Abstract: An apparatus for treating an aneurysm in a blood vessel includes an occlusion element including a first tubular mesh having a first end and a second end coupled together at a proximal end of the occlusion element such that an intermediate portion of the first tubular mesh between the first end and the second end includes a substantially 180 degree turn, the intermediate portion of the first tubular mesh extending distally from the proximal end of the occlusion element, wherein the intermediate portion of the first tubular mesh has a collapsed configuration and is configured to expand to an expanded. In some embodiments, the apparatus further includes a second tubular mesh having a first end and a second end coupled to the proximal end of the occlusion element such that an intermediate portion of the second tubular mesh between the first end and the second end includes a substantially 180 degree turn.

Abstract: A system to facilitate sealing a puncture of a vessel includes an implant having first and second expandable sections, and a delivery device that includes an inner tube and a circumscribing outer tube. The outer tube defines a first lumen configured to retain the implant, and a second lumen configured to channel fluid from the vessel through a distal opening proximal to the implant. A pusher circumscribed at least partially by the outer tube is configured to compress the implant to selectively expand the first and second expandable sections. The outer tube is selectively retractable relative to the inner tube such that the first expandable section remains substantially within the first lumen and the second expandable section is positioned outside of the first lumen. The outer tube is further selectively retractable relative to the inner tube such that the first expandable section is positioned outside of the first lumen.

Abstract: The endoluminal prosthesis assembly comprises a first stent graft having a first end and a second end and an interior lumen. The first stent graft has an expanded position and a compressed position and defines an access port disposed through a wall of the first stent graft between the first and second ends of the first stent graft. The endoluminal prosthesis assembly further comprises a second stent graft being disposed entirely within the interior lumen of the first stent graft. The second stent graft is disposed within the first stent graft and has an expanded position and a compressed position. In the compressed position, the second stent graft contacts only a portion of an interior wall of the first stent graft and the access port is in fluid communication with the interior lumen of the first stent graft.

Abstract: A surgical instrument includes an instrument shaft, two instrument branches that can be positioned relatively to one another in a working position and a rest position, a handle element on which an operating element is movably arranged for positioning the instrument branches, and a coupling mechanism having a translating unit that converts a movement of the operating element, non-linearly, into a relative movement of at least one of the two instrument branches. The coupling mechanism includes at least one bias element that biases the mechanism into the rest position and/or into the working position of the instrument branches.

Abstract: In a suturing device, a casing has an elongated shape extending in a longitudinal direction. A needle is positioned in the casing, is configured to hold a first thread-like member, and has a tip end reciprocally moving along a path extending between a first position and a second position positioned backward than the first position in the longitudinal direction. A depression is formed in a peripheral wall of the casing, is positioned between the first and second positions in the longitudinal direction, and is configured to expose the needle to an outside of the casing. The shuttle includes a holding portion configured to hold a second thread-like member. The shuttle is configured to move within the casing at a third position between the first position and the depression in the longitudinal direction to change relative position between the second thread-like member and a loop formed in the first thread-like member.

Abstract: There is described a platform device for use in forming an anastomosis and maintaining a desired curvature of a lumen in a desired shape during an anastomosis assistance period. The platform is formed from one or more bioabsorbable or biodegradable polymer filaments. There is also described a method for inserting a platform device for use in creation of an arteriovenous fistula by identifying a candidate artery and a candidate vein and dissecting the candidate vein. Next, inserting a platform device into the vein and creating a breach in the candidate artery at a desired angle and location. Next, introducing the platform device and vein into the candidate artery and forming the platform device into a curvature angle selected to minimize turbulent blood flow in an anastomosis formed by the vein and the artery. The platform may also be used to maintain potency of supply blood vessels and/or organ blood vessels or the lumens daring an organ transplant procedure.

Abstract: A bariatric clamp may include substrate members overmolded in polymer forming first and second elongated portions, a bight portion having a flexible hinge, a fastener portion, and an engagement portion for retaining the clamp in a closed position to partition the stomach. A method for installing may include creating an opening in a patient's abdominal cavity to access the stomach, removing tissue connected to the stomach adjacent areas the clamp is to be positioned, positioning the clamp in an open position wherein first ends of the first and second elongated portions are open relative to one another, inserting the clamp into the abdominal cavity in the open position and the first and second elongated portions of the clamp separately pass through the opening in the abdominal cavity, positioning the first and second elongated portions adjacent first and second sides of the stomach, and closing the clamp to partition the stomach.

Abstract: Provided is a surgical instrument including an end tool, a connection portion, a frame portion, a bridge portion, a manipulation portion, and a driving force transmission portion. The surgical instrument further includes a guide portion having one end portion provided on the bridge portion and the other end portion provided on the frame portion, surrounding a wire portion in a preset section, and guiding a movement path of the wire portion. The surgical instrument is manually operated for use in laparoscopic surgery or various surgical procedures.

Abstract: Disclosed herein is a medical device. The medical device includes outer, middle, and inner tubular members. The outer tubular member has a proximal end and a distal end. The middle tubular member has a proximal end and a distal end. The middle tubular member is configured to be received within the outer tubular member and capable of being rotatable relative to the outer tubular member. The inner tubular member is configured to be received within the middle tubular member and capable of reciprocating and also capable of being rotatable relative to the middle tubular member. The inner tubular member is configured to reciprocate and rotate while the middle tubular member and the outer tubular member are configured to be stationary. The middle tubular member is configured to be rotatable relative to the outer tubular member while the inner tubular member is configured to be stationary.

Abstract: An applicator for applying a surgical clip to a patient's tissue has a frame assembly with an applicator tube having a distal end configured to releasably receive the surgical clip. The applicator has a surgical-clip opening assembly including a clip-opening trigger, a clip-opening rod disposed in the applicator tube and a clip-opening jaw. Activation of the clip-opening trigger displaces the clip-opening rod proximally opening the clip-opening jaw. A surgical-clip closing assembly has a clip-closing trigger, a clip-closing rod disposed in the applicator tube and a clip-closing beam. Activation of the clip-closing trigger displaces the clip-closing rod distally closing the clip-opening jaw. A surgical-clip ejection assembly has a clip ejection knob, a clip-ejection rod disposed in the applicator tube and a clip ejection beam. Activation of the clip-ejection knob ejects the surgical clip. The clip-opening trigger, clip-closing trigger and clip ejection knob are independently activatable.

Abstract: Subcutaneous implantation tools and methods of implanting a subcutaneous device using the same. The tool may include a tool body having a longitudinally extending recess having a distal opening and having a tunneler at a distal end of the tool body extending from the distal opening of the recess. The tool may include a plunger slidably fitting within at least a portion of the tool body recess. The recess may be configured to receive an implantable device and the tunneler preferably extends distally from the recess at a position laterally displaced from the device when the device is so located in the recess. Movement of the plunger distally within the recess advances the device distally out of the recess and alongside of and exterior to the tunneler.

Abstract: Subcutaneous implantation tools and methods of implanting a subcutaneous device using the same. The tool may include a tool body having a longitudinally extending recess having a distal opening and having a tunneler at a distal end of the tool body extending from the distal opening of the recess. The tool may include a plunger slidably fitting within at least a portion of the tool body recess. The recess may be configured to receive an implantable device and the tunneler preferably extends distally from the recess at a position laterally displaced from the device when the device is so located in the recess. Movement of the plunger distally within the recess advances the device distally out of the recess and alongside of and exterior to the tunneler.

Abstract: A method and device for non-surgically repairing and augmenting internal nasal valve ligaments of a patient. The method and device comprise tunneling a working device subcutaneously into the ligaments of the nasal valve and the surrounding soft tissues and periosteum of the adjacent bony structures, causing a tightening of the nasal valve ligaments and repositioning the nasal valve in adjustable fashion. A device comprising a barbed elongate implant is introduced by tunneling subcutaneously into the nasal valve ligament allowing for structural re-positioning of the nasal valve cartilage structures and tightening of the ligaments, which is adjustable intra-operatively and allows for structural support of the nose and/or causes a change in the external shape of the nose.

Abstract: A surgical instrument includes a shaft and a pair of jaw members disposed on the shaft and extending from an at least partially spherical element. The jaw members are moveable in pitch and yaw relative to the center of the sphere in response to actuation forces applied to a proximal drive mechanism of the instrument. The surgical instrument may include a manually operated handle for manual input of actuation forces by a user, or it may be removably mounted to a drive component of a robotic system such that its proximal drive mechanism is operatively engaged with actuators that generate mechanical output that is transferred to the proximal drive mechanism.

Abstract: An exemplary valve repair device for repairing a native valve of a patient includes: a strip of material; a coaption element formed from the strip of material; a pair of paddles formed from the strip of material and connected to the coaption element; a cap attached to the paddles; and a pair of extension members connected to the cap and movable between an open position and a closed position. The paddles are movable between an open position and a closed position and are configured to attach to the native valve of the patient. Movement of the cap toward the coaption element causes the pair of paddles to move to the closed position, and movement of the cap away from the coaption element causes the pair of paddles to move to the open position. In the closed position the extension members are biased in a closing direction.

Abstract: A forceps having at least a first jaw with a longitudinal axis is disclosed. The first jaw can include a body portion, a first flange, a second flange and a cam pin. The first flange can define a first cam slot with a longitudinal extent along the longitudinal axis. The second flange can be spaced from the first flange a distance transverse to the longitudinal axis of the first jaw and can have a second cam slot. The cam pin, with a longitudinal axis, can be moveably secured within the first cam slot and the second cam slot. A diameter of the cam pin can be less than a width between a first longitudinal edge that defines a first side of each of the first cam slot and the second cam slot and a second longitudinal edge that defines a second opposing side of each of the first cam slot and the second cam slot so that the cam pin is moveably received by both the first cam slot and the second cam slot.

Abstract: A locking assembly for releasably coupling a first elongate member to a second elongate member is provided. The locking assembly can include a first lumen for anchoring the locking assembly to a catheter and a second lumen for releasably retaining a guidewire to the locking assembly. A release member can interface with the locking assembly and apply a force that decouples the guidewire from the locking assembly.

Abstract: According to an aspect of some embodiments of the present invention there is provided a device for removal of obstructive material from a vessel comprising: an expandable structure sized for insertion into the vessel; and one or more portion protruding radially from a central longitudinal axis of the expandable structure such that a space between the protrusion and a closest portion of the expandable structure to the portion includes a radial component; wherein the space is sized and shaped to be suitable to accept obstructive material.

Abstract: The present invention relates to a stent for splinting a nasal passage. The stent consists of a braided tubular support body which, in unloaded state, has a diameter of at least 4 mm and a length in the range of 25 to 120 mm and particularly of 25 to 100 mm. The stent may have a widened section at the proximal end for splinting of the nasal alar. It may alternatively or in combination have a fixation section at the proximal end of the stent for fixation of the stent in a nasal passage of a user. When fixed the fixation section protrudes from the nostril of the user and can be fixed outside of the nose.

Abstract: A tool has an outer assembly, which includes a deployment tube, extending around, and moveable with respect to an inner assembly of the tool; the inner assembly includes a single pull wire and a distal member configured to engage an end of an implantable medical device. The deployment tube includes an articulating segment located just proximal to an enlarged distal-most portion, which contains the device and the distal member. Relatively soft and stiff sections of a composite sidewall define the articulating segment and extend alongside one another, such that, when the pull wire is actuated, the composite sidewall causes bending of the segment in two directions. A handle assembly of the tool includes a control member for the pull wire, and may further include a flushing subassembly that has a connector port located at an end of the handle assembly that is opposite a proximal port of the handle.