Abstract: A device for performing fetotomy on a dead fetus or repositioning of a live fetus has a primary attachment in the form of a looped brace that is provided around a fetal limb within the birth canal of the mother animal and engages the armpit or groin of the fetus. An extension bar connects the brace to a tensioning device. A secondary attachment such as a cable or chain is attached at the foot of the fetal limb and connected to the tensioning device. The tensioning device is operated to provide tension between the brace and the secondary attachment, thereby placing the fetal limb in traction. Sufficient traction causes removal of the entire limb without exposing sharp bone edges. Variations of the device may be used for a fetal repositioning procedure.

Abstract: An endoluminal prosthesis is provided that includes a tubular graft and an expandable annular support structure. The annular support structure is coupled to the tubular graft so that the graft and support structure, in combination, provide columnar support while maintaining prosthesis flexibility. The prosthesis has sufficient strength and durability to withstand loads applied during deployment and sufficient flexibility to permit implant in a sealing arrangement within a tortuous body lumen. An embodiment according to the invention provides a plurality of annular structures with staggered, longitudinally overlapping apices of undulating structures. One embodiment relates to tubular grafts for endoluminal placement within a body lumen, including blood vessels, and for the treatment of abdominal and other aneurysms.

Abstract: A magnet delivery system for forming an anastomosis that comprises a wire guide; a catheter having a delivery portion for advancement into a intracorporeal space, the delivery portion having a lumen extending at least partially therethrough, and a strand connected to the catheter, whereby the magnet is disposed over the wire guide and distal to the catheter, and retained by the strand being releasably connected to the wire guide.

Abstract: In a surgical severing instrument comprising two cutting jaws movable relative to each other from an open position to a cutting position by means of hand grips movable relative to each other, in order to improve the handling, in particular, of the severed parts, it is proposed that two clamping jaws movable relative to each other from an initial position to a clamping position be arranged alongside the cutting jaws, and that actuators be provided on the surgical severing instrument, which, upon movement of the cutting jaws from the open position to the cutting position, simultaneously move the clamping jaws from their initial position to the clamping position.

Abstract: A medical treatment tool is provided having: a force transmission member having a distal end and a proximal end; an end effector which is provided on the distal end of the force transmission member in a non-rotatable manner with respect to the force transmission member; a control wire which is inserted into the force transmission member; and a rotatable coupling which is provided between the end effector and the control wire, and is coupled rotatably to the end effector with respect to the control wire.

Abstract: The invention provides a system for occluding a left atrial appendage of a patient. The system can include a ring occluder that can be positioned around the left atrial appendage and a ring applicator to position the ring occluder with respect to the left atrial appendage. The system can also provide a tissue-grasping tool that is separable from the ring applicator tool.

Abstract: An endoluminal prosthesis is provided that includes a tubular graft and an expandable annular support structure for use in a body lumen through which body fluids flow. The annular support structure is coupled to the tubular graft where it is to be sealingly engaged with the inner wall of a body lumen so that the graft and support structure, in combination, provide an improved seal. An embodiment according to the invention provides an annular structure with longitudinally staggered apices providing multiple levels of contact with the inner body lumen wall to provide a seal at multiple levels along the length of the prosthesis. One embodiment relates to tubular grafts for endoluminal placement within blood vessels for the treatment of abdominal and other aneurysms.

Abstract: Apparatus and methodology for inserting an intraocular lens (IOL) into an eye. The apparatus includes a cartridge for holding an IOL and a handpiece with a body member for receiving the cartridge, an injector rod that is receivable by the body member, and a drive mechanism that longitudinally oscillates the injector rod in the body member when a rotational force is applied about a longitudinal axis in a single direction. In other words, a constant rotation in a single direction of the drive mechanism causes the injector rod to move distally and proximally in discrete increments, with the distal increments being larger than the proximal increments. Accordingly, the injector rod urges an IOL out of the handpiece in a two-steps-forward, one-step-back manner, thereby minimizing or eliminating the chance of the injector rod engaging with the IOL.

Abstract: A surgical apparatus and method according to which a cable assembly is connected to a handpiece and includes a sensing element, and a member adapted to move relative to the sensing element to control the operation of a motor in the handpiece.

Abstract: A bifurcated catheter assembly has an undeployed state and a deployed state. The assembly comprises a bifurcated inflation shaft defining a shaft inner lumen, a first balloon defining a first balloon lumen, and a second balloon defining a second balloon lumen. The inflation shaft has a first inflation shaft defining a first lumen and a second inflation shaft defining a second lumen. The first balloon defines a first balloon lumen which is in fluid communication with the first lumen. The second balloon defines a second balloon lumen which is in fluid communication with the second lumen. The second balloon has a conical shape.

Abstract: The disclosure pertains to magnetically retrievable vena cava filters having a low torque associated therewith when subjected to a strong external magnetic field and retrieval devices therefor. The vena cava filter may include a magnetically permeable sphere or a spherical dipole magnet located within the spherical cavity of the apical hub wherein the spherical dipole magnet is free to rotate about any of three mutually orthogonal axes. The retrieval device is capable of substantially containing the vena cava filter in a collapsed state and includes a magnetically active member capable of interacting with the vena cava filter. The retrieval device may optionally include a supplemental mechanical latch.

Abstract: A tissue isolation and removal device has a containment pouch that is opened and supported by the device. The pouch has two open/close portions both able to be closed and reopened. One portion positioned away from tissue being inserted in the pouch and covering the other portion to enclose or isolate any tissue captured in the other portion.

Abstract: Disclosed herein is a system for releasing a ligament. In one embodiment, the system includes a proximal handle, a tubular body, and a flexible body. The tubular body includes a proximal end and a distal end. The handle is coupled to the proximal end. The flexible body extends through the tubular body and includes a tissue cutting portion. The flexible body or tubular body is longitudinally displaceable to move the tissue cutting portion between a non-deployed state and a deployed state.

Abstract: A clip applying apparatus is provided for applying a ligating clip to tissue. The clip applying apparatus includes, inter alia, a handle assembly, a central body portion, an anvil jaw, and a slide member movably supported in relation to the anvil jaw. The anvil jaw and the slide member are configured to define an enclosed tissue receiving area when the slide member is in an advanced position. A method is also provided for ligating tissue using the presently disclosed clip applying apparatus.

Abstract: Medical devices and related methods are provided for closing a perforation in a bodily wall. The medical device generally includes a set of tissue anchors and an elongate tensioning member. Each anchor includes a crossbar having opposing ends and defining a longitudinal axis. A strand is connected to the crossbar at a location between the opposing ends and projects away from the longitudinal axis. The strand includes a distal end connected to the crossbar and a proximal end having a first connector. The elongate tensioning member is structured to selectively engage and disengage the first connector. The strands of the anchor are capable of being tensioned and fixed together for closing the perforation. The tensioning member is removed after the strands are fixed together.

Abstract: A circumcision clamp for aiding the removal of the foreskin of an adult, human, male penis. A top clamp and a bottom clamp for circumcision each has: 1) a curved interior brace, placed between the foreskin and the penis shaft; and 2) a curved exterior brace, which aligns over the interior brace and compresses the foreskin against the interior brace. The curved interior brace preferably has a greater depth than the exterior brace, which greater depth forms a distal overhang or shelf for protecting the penis shaft during operation. By simultaneously employing a top clamp and a bottom clamp during circumcision, an entire band or collar of foreskin along the desired path of incision and suturing can be securely held in place and clamped, thus helping the operator or surgeon trim and suture the foreskin quickly and precisely.

Abstract: An endoluminal prosthesis may include a tubular graft extending in a longitudinal direction, where the graft has an inner surface forming a lumen extending a length of the graft. An elongate member may be attached to the graft in a circumferentially and longitudinally extending manner such that the elongate member forms a series of longitudinally spaced apart turns, each turn extending substantially around a circumference of the graft. The elongate member may torsion the graft in at least the circumferential direction and cause the graft to form circumferentially and longitudinally extending folds in the portions of the graft disposed between longitudinally adjacent turns of the elongate member.

Abstract: A surgical device is provided that includes a jaw portion with a first jaw and a second jaw moveable relative to the first jaw. The surgical device also includes a shaft portion coupled to a proximal end of the jaw portion. A driver is configured to cause relative movement of the jaw portion and the shaft portion. The driver may be configured to cause the jaw portion to pivot relative to the shaft portion about a pivot axis that is perpendicular to first and second longitudinal axes defined by the jaw portion and the shaft portion, respectively. The driver may also be configured to cause at least a portion of the jaw portion to rotate relative to the shaft portion about the first longitudinal axis. Advantageously, the surgical device includes a surgical member, e.g., a cutting element and/or a stapling element, disposed within the first jaw.

Abstract: Devices and methods for storing and injecting a corneal tissue graft are disclosed herein. In one embodiment, an apparatus includes a tissue container and an adaptor configured to be coupled to the tissue container. The tissue container defines an interior region configured to receive a precut corneal tissue graft therein. The tissue container is also configured to be coupled to an injector assembly that can be used to move the corneal tissue graft out of the interior region of the tissue container and into an anterior chamber of a recipient's eye. The adaptor can be configured to prevent the tissue graft from migrating out of the tissue container and/or can be configured to be coupled to the injector assembly. The tissue graft can remain within the tissue container during storage, transport and during the implantation procedure until it is injected into the patient's eye.

Abstract: The invention provides a rotational atherectomy system, device and method having, in various embodiments, a flexible, elongated, rotatable drive shaft with at least one eccentric abrading head attached thereto, wherein the abrading head comprises at least one groove thereon. The eccentric grooved abrading comprises a tissue removing surface—typically an abrasive surface and/or at least one groove. Preferably the eccentric enlarged abrading head has a center of mass spaced radially from the rotational axis of the drive shaft, facilitating the ability of the device to open the stenotic lesion to a diameter substantially larger than the outer diameter of the enlarged abrading head when operated at high speeds. The groove(s) provide improved efficacy in the abrasion of non-calcified and/or soft tissue as well as provide a means for breaking the hydraulic wedge between the abrading head and the stenotic tissue.