Abstract: Methods and devices are provided for providing direction to surgical tools. In one embodiment, a surgical device can include a cannulated elongate shaft with a cannulated curved distal tip. The device can be configured to be introduced into a body of a patient, and one portion of the device can be configured to be positioned on a proximal side of a tissue wall and a distal-most portion of the device including at least a portion of the curved distal tip can be configured to be positioned on the other, distal side of the tissue wall. A surgical tool can be configured to be advanced through the device to pass the surgical tool through the tissue wall with the curved distal tip providing direction for the surgical tool.

Abstract: A method, system and apparatus for ultrasonically imaging boli that are swallowed, as they are passed through the esophagus. The trajectories of the boli are tracked, and image data corresponding to the esophagus thereby identified. Analysis of boli and esophagus image data enable esophageal parameters correlated thereto to be determined.

Abstract: Prosthetic valves implantation methods and systems, especially as related to preparing the native site of a native stenotic or incompetent aortic valve for receipt of a prosthetic replacement valve are described. The subject tools and associated site preparation techniques may be employed in percutaneous aortic valve replacement procedures.

Abstract: [PROBLEM TO BE SOLVED] A hemorrhoid ligation apparatus that allows the operator to handle with a single hand to ligate a hemorrhoid, under minimized risk of committing improper operation, is to be provided.

Abstract: A medical grasper for treatment of hemorrhoids has an elongate rigid tubular member having a proximal end and a distal end and a bend located between the proximal end and the distal end. An elongate shifter element extends longitudinally into the tubular member from the proximal end thereof. A plurality of resilient prongs connected to a distal end of the shifter element, an actuator handle connected to the proximal end of the tubular member, and a shifting actuator slidably mounted to the handle and fixed to a proximal end of the shifter element.

Abstract: A ligation tool for endoscope includes an overtube having an insertion lumen 21a made of a flexible material, which permits an insertion portion 11 of the endoscope to be inserted therethrough so as to advance and retreat, an O-ring 22 for ligation attached to a distal end of the overtube, and a operation wire 24 which is locked to the O-ring for ligation, has a distal portion extending to the proximal side of the overtube, and is operated to be pulled or pushed at its proximal side, thereby separating the O-ring for ligation from the tip of the overtube. According to this ligation tool for endoscope, time and effort taken to set the ligation tool for endoscope in the endoscope becomes unnecessary, a sufficient field of vision of the endoscope can be secured, and the curving performance of the tip of the insertion portion of the endoscope does not deteriorate. Furthermore, this ligation tool is also advantageous when endoscopic sclerotherapy is performed together.

Abstract: A lung volume reduction system includes a percutaneously, laparoscopically or thorocospically insertable delivery element comprising a control end which remains outside the body and an insertion end which, when in an operative position, is adjacent to an external surface of a target portion of a lung and a constriction element deployable from the distal end of the delivery element to apply compressive force to an external surface of the target portion of the lung to constrict at least one airway therein and collapse the target portion of the lung.

Abstract: The present invention relates generally to medical devices and methods for sealing and closing passages formed through tissue. More specifically, the present invention relates to devices for sealing or closing an opening formed through biological tissue comprising a distal or outside margin or surface, and a proximal or inside margin or surface (i.e., a wall thickness), and to apparatuses and methods for delivering such devices, to control (or prevent or stop) bleeding (or the flow of other biological fluid or tissue). The openings comprise percutaneously formed punctures, incisions, or other openings formed through biological tissue, such as in blood vessels, organs, and the like.

Abstract: A vessel-loop having an elastic tube and a needle attached to one end thereof for use in various surgical procedures, and a method for forming same. The method includes the steps of positioning a heat-sensitive element within a section of elastic tubing, applying tensile forces to the opposed ends of the tubing section, and heating the heat-sensitive element and the portion of the tubing adjacent the heat-sensitive element so that the heat-sensitive element adheres to the adjacent tubing portion. The heat-sensitive element and the adjacent tubing portion are allowed to cool until a conjoined reduced-diameter portion is formed. The reduced-diameter portion is cut to form two ends, each having a reduced-diameter end. The reduced-diameter ends are then each secured to a needle, forming two vessel loops.

Abstract: A ligating device for applying successive elastic bands 18 to tissue 54. In one preferred embodiment, the device includes a barrel having an opening into which the tissue can be drawn and a plurality of circumferential grooves 52 around the barrel each for accommodating a respective ligating band. The grooves may be defined by ridges 24, 30 on first and second coaxial tubes 20, 22 respectively, the second tube 22 being reciprocal relative to the first tube 20 so that when the second tube 22 advances towards the free end of the barrel its ridges 30 push the bands 18 forwardly so that they ride up over the ridges 24 of the first tube 20 to each lie one groove nearer the free end, the foremost band 18a being pushed off the free end of the first tube onto the tissue. When the second tube 22 retracts away from the free end the bands 18 ride up over the ridges 30 of the second tube to remain in their advanced position.

Abstract: The technology described herein relates to a system for capturing tissue with one or more ligating bands comprising radiopaque material that are removably disposed on a ligating barrel and methods of marking a bodily tissue for treatment using the ligating systems comprising one or more ligating bands comprising radiopaque materials. Also disclosed are methods of non-invasively evaluating the rate of amelioration of a bodily organ comprising capturing the tissue with one or more ligating bands comprising radiopaque materials, observing the location of the bands, and correlating the location of the one or more ligating bands and the rate of amelioration of the bodily organ.

Abstract: An endoscopic assembly for an endoscope is disclosed. The assembly comprises a ligator barrel having proximal and distal portions. The proximal portion has a seat and a receiving wall extending to a proximal end. The receiving wall has a first threaded portion formed thereon. The assembly further comprises a connector for connecting the ligator barrel about the endoscope. The connector has a scope portion and a tip portion. The scope portion has a receiving end through which the endoscope is disposed to engage the seat for connecting the ligator barrel about the endoscope. The tip portion has a second threaded portion formed thereon and are configured to cooperate with the first threaded portion to receive the receiving wall and attach the connector with the ligator barrel. The first and second threaded portions are configured to cooperate with each other to tighten the connection of the ligator barrel about the endoscope as the threads increase surface area contact therebetween.

Abstract: The invention provides a device, assembly, and method for transoral endoscopic restoration of a gastroesophageal flap valve. The invention also provides a self-steering and self-closing tissue fixation device for tissue fixation, and an invaginator device for gripping and maneuvering tissue. The restoration device includes a longitudinal member arranged for transoral placement into a stomach, a tissue shaper carried on the longitudinal member that causes stomach tissue to assume a shape related to a gastroesophageal flap, and a tissue fixation device that maintains the shaped stomach tissue in a shape approximating a gastroesophageal flap. The tissue shaper may include a mold. The device may include the invaginator device for gripping and maneuvering esophageal tissue to aid restoration of the gastroesophageal flap, and may include the tissue fixation device.

Abstract: Methods and apparatus for closing a left atrial appendage are described. The methods rely on introducing a closure tool from a location beneath the rib cage, over an epicardial surface, and to the exterior of the left atrial appendage. The closure device may then be used to close the left atrial appendage, preferably at its base, by any one of a variety of techniques. A specific technique using graspers and a closing loop is illustrated.

Abstract: An easily operated castrating tool that allows placement of an improved continuous elastic band for ligation and removal of an appendage. The present invention includes a tool that allows such bands to be placed in a manner that is significantly more easy to use, and less fatiguing to the parties that utilize the device. The instant invention is also an improved elastic band which allows for better compressive ligation about a body part as well as a simple, but effective, spreading tool that allows for quicker and easier placement of the improved elastic band about a body part to be ligated.

Abstract: A ligating band dispenser for attachment to an endoscope having sliding elements that are positioned on the outer surface of a support structure of the ligating band dispenser. The sliding elements may be slidably engaged to the support structure. For example, the sliding elements may slide along a groove on the outer surface of the support structure. The sliding elements are advanced forward along the groove, causing the sliding elements to impact a ligating band and push the ligating band forward until it is deployed off the dispenser.

Abstract: A ligating instrument is provided, including an elongate member, such as a tube, having a lumen, the elongate member extending from a proximal actuator member to a distal ligating band dispenser. A pull line may extend through the lumen of the elongate member, with a proximal end of the pull line connected to the actuator member and a distal end of the pull line connected to the ligating band dispenser, wherein actuation of the actuator member draws the pull line in a proximal direction through the elongate member to deploy the ligating bands. The ligating band dispenser may be adapted to be mounted on the distal tip of an endoscope, and the elongate member may be adapted to be positioned outside of the endoscope from the ligating band dispenser to the actuator member.

Abstract: A ligation band made up of a linear length of elastomeric material having first and second ends with connection portions adapted to connect with a tensioning mechanism portion of a ligating band application device. When in place upon a ligating band application device, the two ends are connected to the tensioning portion of the ligating band application device and the loop formed by the interconnection of these two ends upon the application device is tensioned by the tensioning member. The loop, once tensioned, can be held in a desired tensioned state around the body part that is to be removed by placing a grommet, clip or other form of holding device around the tensioned loop.

Abstract: A ligature dispenser includes a tubular finger housing with expandable fingers at a distal end. A spreader rod passing through the tubular finger housing causes the expandable fingers to expand a ligature to where ligatures may be repeatedly placed on brackets on the braces in a patient's mouth.

Abstract: A supporting structure for a ligating band dispensing device adapted to be coupled to a distal end of an endoscope comprises a rigid substantially cylindrical, transparent outer support surface adapted to receive a plurality of ligating bands thereon, wherein the support surface includes a distal portion extending from a distal end thereof proximally to a distal-most ligating band receiving area. A channel extends axially through the support surface from the distal end to a proximal end thereof, wherein an abutting surface is formed along at least a portion of a circumference of the channel to define a distal-most point of penetration of an endoscope received therein. A gripping surface extending around at least a portion of a circumference of the proximal end of the channel is sized so that, when an endoscope extends into the proximal end of the channel, the gripping surface frictionally couples the support surface to the endoscope.

Abstract: The present invention provides a ligating band dispenser that is mounted on the distal end of an endoscope. The ligator is configured to deliver multiple ligating bands to a plurality of internal sites in a patient. The ligating bands are carried on a tubular band carrier member that is retractable relative to the distal end of the endoscope in order to preserve visibility through the endoscope during navigation, then extendable to define a suction chamber for tissue aspiration during band delivery. A tubular band driver member is slidable over the band carrier member and engages bands individually to push them off the distal end of the band carrier and onto a selected treatment site. A single-hand operated control handle for selectively operating the extension of the band carrier and movement of the band driver to release a band is also provided and is slidably and removably mounted to the endoscope shaft.

Abstract: A ligation treating apparatus including plurality of ligation rings aligned and held in a cylinder portion which is formed by an inner cylindrical portion and an outer cylindrical portion. A piston member for pushing out the ligation rings is provided in the cylindrical portion. Air introduction means for forcing air into the cylinder portion is also provided. An annular groove for holding the foremost ligation ring is formed at the front end of the inner cylindrical portion. An air discharge port is formed at the bottom of the annular groove. The air discharge port discharges air from the cylinder portion so as to stop the piston member when the ligation ring is moved out of the annular groove.

Abstract: A surgical tool for safely introducing a gastric band into a patient's abdomen is provided. The instrument includes an inner rod slidably and coaxially disposed within a support tube. The inner rod includes a gastric band releasably secured thereon. Distal movement of the inner rod into the support tube exposes said gastric band.

Abstract: An improved distal end for a ligating band dispenser having a transverse groove or ridge profile that promotes rolling of the bands. In one embodiment, the ligating bands and the transverse grooves or ridges are dimensioned such that the width of the bands when stretched on the support surface is substantially the same as the pitch of the transverse grooves or ridges. In another embodiment, the ligating bands and the transverse grooves or ridges are dimensioned such that the width of the bands when stretched on the support surface is less than the pitch of the transverse grooves or ridges. Having the width of the bands when stretched on the support surface be substantially the same as or less than the pitch of the transverse grooves or ridges allows the bands to fit within the grooves, which helps insure that the bands are sufficiently held back by the ridge crests to induce a rolling action.

Abstract: The present invention regards system and apparatus for selectively and accurately deploying one or more sequentially positioned medical appliances from a portable medical device. The apparatus includes a body having a channel, a string passing through the channel, and a mechanism for moving the string a predetermined first distance to deploy a first of the medical appliances and for moving the string a predetermined second distance to deploy a second of the medical appliances. The medical appliances may be, but are not limited to, ligating bands.

Abstract: A hemorrhoidal ligator and anoscope system used to facilitate ligation of internal hemorrhoids. The ligating device consists of head, shaft and firing handle assemblies and is capable of storing and releasing multiple rubber bands singularly. The ligating device comprises an inner cylinder that is removable for disposal or reloading for reuse. The inner cylinder may also be configured with a disposable sleeve, the sleeve being disposable or capable of reloading. A modified loading cone is provided for facilitating loading of the rubber bands onto the inner cylinder or the inner cylinder sleeve 9. The anoscope is configured with three lateral apertures that coincide with the anatomic locations of the internal hemorrhoids in man and thus, simultaneously expose all three hemorrhoids for ligation and grading.

Abstract: A apparatus is disclosed that is adapted for delivery of a multiplicity of pre-loaded ligating bands within patient, such as to treat hemorrhoidal tissue. The apparatus comprises a delivery member that includes a tissue receiving chamber at the distal end that communicates with a passageway that represents part of the main suction pathway that connects with a suction means. The proximal portion of the apparatus includes an actuating mechanism that is operatively connected to one or more band carrier elements, such as strands with bead-like retainers, which receive and urge the ligating bands over the delivery member for deployment. The actuating mechanism and suction actuating interface are configured such that they can be controlled while the operator retains the other hand for another operation, such as to manipulate an anoscope. In one embodiment, the proximal portion includes a pistol-shaped grip portion, while the actuating mechanism comprises a knurled wheel.

Abstract: A surgical device for performing internal ligation of a fallopian tube or other tubular anatomical structure, by application of one or more ligating bands to a folded portion of the wall of the tubular structure. Also the invention includes a method of using the device. The inventive method and device may be used for sterilization to prevent undesired pregnancies, or for other medical applications. The device includes an elongated tubular element that is inserted into the fallopian tube; a grasper that extends out of the tubular element, grasps the interior of the fallopian tube and retracts into the tubular element drawing in a folded bundle of the fallopian tube tissue; and a pusher balloon for pushing a ligating band from the tip of the tubular element onto the tissue bundle.

Abstract: A surgical clip applier includes a train of clips disposed in a plane with a single clip removed from the train of clips and disposed in a staging position. A pair of jaws are adapted to receive the single clip from the staging position by operation of a jaw loader moveable outside the plane of the train of clips. In an associate method, a handle assembly is provided which is moveable in an open stroke and a closed stroke. A source of surgical clips are provided along with a pair of jaws which are adapted to receive one of the clips as the handle assembly is moved in an open stroke, the jaws are open to receive the clip. Following the opening of the jaws, a jaw loader is extended to a position between the jaws to move the clip into the jaws. The handle assembly is moveable in a closed stroke during which the jaws are closed to crimp the clip. Prior to this closing of the jaws, the jaw loader is retracted from the position between the jaws leaving the clip in the jaws.

Abstract: A method of end-to-side anastomosis of blood vessels for connecting a side portion of a first blood vessel to an end portion of a second blood vessel involves holding a first site on the side portion of the first blood vessel using a holder, and partially elevating the side portion of the first blood vessel; superimposing a second site on the side portion of the first blood vessel on the end of the second blood vessel and fixing them with a ring-shaped fixing member to each other; and detaching the holder from the first blood vessel when they are fixed by the fixing member or after they are fixed. The end-to-side blood vessel anastomosis method can readily open the dissected portion on the side of the blood vessel upon end-to-side blood vessel anastomosis and retain it in that state. No foreign matter is present within the blood vessel after completion of the anastomosis.

Abstract: The present invention regards system, method, and apparatus for selectively and accurately deploying one or more sequentially positioned medical appliances from a portable medical device. An apparatus, in accord with one embodiment of the present invention, includes a ligation tip having an internal passage and an outside surface wherein the outside surface has a plurality of sequentially ordered deployable medical appliances in contact with it. The apparatus also includes a body having a channel in communication with the internal passage of the ligation tip, a string passing through the internal passage and the channel, and a means, coupled to the string, for affirmatively verifying that a specific medical appliance, from the plurality of sequentially ordered medical appliances, has been deployed from the ligation tip.

Abstract: An endoscopic ligating apparatus is provided that can be used to dispense multiple ligating bands or rings about several lesions. In one embodiment, a barrel supporting a plurality of bands stretched around its circumference is removably engaged to the insertion end of an endoscope. A trip wire extends through a working channel of the endoscope and includes at least one piece of flexible material extending from the distal end of the barrel and wrapped around the end of the barrel. The ligating bands are situated over the flexible material. As tension is applied to the trip wire by way of an activating mechanism, the flexible material retracts within the barrel so as to draw the ligating bands successively to the end of the barrel.

Abstract: An endoscopic ligating apparatus is provided that can be used to dispense multiple ligating bands or rings about several lesions. In one embodiment, a barrel supporting a plurality of bands stretched around its circumference is removably engaged to the insertion end of an endoscope. A trip wire extends through a working channel of the endoscope and includes a plurality of strands extending from the distal end of the barrel and wrapped around the end of the barrel. The ligating bands are situated over the strands, while the strands are provided with beads disposed adjacent the bands. As tension is applied to the trip wire by way of an activating mechanism, the strands retract within the barrel so that the beads draw the ligating bands successively to the end of the barrel.

Abstract: The present invention regards system, method, and apparatus for selectively and accurately deploying one or more sequentially positioned medical appliances from a portable medical device. An apparatus, in accord with one embodiment of the present invention, includes a ligation tip having an internal passage and an outside surface wherein the outside surface has a plurality of sequentially ordered deployable medical appliances in contact with it. The apparatus also includes a body having a channel in communication with the internal passage of the ligation tip, a string passing through the internal passage and the channel, and an indicator, coupled to the string, for affirmatively verifying that a specific medical appliance, from the plurality of sequentially ordered medical appliances, has been deployed from the ligation tip.

Abstract: An elastic band for ligating tissue within a living body comprises an inner tissue engaging surface which, when in an operative position within the body, surrounds and directly contacts the tissue. At least a portion of the inner tissue engaging surface defines a plurality of discontinuities formed by one of projections and depressions. A method of ligating tissue within a living body using such a ligating band comprises the steps of positioning the elastic band, which has been stretched to increase the size of a central opening extending therethrough, adjacent to a portion of tissue to be ligated. The tissue to be ligated is then drawn through the central opening of the elastic band and the elastic band is released so that the size of the central opening decreases to grip the tissue received therein.

Abstract: A supporting structure for a ligating band dispensing device adapted to be coupled to a distal end of an endoscope comprises a rigid substantially cylindrical, transparent outer support surface adapted to receive a plurality of ligating bands thereon, wherein the support surface includes a distal portion extending from a distal end thereof proximally to a distal-most ligating band receiving area. A channel extends axially through the support surface from the distal end to a proximal end thereof, wherein an abutting surface is formed along at least a portion of a circumference of the channel to define a distal-most point of penetration of an endoscope received therein. A gripping surface extending around at least a portion of a circumference of the proximal end of the channel is sized so that, when an endoscope extends into the proximal end of the channel, the gripping surface frictionally couples the support surface to the endoscope.

Abstract: An activating mechanism for activating an endoscopic ligator is disclosed. The activating mechanism includes a mounting member, a spool, and a line. The mounting member has a passage and is adapted to be inserted into an endoscope channel. The spool is coupled to the mounting member and the line is coupled to the spool and extends through the passage of the mounting member and into the endoscope. Also disclosed is an activating mechanism with a mounting member coupled to a spool. The mounting member has a longitudinal axis for insertion into an endoscope channel, and the spool has an axis substantially perpendicular to the axis of the mounting member. Each device can be operated by rotating the spool to pull a line that is in turn operable coupled to an endoscopic ligator.

Abstract: A ring applicator for applying elastic rings to anatomical tissue during surgical procedures includes an inner member with a forceps movably disposed within a middle tubular member having a distal end configured to hold a plurality of elastic rings in an expanded state and a proximal end with a plurality of longitudinally spaced steps. The middle tubular member is movably disposed in an outer tubular member, and an adjustable stop mechanism is mounted on the proximal end of the outer tubular member to limit axial movement of the outer tubular member relative to the middle tubular member to select which rings are to be ejected. A distal handle is connected with the inner member via slots in the outer and middle tubular members, and a proximal handle is pivotally connected to the middle tubular member via a slot in the outer tubular member.

Abstract: An elastic band for ligating tissue within a living body comprises an inner tissue engaging surface which, when in an operative position within the body, surrounds and directly contacts the tissue. At least a portion of the inner tissue engaging surface defines a plurality of discontinuities formed by one of projections and depressions. A method of ligating tissue within a living body using such a ligating band comprises the steps of positioning the elastic band, which has been stretched to increase the size of a central opening extending therethrough, adjacent to a portion of tissue to be ligated. The tissue to be ligated is then drawn through the central opening of the elastic band and the elastic band is released so that the size of the central opening decreases to grip the tissue received therein.

Abstract: An apparatus including a serrated cone for interoperation with a loader. The cone includes a conical ramp portion, a cylindrical base portion, and at least one fin slot. The ramp portion defines a cone ramp surface and has a large diameter end and a small diameter end. The base portion extends longitudinally from the large diameter end of the ramp portion and has a radially outer surface. The fin slot is defined in the cone ramp surface and the radially outer surface of the base portion. The loader includes a plunger and a glider. The plunger has a fin for urging the elastomeric band along the ramp portion. The glider has a surface for engaging the elastomeric band and urging the elastomeric band over the base portion. The glider is moveably related to the plunger.

Abstract: A fluid circuit connects a pressure applying portion (17, 20) and a distal device (1) to charge fluid into the distal device (1). The fluid circuit includes a controller (10, 11) to control the movement of ligating rings (13). The controller (10, 11) senses a pressure drop in the distal device (1) when one or a plural number of the ligating rings (13) are separated from the distal device (1). The movement of the ligating rings (13) is stopped in accordance with the pressure drop so that at least two or more of the ligating rings can be separated at a time. Accordingly, ligation of esophageal varices and internal hemorrhoids can be performed successively.

Abstract: An endoscopic ligation kit including an inner cylinder, an outer cylinder having at least two step portions of diminishing outer radii formed on the outer periphery of its distal end portion, and a slide cylinder provided between the inner cylinder and the outer cylinder. The outer cylinder has a notch extending from its distal end portion to its maximum outer diameter portion. The slide cylinder has at its distal end portion a projection which conforms in size to the notch, and has steps and the projection is fitted in the notch. O-rings are mounted respectively on the outer periphery of the distal end portion of the inner cylinder and the step portions of the outer cylinder.

Abstract: A ligating band dispenser capable of retraction during movement and exploration to offer an improved field of view for an image sensing device of a hosting endoscope as well as extension to facilitate a conventional ligating procedure.

Abstract: An improved elastic band for ligating tissue within a living body comprises a central opening defining an axis. A first curved edge is formed between a first surface extending substantially parallel to the axis and a second surface extending substantially perpendicular to the axis. A method of ligating tissue within a living body using such a ligating band comprises the steps of positioning the elastic band, which has been stretched to increase the size of a central opening extending therethrough, adjacent to a portion of tissue to be ligated. The tissue to be ligated is then drawn through the central opening of the elastic band and the elastic band is released so that the size of the central opening decreases to grip the tissue received therein.

Abstract: The present invention is directed to a plug for insertion into a distal end of a ligating unit including an aspiration cylinder coupled to a distal end of an endoscope. The plug comprises a mounting portion sized to fit within an opening formed in a distal end of the aspiration cylinder and a protruding portion extending away from the mounting portion to project distally from the aspiration cylinder when the insertion plug is mounted in the aspiration cylinder.

Abstract: A ligating band dispenser includes a cylindrical inner sleeve and at least a partially encompassing balloon, where the inner sleeve supports one or more expanded ligating bands external to the balloon. This ligating band dispenser allows the introduction of a pressurized fluid between the inner sleeve and the balloon, proximal to a distal-most, stored ligating band, to effect the distal displacement and dispensing of one or more stored ligating bands.

Abstract: A surgical loop delivery device is disclosed in parent disclosures Ser. No. 09/071,811 and U.S. Pat. No. 5,766,217. This device is improved to permit tissue targets larger than the device to be ligated while also maintaining a clear sight path between the surgeon and the target. The surgical loop is also stable during the procedure.

Abstract: An endoscopic ligating apparatus is provided that can be used percutaneuously to dispense multiple ligating bands or rings about several lesions. In one embodiment, a barrel supporting a plurality of bands stretched around its circumference is removably engaged to the insertion end of an endoscope. A trip wire extends through a working channel of the endoscope and includes a plurality of strands extending from the distal end of the barrel and wrapped around the end of the barrel. The ligating bands are situated over the strands, while the strands are provided with beads disposed adjacent the bands. As tension is applied to the trip wire by way of an activating mechanism, the strands retract within the barrel so that the beads draw the ligating bands successively to the end of the barrel. In one embodiment, the activating mechanism includes a mounting component that stably mounts the mechanism to a variety of endoscopes.

Abstract: A ligating band dispenser has a first sleeve, to store one or more ligating bands, and a second member, which at least partially extends about and is movable relative to the first sleeve. The second sleeve is capable of engaging and moving a distal-most ligating band positioned on the first sleeve from an initial storage position to a dispensing position, irrespective of other ligating bands which may be stored thereon.

Abstract: A hydraulically multiple ligating band dispenser comprising a body whose distal portion is adapted to support the elastic ligating bands. A tissue contacting surface is disposed surrounding and spaced from the distal portion so as to define a chamber. A seal slidably mounted on the distal potion is shaped to seal the chamber, to which a proximally situated fluid inlet is coupled. By these means pressurized fluid applied to the fluid inlet causes the seal to slide in a distal direction along the distal portion in order to urge the ligating bands distally and to dispense them serially.