Abstract: A medical device and method for performing transluminal procedures that reduces procedure time as well as the number of instruments used is disclosed. An elongate medical device has both a cutting tool and a suturing tool disposed at a distal end of the elongate medical device. The suturing tool includes a plurality of needles connected to one or more sutures. The elongate medical device is advanced through a bodily lumen to a position proximate the visceral wall. A perforation is formed in the visceral wall using the cutting tool. The elongate medical device and its suturing tool are advanced through the perforation and a plurality of needles are passed through the visceral wall around the periphery of the perforation. The plurality of needles are withdrawn through the bodily lumen and the perforation is closed using the suture.

Abstract: A tissue sampling system includes an elongate flexible needle sheath with a lumen disposed longitudinally therethrough. A needle may be slidably disposed through the needle sheath and include an elongate flexible shaft body configured to pass through a working channel of an endoscope, with an outer cannula disposed at a distal end of the shaft body and housing a longitudinal needle lumen though its length. A sampling member including an elongate flexible stylet body and a barbed portion extending distally from the stylet body may be disposed slidably through the needle lumen. It may include a body with a distal end and barbs forming a barbed region where the barbs are angled away from the distal end. The barbed region may be configured to be slidably extended out the distal end of the needle lumen, then retracted, and may include an echogenic surface along with the barbs and barb-adjacent surfaces.

Abstract: The present embodiments provide apparatus and methods suitable for facilitating positioning one or more medical components. In one embodiment, the apparatus comprises a rail member having proximal and distal ends and a generally longitudinal axis. A first connector is adapted to be selectively coupled to the rail member, and a first medical component is adapted to be coupled to the first connector. The first connector is disposed for selective longitudinal movement along the rail member, thereby permitting movement of the first medical component with respect to the rail member. In this manner, one or more components, such as a catheter and a needle, may be inserted into a human or animal body in a controlled fashion with respect to one another.

Abstract: A delivery system and method of use thereof for introducing a bundled intragastric bag into a gastric lumen are described. The delivery system includes a pushing mechanism movable between an unexpanded and expanded configuration. The pushing mechanism in its expanded configuration pushes each of the bundles of the bag into the gastric lumen. A suture strand is periodically pulled during the procedure to help create doughnut-shaped bundles. Another suture strand extends between a proximal button and distal button of the deployed assembly to maintain the doughnut-shaped bundle structure.

Abstract: An intragastric device and method of use thereof are provided. The device is actuated to change its volume based on one or parameters detected in the gastric lumen. The device comprises an expandable reservoir that is adapted to distend one or more walls of the gastric lumen for a predetermined time. The device may also be actuated based on a pressure control system in which the reservoir maintains a constant pressure against the walls of the gastric lumen.

Abstract: Medical devices and methods for controlling the flow of contents through an opening, such as an anastomosis formed during bariatric surgery. Generally, the medical device includes a tube and first and second radially extendable anchors attached to the tube. The anchors keep the medical device centered at the anastomosis or other opening, while the inner diameter of the tube restricts the passage of contents therethrough. A limiter may also be employed to vary the smallest diameter of the tube's lumen.

Abstract: A medical device and method for performing transluminal procedures that reduces procedure time as well as the number of instruments used is disclosed. An elongate medical device has both a cutting tool and a suturing tool disposed at a distal end of the elongate medical device. The suturing tool includes a plurality of needles connected to one or more sutures. The elongate medical device is advanced through a bodily lumen to a position proximate the visceral wall. A perforation is formed in the visceral wall using the cutting tool. The elongate medical device and its suturing tool are advanced through the perforation and a plurality of needles are passed through the visceral wall around the periphery of the perforation. The plurality of needles are withdrawn through the bodily lumen and the perforation is closed using the suture.

Abstract: Medical devices and methods are provided for forming an intestinal bypass anastomosis, such as for treatment of obesity. The medical devices and methods are minimally invasive and reduce complications. Two magnet assemblies are deployed in a spaced apart relationship, and are transluminally brought together to approximate the tissue and form an anastomosis therebetween.