Abstract: A method of preparing a filter for delivery into a body vessel. The filter includes a hub disposed along a longitudinal axis and a plurality of anchor members extending from the hub. Each anchor member includes either a cranial extension or a caudal extension at a distal end thereof. At least one anchor member distal end may be spaced from the hub at each of a first, second, and third distance along the longitudinal axis. The filter also includes a plurality of locator members extending from the hub, the locator members alternatingly interposed between the anchor members.

Abstract: A guidewire comprising a hydrophilic surface coating encasing a core and a metal coil along a longitudinal length of the hydrophilic surface coating to form a distal closed tip, the metal coil circumscribing the core along a predetermined length, the core extending longitudinally beyond the metal coil in both a proximal direction and a distal direction, wherein a proximal section of the guidewire includes a hydrophobic surface coating.

Abstract: An implantable prosthesis and a method of attaching the prosthesis to a tissue structure disclosed. The prosthesis includes a body having a first side arranged to face the tissue structure having a defect and second side opposite the first side. One or more adhesive-filled pods are disposed on the first side of the body and selectively openable to supply an adhesive in between the tissue structure and the first side of the prosthesis body after the prosthesis body is positioned relative to the defect. The pods may be pierced, punctured, broken, and/or ruptured to supply the adhesive. A deployment device having a piercer may be used to puncture the pods.

Abstract: Embodiments disclosed herein are directed to a dynamic response drainage and occlusion system configured to drain a fluid from a patient. The drainage system includes an input airflow device to provide airflow into the drainage lumen, a pressure sensor to measure pressure within the drainage tube, and an output airflow device to provide airflow out of the drainage tube. A controller including control logic configured to acquire pressure data from the pressure sensor, determine a running pressure rate-of-change from the acquired pressure data, compare the running pressure rate-of-change with a pressure rate-of-change defined by the control logic, and adjust an operating characteristic of at least one of the input airflow device and the output airflow device to move the running pressure rate-of-change toward the pressure rate-of-change defined by the control logic. The system further includes catheter occlusions systems to automatically protect the patient from pressure spikes within the system.

Abstract: A deployment device for positioning a soft tissue repair prosthesis includes a self-expanding support body releasably attachable to the prosthesis. The support body may be removably insertable into a pocket of the prosthesis. A handle coupled to the support body facilitates positioning the patch and/or removal of the support body from the pocket. The support body may substantially occupy the pocket in an expanded configuration. The handle may be arranged to direct a pulling force to the outer peripheral edge of the support body and/or cause a portion thereof to be pulled downward and below the body during withdrawal of the deployment device from the prosthesis. The support body may include support segments pivotally coupled together and foldable to collapse the support body for insertion into and removal from the pocket. One or more resilient support members may be provided for collapsing and expanding the support body and the prosthesis.

Abstract: Disclosed herein is a system, apparatus and method directed to automated adjustment of a positioning of a drainage bag based on at least an amount of tension within a tubing extending from the drainage bag. The system, apparatus and method pertain to an automated drainage bag actuation system that includes at least a first railing, a control box coupled to the first railing and configured to receive mounting fasteners that couple a drainage bag to the control box, the control box including a tension load cell sensor, a first motor, and circuitry electrically coupled to the first motor and the tension load cell sensor. The circuitry is configured to receive data from the tension load cell sensor indicating an amount of tension in tubing extending from the drainage bag and transmit one or more electrical signals to activate the first motor causing adjustment of a positioning of the drainage bag.

Abstract: An adjustable vascular graft with a user-customizable reduced inner diameter is provided. The graft includes a flexible tubular body having open ends and a plurality of receivers in a sidewall thereof, which may be arranged in two circumferentially spaced rows of receivers. The receivers may take the form of ringlets, eyelets, loops, or holes, which may be provided in a reinforced region of the graft sidewall, and which may be radiopaque. A suture passes through the plurality of receivers, the suture having first and second free ends capable of being pulled, and which suture may also be radiopaque. Tensioning or tightening the first and second ends of the suture reduces an inner diameter of the corresponding portion of the tubular body of the graft, thereby allowing for the custom reduced inner diameter and a resulting flow restriction to be provided. Related methods are also disclosed.

Abstract: Surgical instruments and their methods of use are described. In one embodiment, a surgical instrument includes a power transmission including a trigger and a fastener driver operatively coupled to the trigger. Actuation of the trigger from a first configuration to a second configuration moves the fastener driver between at least a first position and a second position. Additionally, an actuation lockout system operatively associated with the power transmission is moveable between a locked configuration and an unlocked configuration. The actuation lockout system prevents movement of the fastener driver from the first position to the second position when the actuation lockout system is in the locked configuration. Actuation of the trigger from the first configuration towards the second configuration moves the actuation lockout system from the locked configuration to the unlocked configuration.

Abstract: A stent delivery system includes an inner tubular member, a stent disposed over a distal section of the inner tubular member, a locking member positioned over the inner tubular member proximal of the stent, and an outer tubular member covering the stent and the locking member in a delivery configuration. A portion of the stent can be positioned in the locking member in the delivery configuration. The locking member can include a tubular proximal section, and a plurality of fingers extending distally from the tubular proximal section. The plurality of fingers can include a first finger and a second finger. The plurality of fingers can have a locked configuration with each of the first finger and the second finger parallel to a longitudinal axis, and an unlocked configuration with one of the first finger and/or the second finger forming an angle with respect to the longitudinal axis.

Abstract: A surgical fastener and a related deployment device as well as their methods of use are disclosed. In one embodiment, the deployment device includes one or more surgical fasteners including a head and a distally extending coil body attached to the head. The head includes a through hole with an internal thread. The deployment device also includes a mandrel including a threaded portion located at a distal end of the mandrel. The threaded portion is engaged with the internal thread of the one or more surgical fasteners. A rotator is associated with the one or more surgical fasteners such that the rotator can selectively rotate the one or more surgical fasteners relative to the mandrel to displace the one or more surgical fasteners in a distal direction.

Abstract: Embodiments disclosed herein are directed to apparatus and methods for a fluid collection system and automated fluid flow monitoring. The system can include a collection container, and a detection device coupled to an outside surface thereof and configured to detect a volume of fluid disposed therein. The detection device can be coupled to the collection container without having to compromise the integrity of the closed fluid collection system or re-catheterizing the patient. The detection device can be configured to detect an inversion event, tilt event, and the like to determine a flow rate of fluid into the container. The detection device can be communicatively coupled with external computing devices to alert a clinician when the container is nearing capacity and when it has been emptied.

Abstract: A subcutaneous tunneling device includes a shaft having a bend, a catheter connector extending from a distal end of the shaft distal of the bend, and a sleeve. The catheter connector can include a body having a gripping portion, and a barbed extension distal of the body configured for insertion into a lumen of a catheter. The sleeve is slidably mounted on the shaft, and has a retracted position exposing the catheter connector to permit a distal end of a catheter to be coupled thereto, and an extended position covering the catheter connector and the distal end of the catheter.

Abstract: A case for a catheter system is disclosed, the case including a case body including a first side coupled to a second side. The case can include padding with a plurality of cavities to receive components of the catheter system and a strap to secure components of the catheter system to an interior of the case body. The case can further include one or more clips affixed to an interior wall of the first side or the second side of the case body. The one or more clips can be configured to secure additional catheter tubing or an external catheter to the interior wall of case body.

Abstract: Medical devices are described including a plurality of expandable members to open a vascular lumen while maintaining blood flow during expansion. The device includes a plurality of exterior members (114) that are inflatable or expandable. The device may also include, but does not require, an inner member (110) to further radially expand or circumferentially separate the exterior members.

Abstract: Medical device kits for use in placing, maintaining, altering, and/or removing medical devices in, on, and/or from the body of a patient can include one or more wrap assemblies for use in the placement/maintenance procedure. The one or more wrap assemblies of the medical device kit can include various features to assist the clinician performing the particular procedure, such as a urinary catheterization procedure. A wrap assembly can include a wrap body including a front surface defining an aseptic field for the urinary catheterization procedure, a plurality of pockets on the front surface, and urinary catheterization components disposed in the plurality of pockets, the urinary catheterization components arranged in a predetermined order of use for the urinary catheterization procedure. The wrap assembly can be in a rolled configuration. A method of using the wrap assembly includes unrolling the wrap assembly and removing the urinary catheterization components to perform the procedure.

Abstract: There is provided an apparatus for use in a bodily lumen. The apparatus comprises a guidewire and a catheter. The guidewire has a proximal end portion and a distal end portion. The catheter has a proximal end portion and a distal end portion. The catheter includes a lumen for receiving the guidewire. The catheter is configured to be translated along the guidewire. The catheter is configured to be biased towards a translated position along the guidewire by a magnetic attraction between the guidewire and the catheter.

Abstract: Embodiments disclosed herein are directed to apparatus and methods for automatic fluid flow system connectors. The system generally includes a load cell interface coupled to a console and a ring connector coupled to a fluid collection system. The ring connector can be releasably engaged with the load cell using a bayonet locking mechanism. One of the ring connector or the load cell can include a plate transitionable along a transverse axis between an engaged position and a disengaged as the ring connector rotates about a transverse axis. The plate can include electrical contacts configured to engage along the transverse axis and mitigate wear and damage to the electrical contacts, extending the usable life of the system.

Abstract: Embodiments of a surgical instrument including an actuation lockout system as well as its method of use are disclosed. In one embodiment, a surgical instrument includes a trigger and a driveshaft coupled to the trigger such that actuation of the trigger causes the driveshaft to move from a first position to a second position, thereby resulting in deployment of a surgical fastener. An actuation lockout system restrains distal movement of the driveshaft until a force greater than or equal to a threshold force is applied to the trigger.

Abstract: An interventional medical device, and method of manufacturing the same, is provided to reduce risk to the patient of a fracture of the interventional medical device. At least one portion of the interventional medical device that is subject to fracture and migration within a patient is identified. A membrane is applied over each portion of the interventional medical device that is subject to fracture and migration, such that any fractured portion of the interventional medical device is tied together by the membrane.

Abstract: A repair prosthetic for repairing a hernia is disclosed. In some embodiments, the repair prosthetic includes a patch body, a frame that assists in spreading the patch body from a reduced configuration to an expanded configuration, and a plurality of tethers attached to the patch body at locations between the frame and a periphery of the patch body. In various embodiments, the tethers can be tensioned to mitigate curling or creasing in the patch body to flatten the patch to facilitate attachment to tissue.