of the constraint tube. The smaller, sheared off particles are then aspirated from the body lumen through the sheath.