Abstract: A minimally invasive laparoscopic tissue removal device, namely a morcellator. The device includes, from proximal end to distal end, a handle, handle guard, elongate sheath, and mouth, finally terminating in a safety tip. The elongate sheath and mouth are concentric, such that two elongate, rotating cutting/shredding blades/teeth and one elongate auger feed screw can be positioned along the length of the sheath and mouth. The teeth are opposingly disposed and staggered, such that contact with tissue mass grabs and pulls tissue inwards toward the auger, which transports the tissue proximally toward the outside of the patient's body. A motor unit and gear assembly can be coupled to the teeth and auger to drive rotation of the teeth and auger. A cup assembly can be disposed in overlying relation to the mouth for guiding the tissue mass towards the mouth. Various mechanisms of safely covering the mouth are contemplated as well.

Abstract: Embodiments of the present disclosure provide a device for extracting and/or morcellating tissue or other unwanted material from within a patient's body. In one embodiment, a medical device may include an elongate member including a proximal end, a distal end, and a lumen extending therebetween. The medical device may also include an expandable member disposed at the distal end, wherein an interior of the expandable member is in fluid communication with the lumen in the elongate member, wherein the expandable member includes a plurality of conducting elements extending from and disposed circumferentially about the elongate member, wherein at least two of the plurality of conducting elements are joined together by a material extending therebetween.

Abstract: A multi-suture knotless anchor and related method for securing soft tissue, such as tendons, to bone are described. The suture anchor includes a body, a sleeve, and an outer deformable bone locking structure. The bone locking structure has a first low profile configuration for insertion into the bone, and a second larger profile configuration for engaging the bone when actuated. The bone anchor and methods permit a suture attachment that lies beneath the cortical bone surface and does not require tying of knots in the suture.

Abstract: A wound closure system includes a suture member and a suture grasper. The suture member includes a suture and a retention member engaged to an end of the suture. The retention member is at least partially flexible and defines a central opening. The suture grasper includes a needle defining a distal portion configured for insertion through the central opening of the retention member to retrieve the retention member from an internal surgical site. The distal portion of the needle defines a distally-facing feature configured to at least partially flex the retention member upon insertion of the distal portion into the central opening to permit passage of the distal portion therethrough and a proximally-facing feature configured to inhibit proximal withdrawal of the distal portion through the central opening of the retention member.

Abstract: A prosthetic heart valve includes a collapsible and expandable stent having an outflow end and an inflow end, a plurality of commissure features attached to the stent, a plurality of anchoring features disposed on legs of the stent, the plurality of anchoring features being coupleable to a delivery device for repositioning, and a valve assembly disposed within the stent. The anchoring features may be configured to attach to heart tissue to help secure the prosthetic heart valve in an operating position.

Abstract: A surgical needle includes a pair of ends, a mid-region extending between the ends, and at least one grasping feature configured for grasping by a suturing instrument. An end of a suture is secured to the mid-region of the needle in a manner such that the end of the suture defines an oblique angle with at least part of the centerline defined by the mid-region of the needle. The end of the suture may be disposed in a hollow portion of the needle. The grasping feature may include a notch such as a scallop. The suture may be pivotally coupled with the needle via a ball or pin. The needle may have one or more sharp points. The sharp point may include three converging cutting edges, at least two planar surfaces bounded by the three cutting edges, and a rounded surface bounded by two of the three cutting edges.

Abstract: An ultrasonic treatment device includes a connecting unit. The connecting unit including a first engagement portion which engages with a first screw portion and a second engagement portion which engages with a second screw portion, the connecting unit connecting a probe and a vibration generating unit to transmit the ultrasonic vibrations to the probe by rotation relative to the vibration generating unit and a treatment unit in a first direction around a longitudinal axis, and disconnecting the probe and the vibration generating unit from each other by rotation in a second direction opposite to the first direction.

Abstract: A surgical implant (10) comprises an areal, flexible, porous basic structure (12) having a first face and a second face. At least one resorbable dyed film piece (20) is attached to the basic structure (12) and comprises a plurality of solid protrusions emerging from the dyed film piece (20) in a direction away from the basic structure (12). The at least one dyed film piece (20) is arranged in a shape structure which is asymmetric (“E”) in the area of the basic structure (12). Optionally, the implant (10) further comprises an adhesion barrier sheet (16).

Abstract: A suturing device is disclosed. The suturing device includes an end effector assembly disposed on a distal end of the suturing device. The end effector assembly includes at least one guide tube housing at least one elongated member, a guide rack, and an anchor configured for disposal in a tubular tissue circumferentially offset from the guide rack. The anchor includes at least one guide tube attached to a suture having a first end and a second end. The at least one elongated member is deployed to puncture tubular tissue and mate with the at least one aperture of the anchor such that extraction of the at least one elongated member simultaneously draws out the suture through the punctured tubular tissue.

Abstract: A robotic surgical system includes a surgical instrument configured to cut biological tissues and an imaging system configured to image the biological tissues. Based on one or more images of the biological tissue generated by the imager, the robotic surgical system operates the surgical instrument to cut the biological tissue according to a desired dissection of the tissue. The robotic surgical system operates the surgical instrument to partially or wholly automatically perform one or more cuts into the biological tissue to achieve the desired dissection.

Abstract: A system may include an introducer sheath including a retention member configured to anchor the introducer sheath in a natural body lumen having a wall. The system may also have an elongate member extending along a longitudinal axis through a working channel of the introducer sheath. Additionally, the system may have a manipulating portion coupled to a distal end of the elongate member. The manipulating portion may include at least one selectively actuatable member configured to transition between an undeployed configuration and a deployed configuration. In the undeployed configuration, the at least one actuatable member may extend substantially parallel to the longitudinal axis and in at least one position in the deployed configuration, the at least one actuatable member may extend radially outwardly from the longitudinal axis.

Abstract: A medical device may include an elongate member, and a plurality of grasping members extending from the elongate member. Each of the grasping members may include a proximal end, and a distal end. Each of the grasping members may include at least one first section formed of a first material and a second material, and a second section located at the distal end of the grasping member. The second section may be formed without the first material and being less stiff than the at least one first section.

Abstract: A retrieval device includes a sheath having a distal end, and a plurality of support members extending distal of the distal end, the support members each including a distal loop. The retrieval device further includes a hollow member extending distal of the distal end, and a movable member extending distally from the hollow member and slidably extending through the distal loops of the support members.

Abstract: A method includes coupling, at least temporarily, a support member adjacent to a target tissue. The support member is configured to support the target tissue and to define a path along which a cutting device can move. The method includes moving the cutting device along the path defined by the support member to cut and/or dilate the target tissue. In some embodiments, the method optionally includes disposing a cannula of a device within the cut defined in target tissue. The cannula is coupled to the target tissue such that a lumen defined by the cannula is in fluid communication with a volume defined at least in part by the target tissue.

Abstract: Shape memory materials (SMM) are formed as coil-shaped vascular occlusion devices upon deployment. Shape memory polymer (SMP) materials are tailored through formulation for specific mechanical behavior of the coils. Concurrent coil diameter changes enhance the relative change in stiffness along the length of the coil. Interconnecting structures (104a/b) are formed on ends of elongated members (102a) in the pre-deployment shape for multiple coil insertion capability within an introducer. Channels (206) are formed in pre-deployment shape, elongate members (202) that allow access for injection of imaging contrast agent or concurrent placement of instruments. A single SMM occlusive device (300) transforms into multiple, smaller diameter coils (302b) in the deployed state to generate a complex occlusive structure.

Abstract: Robotic surgical systems and methods of coupling a surgical instrument to a manipulator arm are provided. In one embodiment, a system includes a base; a setup link operably coupled to the base, the setup link locating a remote center of motion for the robotic surgical system; a proximal link operably coupled to the setup link; and a distal link operably coupled to the proximal link. A plurality of instrument manipulators are rotatably coupled to a distal end of the distal link, each of the instrument manipulators including a plurality of actuator outputs distally protruding from a distal end of a frame.

Abstract: A stent indwelling device includes a guide catheter and a pusher catheter. The guide catheter includes: a core section; an outer layer section surrounding an outer circumference of the core section; a stent protection section disposed between the core section and the outer layer section, being longer than a dimension of a tube stent, having stiffness resisting compression inward in a radial direction perpendicular to a longitudinal axis of the guide catheter, and having flexibility in a direction in which the guide catheter is curved; and a stopper configured to allow expansion of the stent protection section in a direction along the longitudinal axis and restrict movement of the stent protection section in the direction with respect to the core section.

Abstract: A variety of passive intragastric implant devices for obesity treatment are disclosed. Such passive devices do not autonomously change shape, but instead react within the stomach to induce satiety. The devices may take up volume within the stomach, thus reducing the intake capacity. Additionally, the devices may contact areas within the stomach, such as the cardia surrounding the esophageal sphincter, or the greater and lesser curvatures in the middle of the stomach, to stimulate satiety-inducing nerves. Some devices may combine two or more of these satiety-inducing features. Methods of implant are disclosed including compressing the devices within a delivery tube and transorally advancing the devices through the esophagus to be deployed within the stomach. Removal of the devices occurs in the reverse.

Abstract: A surgical implant (100) comprises a mesh-like, flexible basic structure (104) having a center area and an outer periphery (120), wherein the outer periphery (120) has a polygonal shape with N corners (122), N being at least 3. The implant (100) may comprise at least two pockets (124), each pocket (124) extending from a peripheral line which connects two corners (122) of the outer periphery (120) of the basic structure (104) towards the center area of the basic structure (104). The center area of the basic structure (104) can be marked by a center marking (130), wherein directional indicators (132) point from the center marking (130) to at least two corners (122) of the outer periphery (120) of the basic structure (104).

Abstract: A system and method of temporarily lifting sections of skin on and about the face and neck proximate the ear so as to produce a facelift effect. An application template is provided that can be hung around the ear. At least two sections of tape are provided. One section of tape is connected to the top end of the application template. A second section of tape is connected to the bottom end of the application template. The application template orients both sections of tape. Once the sections of tape are adhered to the skin, the application template is removed. An elastic element is then joined between the sections of tape an creates a tension force that causes the tape to pull the skin toward the ear.