Abstract: A coring tool for creating a hole in a body vessel or hollow organ. The coring tool includes an expandable anvil against which the cutter can be advanced following passage of the collapsed anvil through the tissue to be excised and subsequent expansion of the anvil.

Abstract: Devices and methods for creating holes in the articular process of the vertebra are provided. One embodiment of the invention comprises a drill head comprising a frame, punch arm with punch tip and opposing plate. Methods of using the resulting holes to anchor or stabilize facet joint prosthesis, and also altering the spacing and motion at the facet joints of the vertebral column, are provided.

Abstract: A dermal punch for extracting skin or tissue samples. The dermal punch has a blade having a pair of walls. Each wall is convex and opens towards each other. The walls are connected to each other at a pair of mating edges. Each wall has a cutting edge. In a preferred embodiment, the ratio of the minor axis to the major axis of the opening created by the walls is between 1 to 3 and 1 to 4, wherein the major axis extends through the mating edges. The cutting edge is formed of a plurality of teeth and the teeth have a sawtooth shape. The cutting edge has a projecting edge for each wall, and the projecting edge is concave. The cutting length is greater than twice the length of the projecting edge.

Abstract: A device for punching out tissue areas from bone has a blade whose circumferential cutting edge corresponds to the contour of a tissue area that is to be punched out. The blade is composed of a plurality of blade segments that are each movable in an axial direction counter to the force of a spring.

Abstract: A device for increasing movement of a tooth in a jaw includes a handle, an elongate member extending from the handle, a screw tip at a distal end of the elongate member, and a sleeve. The screw tip is configured to drill into cortical bone of the jaw to increase movement of the tooth. The sleeve is configured to move along the elongate member to vary the length of exposed screw tip.

Abstract: The invention concerns a test device, in particular for blood sugar tests, comprising a lancing element which is provided with a lancing component for producing a skin puncture, and a protecting element shielding the lancing element at least in the area of the lancing component. According to the invention it is proposed that the lancing element has a collecting structure for collecting body fluid from the skin puncture and that the protecting element comprises a protecting foil to cover the collecting structure and a holding body for holding the protecting foil on the lancing element.

Abstract: Methods and apparatus provide for modifying a patient's femur to receive a patellofemoral prosthesis, including: a distal punch, an anterior punch and a trochlear punch which are used in well defined orientations to remove material from the femur to accommodate complex geometries of a patellofemoral prosthesis; and optionally a guide operating to engage a distal end of the femur, the guide including a distal slot, an anterior slot and a transverse slot, which ensure that the punches achieve the desired orientations.

Abstract: A dicing device dices tissue harvested from a patient. The dicing device comprises a grid cutting element and a tray to receive diced tissue. The dicing device may be integrated into an otherwise conventional biopsy device. The diced tissue specimens may be further processed, such as by being introduced into a self-expanding fistula plug creation and delivery system. The self-expanding fistula plug creation and delivery system comprises a sheet and a reinforcement tube. A scaffold material may be placed in the sheet, which may then be folded and reinforced, with the scaffold material being compressed in the sheet. The scaffold material may then be pushed into a catheter end. The catheter end may be inserted in a fistula. The scaffold material may then be flushed with a cell matrix that is based on the diced tissue to create a fistula plug, which may be left in the fistula.

Abstract: A safety device for shielding a sharp tip of a tubular needle includes a shaft sized and shaped for being received into the passage of the tubular needle through a first end of the passage and extending to a second end of the passage. A shield is associated with the shaft and is constructed for receiving and substantially shielding the sharp tip of the needle. A catch is associated with the shaft. The catch prevents the withdrawal of the shaft from the passage of the needle when the shield is shielding the sharp tip of the needle.

Abstract: This invention is a transvascularly placed punch, further including internal steerability and the ability to articulate in a direction at right angles to its longitudinal axis at or near its distal end. The punch is generally fabricated from stainless steel and includes an outer tube, an intermediate tube, a central stylet, hub structures, and a distal articulating region. The punch can be advanced through a body lumen in its straight configuration and then be selectively articulated or curved to permit negotiation of tortuous curvature or to permit optimal approach or access to a puncture site. The punch is able to create holes in the atrial septum of the heart or other structures and is easier to use than punches that are pre-curved near their distal tip since it is easier to advance through accessory catheters.

Abstract: An aortic punch including a handle mechanism and punch cartridge for interchangeability of a variety of cartridges with a common handle.

Abstract: This invention provides a needle for a living body and a process for sampling a tissue with the needle. The needle and the process are used for harvesting a tissue sample from a living body with minimal damage. The needle is made of ceramics, and is provided with a sampling hole for aspirating a sample and with a cooling hole for supplying cooling gas. The holes penetrate through in the longitudinal direction, and have openings on a pricking-end surface of the needle. For the purpose of cutting off the tissue sample, the pricking-end surface is provided with a cutting part positioned between the openings. When the needle is pricked into a body, a tissue is aspirated through the sampling hole while cooling gas is being supplied through the cooling hole. Thus, the tissue is partly frozen or semi-frozen and cut off with the cutting part to harvest by aspiration.

Abstract: Apparatus and methods for forming pilot holes in bone and deploying a staple therein for fixing a sheet-like implant to the bone. A pilot hole forming trocar assembly including a trocar and a position retention sleeve can be included. The trocar can be releasably coupled to the position retention sleeve and slide in keyed arrangement within the sleeve when uncoupled. The trocar can include a distal portion having a retractable blade and a pair of pilot hole forming spikes extending distally from the trocar shaft. Once the pilot holes are formed, the position retention sleeve maintains the position relative to the pilot holes while the trocar is removed and a staple delivery device can be inserted in the lumen of the position retention sleeve to deploy a staple in the pilot holes.

Abstract: The present invention provides an improved arterialized earlobe blood collection device, and an improved process for blood analysis. The device and the process of the invention can be used in many unsual and/or risky situations, including collecting arterialized blood in space missions under microgravity environment and within ambulances or the like. The process of the present invention enables easier and faster blood analysis, since the blood collector device of the invention is coupled with an analyzing apparatus so as no blood or needle manipulation is required.

Abstract: Tools and methods are provided for removing biological units from a body surface utilizing a removal tool. The tool is of a concentric tube configuration comprising first and second elongated bodies, in which the second elongated body can be retracted into the first elongated body. The tool may incorporate retention members and mechanisms configured to impede movement of the biological unit in the direction of a distal end of the tool and to improve retention of the biological unit in the tool. Distal fluid or gas delivery may supplement a vacuum in a luminal space to help extract biological units from surrounding tissue.

Abstract: A bone biopsy device includes an outer cannula having a mouth with a cutting edge to section a frustule of spongy bone, a plate mounted slidably within the cannula and provided with a semi-cylindrical portion at its distal end, and a stylet mounted slidably within the plate and provided with a pointed tip which protrudes from the mouth of the cannula to pierce the compact part of the bone. The mouth of the cannula has on its inside a narrowing and the semi-cylindrical part of the plate has at its distal end at least one pair of opposed circumferential sets of teeth adapted to bend radially inwards when they encounter the narrowing of the mouth, to clasp the base of the sectioned frustule and allow extraction of the frustule by the plate while the cannula is kept at the operating site, allowing aspiration of marrow after the frustule has been removed.

Abstract: A safety device for shielding a sharp tip of a tubular needle includes a shaft sized and shaped for being received into the passage of the tubular needle through a first end of the passage and extending to a second end of the passage. A shield is associated with the shaft and is constructed for receiving and substantially shielding the sharp tip of the needle. A catch is associated with the shaft. The catch prevents the withdrawal of the shaft from the passage of the needle when the shield is shielding the sharp tip of the needle.

Abstract: A surgical instrument is provided with a gripping part arranged in a stationary manner on a tubular guide housing having a guide hole and with an actuating lever, which is pivotably mounted thereon and which is in functional connection via a lever arm with a plunger. The plunger is axially shiftable in a mounting housing, via which a tool can be actuated. The plunger has, in its end area located adjacent to the lever arm, a circumferential, radially expanded pushbutton, via which the plunger is guided axially adjustably against the spring force of an axial compression spring in the guide hole of the guide housing. The mounting housing is provided with a ring shoulder for axial fixation in the guide hole of the guide housing.

Abstract: A surgical procedure according to which a cutting device is connected in a spaced relationship to an anchor, and the anchor is located over a first area of the bone. The distance between the cutting device and the anchor is adjusted so that the cutting device extends over a second area of the bone, and the anchor is driven into the first area of the bone so that the cutting device cuts into the second area.

Abstract: A biopsy device for excising tissue from skin and hair comprising a syringe for numbing the area to be excised coupled to a sleeve mounted on the exterior of the syringe with a blade attached to the distal edge of the sleeve. The sleeve is manually slidable from an extended position where the needle is retracted within to a retracted position where the needle is exposed.

Abstract: A surgical punch has a cartridge for collecting the resected chips cut off in successive punch cuts. The cartridge is a replaceable disposable commodity. The cartridge consists of a casing and a tooth rail which is guided longitudinally displaceable relative to the casing. Once the cartridge is inserted, the casing is fixed on the upper part of the punch, while the tooth rail is fixed on the lower part of the punch. A transport serration is formed in the casing. The tooth rail has a retaining serration. During the opening and closing movement of the punch, the transport serration and the retaining serration interact as transport mechanism which displaces the cut off resected chips in the cartridge in the proximal direction.

Abstract: Technologies are generally described for a punch tool and method of use. In an example, the punch tool may include a malleable shaft and a finger grip body configured to encompass at least part of a shaft of a finger button. The finger grip body may be connected to a first end of the malleable shaft. The malleable shaft may be adjustable to a particular conformation and to maintain the particular conformation during use of the punch tool. A second end of the malleable shaft may be connected to an anvil. The shaft of the finger button may be connected to a first end of a flexible body member. The flexible body member may be adapted to move over the malleable shaft, the movement conforming to the particular conformation of the malleable shaft. A cutter may be operatively connected to a second end of the flexible body member.

Abstract: A blood glucose sampling device is provided. The blood glucose sampling device includes a sensor cartridge having a plurality of blades oriented in a common direction of rotation about a central point. Each blade includes a test strip having a test region defined radially from the central point at a proximal end and a capillary aligned with a distal end of the test region and extending to an outer edge of the blade. Each blade also includes a cleaning element positioned adjacent to the test strip. A lancet is affixed to a lancet cartridge and aligned with the capillary formed in the test strip. A housing removably encloses the cartridges and includes an outer grip that surrounds a circumference of the housing and is shaped to fit between a thumb and finger. A test passage formed in the outer grip through which the test strip and lancet are positioned.

Abstract: Devices with enhanced visualization in ultrasound imaging are provided.

Abstract: A method and apparatus for remotely cannulating a body part are disclosed. The apparatus is an endoscopic cannulation apparatus having a fluid stasis assembly and a coring assembly. The fluid stasis assembly allows for the penetration of the body part and deployment of an occlusive device to prevent the escape of fluid during the coring and cannulation of the body part. The cannulation assembly allows for the coring of the body part without the introduction of air bubbles or other embolic materials into the patient. The method of the invention provides for the remote coring and cannulation of a body part such as a heart, blood vessels, the stomach, intestines, and other body parts with a sealed apparatus that may be de-aired to lessen the risk of the introduction of emboli into a system.

Abstract: An biopsy apparatus includes a pressure and vacuum generator including a first cylinder and a first piston movably disposed within the cylinder. The cylinder has a pressure generating region and a vacuum generating region. The biopsy apparatus also includes an outer cannula and an inner cannula having a lumen. The inner cannula is movably disposed within the outer cannula, and the vacuum generating region is in one-way fluid communication with the inner cannula lumen.

Abstract: A dermal punch for extracting skin or tissue samples. The dermal punch has a blade having a pair of walls. Each wall is convex and opens towards each other. The walls are connected to each other at a pair of mating edges. Each wall has a cutting edge. In a preferred embodiment, the ratio of the minor axis to the major axis of the opening created by the walls is between 1 to 3 and 1 to 4, wherein the major axis extends through the mating edges. The cutting edge is formed of a plurality of teeth and the teeth have a sawtooth shape. The cutting edge has a projecting edge for each wall, and the projecting edge is concave. The cutting length is greater than twice the length of the projecting edge.

Abstract: A tissue repair device. The tissue repair device includes a tubular shaft having a longitudinal bore for delivering biological material to a soft tissue defect, and an awl having a distal end configured for microfracturing bone underlying the defect. The tubular shaft and the awl are movable relative to one another such that the awl is at least partially positioned within the longitudinal bore of the tubular shaft.

Abstract: An apparatus and method for connecting a first conduit to the heart without the need for cardiopulmonary bypass. The first conduit may then be attached to a second conduit that has a prosthetic device interposed. The second conduit may then be connected to the aorta. The prosthetic device may be a prosthetic valve or a pump, for example. The apparatus of the present invention includes an implantable connector with first conduit component, a retractor expansion component, a coring component, and a pushing component. The retractor expansion component is slide-ably coupled to the coring component. The retractor expansion component serves to seat against and separate the inside apical wall of the left ventricle so that the coring component may cut cleanly through the myocardium to form a tissue plug without leaving any hanging attachments to the inside walls. By remaining seated against the inside wall, the retractor expansion component follows the tissue plug into the coring component.

Abstract: Medical instrument serves to punch out tissue. It has a shaft, a first cap-shaped tool arranged at a distal end of said shaft and having a circular cutting edge. A second tool has a circular cutting edge at a distal end thereof. Said first and said second tool can be shifted relative to one another along said shaft thereby that second tool can enter into the cavity of that first tool. Said second tool bears a plate-like element, distally spaced apart from its cutting edge, said plate-like element has an extension in a cross-section plane corresponding to a clear internal cross-section plane of said cavity.

Abstract: Provided herein is an instrument and method useful to incise in to the skin to a precise depth and at a specific angle with respect to the surface of the skin of a patient, for the extraction of individual follicular groups or individual follicular units. An instrument according to the invention precisely limits the depth of incision, and creates a circular incision around a hair, follicular unit, or follicular cluster in a manner such that no damage occurs to any of the hair shafts.

Abstract: In one preferred aspect, a surgical instrument for insertion into human tissue is provided with a release mechanism that permits one or more components of the surgical instrument to be removably coupled to a handle.

Abstract: A lancing device is used with a lancet for lancing body tissue to result in a wound for bleeding. The lancing device has a cantilevered priming arm having a first arm portion that is generally parallel to an internal channel of the device and a second arm portion that is generally perpendicular to the internal channel. The second arm portion is connected to a lancet carrier and movement of the first arm portion toward the internal channel draws the lancet carrier to a primed position and stores energy in a lancet driver.

Abstract: The present invention relates to a device for separating a tissue part from brain material, the device comprising a circular blade which continues as the wall of a cylindrical or substantially cylindrical hollow body, at the end of which a grid is arranged perpendicular to the cylinder axis. The invention further relates to the use of the device in a method for separating a tissue part from brain material and to a kit containing one or more devices according to the invention.

Abstract: A multi-part tool assembly for harvesting and implanting follicular units, comprising an outer cannula having an open, tissue-piercing distal end, and an inner cannula coaxially positioned in a lumen of the first cannula, the second cannula having an open, tissue-coring distal end sized to engage and retain single hair follicular units. An obturator may be positioned in the lumen of the second cannula, wherein at least one of the first cannula, second cannula, and obturator are movable relative to the other ones.

Abstract: Tools and methods are provided for removing biological units from a body surface utilizing a removal tool. The tool is of a concentric tube configuration comprising first and second elongated bodies, in which the second elongated body can be retracted into the first elongated body. The tool may incorporate retention members and mechanisms configured to impede movement of the biological unit in the direction of a distal end of the tool and to improve retention of the biological unit in the tool. Distal fluid or gas delivery may supplement a vacuum in a luminal space to help extract biological units from surrounding tissue.

Abstract: Compression plate apparatus enables vessels to be joined together in various anastomosis configurations. The compression plates are guided to each other in a parallel orientation by guides. The compression plate apparatus may be utilized with an intraluminally directed anvil apparatus or an externally positioned anvil apparatus. One of the compression plates assists in the eversion of the anastomosis fenestra contour. One of the compression plates enables a graft vessel to be pre-everted so that the anastomosis fenestra contours are everted. The apparatus provides a structure that enables the vessels to be joined without being penetrated.

Abstract: In order to improve a sliding shaft for a surgical sliding shaft instrument, wherein the sliding shaft defines a longitudinal direction and comprises a first shaft part and a second shaft part which are arranged such that they are displaceable relative to each other, wherein said first shaft part carries a first tool element and said second shaft part carries a second tool element, wherein the second shaft part has a cut material collector with an inlet opening which is bounded by the second tool part and extends therefrom in the proximal direction, such that the cut material collector can be emptied in a simple and rapid manner, it is proposed that the cut material collector should have at least one emptying opening which is formed on the proximal side of the inlet opening and that the at least one emptying opening should be open in a lateral emptying direction which is oriented perpendicularly or substantially perpendicularly with respect to the longitudinal direction and parallel or substantially parallel

Abstract: In order to improve a sliding shaft for a surgical sliding shaft instrument, wherein the sliding shaft comprises a first shaft part and a second shaft part which are arranged such as to be displaceable relative to each other and also a guidance device for guiding a movement of the second shaft part relative to the first shaft part, wherein said first shaft part carries a first tool element and said second shaft part carries a second tool element, wherein said first and second tool elements cooperate and/or abut each other in a working position and are spaced from each other in a position that is deflected from the working position or are spaced further from each other than in the working position, wherein the guidance device comprises at least one first guide element which is arranged on the first shaft part and at least one second guide element which cooperates with the at least one first guide element and is arranged on the second shaft part, wherein said guide elements interlock in shape-fitting manner for

Abstract: An optical penetrating adapter for mounting to a surgical portal to permit visualization through the surgical portal includes an adapter member defining a longitudinal axis and having a transparent window adapted to penetrate tissue and to permit visualization therethrough and means for coupling the adapter member to the surgical portal. The transparent window may have various shapes and configurations adapted to penetrate, dissect, resect or separate tissue in a non traumatic manner. Alternatively, the transparent window may incorporate structure such as cutting edges blades, points, etc to pierce, cut or incise tissue.

Abstract: Surgical punch tools remove a waste portion of tissue from a main portion and subdivide the waste portion into two or more smaller debris portions. The tools may also grasp the waste portion or eject the debris from the tool.

Abstract: A surgical device for tissue perforation (1) includes a perforation member (2), characterized in that it includes a stop (4) that presses on the outer surface of tissue (1) and is mobile relative to the perforation member, and reaction elements (3) configured to resist the movement of the stop (4) relative to the perforation member (2). The device will be used for the perforation of all types of tissue and especially bone tissues during which the withdrawal of the perforation member from the tissue is difficult.

Abstract: The present invention relates to new and useful apparatus, systems and methods for providing an effective tool for intraluminally directed vascular anastomosis of a graft vessel to a receiving blood vessel that is performed according to a minimally invasive procedure. The intraluminally directed vascular anastomosis does not require the interruption of blood flow in the receiving blood vessel and it is versatile enough to suitably combine a variety of cutting, welding, soldering, sealing, and joining techniques. The intraluminally directed anvil apparatus comprises an anvil and a wire used for signaling the optimal anastomosis site; this signaling can be performed when the initial exploration is performed. An anastomosis device is used in conjunction with the intraluminally directed anvil apparatus for opening the anastomosis fenestra and joining the anastomosed structures.

Abstract: Access to the left side of the heart is gained through a heart wall. A delivery instrument includes a guide that may include or carry a puncturing instrument that is adapted to be directed toward the heart wall. In some embodiments a distal portion of the delivery instrument may be adapted to be co-located with the coronary sinus. In addition, the guide may be located a known distance from the portion of the delivery instrument that is co-located with the coronary sinus. Access to the left side of the heart may thus be readily gained by positioning the delivery instrument relative to the coronary sinus.

Abstract: The invention relates to a punching tool for taking a biological sample from a filter using punching, the punching tool comprising a punch and a die provided with a punching channel for conveying the sample from the upper surface of the die towards the lower end of the die that includes a guidance means of the sample comprising a guidance channel arranged as an extension of the punching channel for receiving the sample from the punching channel, the diameter of the guidance channel is 1.02 to 2× the diameter of the punch and is greater than the diameter of the punching channel, and at the connecting point with the punching channel the guidance channel forms a shoulder and broadens towards the free end of the guidance means.

Abstract: A seal assembly for permitting hand assisted laparoscopic procedures is disclosed. The seal assembly includes a seal cap having a seal positioned within a housing. The housing includes a lower seal ring having a track which supports an upper seal ring for relative rotational motion. The seal is supported between the upper seal ring and the lower seal ring for rotation between an open orientation and a closed orientation. A ratchet mechanism is provided for controlling motion of the upper seal ring relative to the lower seal ring. The ratchet mechanism includes a deflection feature and a series of gear teeth, wherein the series of gear teeth are oriented to engage the deflection feature.

Abstract: Compression plate apparatus enables vessels to be joined together in various anastomosis configurations. The compression plates are guided to each other in a parallel orientation by guides. The compression plate apparatus may be utilized with an intraluminally directed anvil apparatus or an externally positioned anvil apparatus. One of the compression plates assists in the eversion of the anastomosis fenestra contour. One of the compression plates enables a graft vessel to be pre-everted so that the anastomosis fenestra contours are everted. The apparatus provides a structure that enables the vessels to be joined without being penetrated.

Abstract: An analytical aid including a base, a lancet and a test element. The lancet includes a lancet point and a distal end of the lancet can be attached to the base. At least the lancet point is located in a recess in the base and the recess can be closed by a cover as long as the analytical aid is in an unused state. The base includes a predetermined breaking point or position, at which the base is broken into two segments when stress is applied. The predetermined breaking point is arranged such that the lancet point is exposed for use when the base breaks at the predetermined breaking point. A test element is attached to the base.

Abstract: A device for trimming an osteochondral plug graft to an implantable configuration includes a blade assembly terminating in a configured leading cutting blade and a plug grail housing comprising a substantially longitudinal holding sleeve having a bore and oriented complementarily to the longitudinal structure of the blade assembly to receive the longitudinal structure within the sleeve bore with the assembly cutting blade in close tolerance along an inner bore surface of the longitudinal housing structure.

Abstract: Lancet device including a first housing. A first guide wall is disposed within the first housing. The first guide wall includes an opening. A cap removably mounted to the first housing. A needle holding member for holding a lancet. At least a portion of the needle holding member being able to move within the opening. A first spring for biasing the needle holding member toward an extended position. The first spring surrounding a portion of the needle holding member and being disposed between the first guide wall and a shoulder of the needle holding member. A movable trigger having a first position and a second position. A movable second housing including a proximal end, a distal end and a second guide wall arranged at the proximal end. The second guide wall including an opening. A portion of the needle holding member being able to move within the opening of the second guide wall.