Abstract: An implantable prosthesis for repairing or augmenting anatomical defects, including an inguinal hernia. The prosthesis may include a repair fabric having a body portion and a pocket on one side of the body portion to facilitate deployment and/or placement of the prosthesis at the defect site. For some applications, such as a reversible prosthesis, a second pocket may be provided on the opposite side of the body portion. Each pocket may be configured to receive a sufficient length of one or more fingers of an individual for deploying and/or positioning the prosthesis. A support member may be provided to help deploy the repair fabric at the surgical site and/or help inhibit folding or buckling of the repair fabric.

Abstract: A low-profile access port for subcutaneous implantation within a patient is disclosed. The access port includes a receiving cup that provides a relatively large subcutaneous target to enable catheter-bearing needle access to the port without difficulty. In one embodiment, a low-profile access port comprises a body including a conduit with an inlet port at a proximal end, and a receiving cup. The receiving cup is funnel shaped to direct a catheter-bearing needle into the conduit via the inlet port. The conduit is defined by the body and extends from the inlet port to an outlet defined by a stem. A bend in the conduit enables catheter advancement past the bend while preventing needle advancement. A valve/seal assembly is also disposed in the conduit and enables passage of the catheter therethrough while preventing fluid backflow. The body includes radiopaque indicia configured to enable identification of the access port via x-ray imaging.

Abstract: Articulating surgical instruments are disclosed. In one embodiment, a surgical instrument may include an elongated shaft assembly including an articulable portion moveable between a non-articulated configuration and an articulated configuration. First and second articulating shafts of the elongated shaft assembly may be coaxially arranged and axially fixed at an attachment point located distally from the articulable portion. Proximal portions of the first and second articulating shafts may be displaceable in opposing directions to articulate the articulable portion from the non-articulated configuration to the articulated configuration. In another embodiment, an articulation control may be movable from a first position to a second position to move an articulation lock from a locked configuration to an unlocked configuration to selectively permit articulation of a surgical instrument. The articulation lock also may be movable from the second position to a third position to articulate the surgical instrument.

Abstract: Invasive medical devices including a substantially non-eluting antimicrobial treatment are disclosed. One or more external and/or internal surfaces of the medical device include a substantially non-eluting copper-coated surface that assists in preventing microbial colonization of the coated surface. This in turn reduces the incidence of infection to the patient originating from the medical device. In one embodiment, a catheter assembly is disclosed and comprises an elongate catheter tube that defines at least one lumen, at least one extension leg including a luer connector, and a bifurcation hub including at least one fluid passageway that provides fluid communication between the extension leg and the lumen. A substantially non-eluting copper coating is disposed on a surface of at least one of the lumen, the extension leg, the luer connector, and the fluid passageway. The coating is applied via an electroless deposition process. A water-shed coating is disposed on the copper coating.

Abstract: Systems and methods for assisting the placement of a catheter within the body of a patient through the use of an ultrasound imaging system are disclosed. In particular, the systems and methods described herein enable a clinician to determine, prior to insertion of the medical device, how much of the device will be disposed within the vessel, thus enabling the clinician to choose a catheter with suitable length. In one embodiment, an ultrasound imaging system for assisting with placement of the medical device comprises a console, a probe for producing an image of a target location, and a processor. The processor provides to a user proximity information relating to the anticipated proximity of the medical device to the target location prior to insertion of the medical device. A display is included for depicting the image, target location depth, and the proximity information of the medical device to the target location.

Abstract: Packaging for a medical implant such as a hernia repair prosthetic material includes a carrier and a stiffener. The hernia repair prosthetic material is placed adjacent to the stiffener within the carrier. The carrier assembly is sealed within an outer pouch, such as a foil pouch, and sterilized. When the carrier is being removed from the pouch in preparation for surgery, the stiffener helps prevent the carrier assembly from contacting non-sterile portions of the pouch.

Abstract: A device for introduction into a body vessel includes a shaft, a balloon positioned at the distal end of the shaft, a guidewire disposed longitudinally within the shaft to receive a guidewire during use, a balloon disposed at the distal end of the shaft, and longitudinal scoring wires to score a vascular lesion attached to the distal end of the shaft. The scoring wires are disposed over the balloon and disposed within the shaft. The proximal ends are welded or otherwise affixed to a spring mounted in the handle. The balloon expands when fluid is delivered to the balloon through the inflation lumen. This expansion pushes the scoring wires against the vascular lesion. The scoring wires attach to a source of vibrations. The scoring wires are made of a helical coil.

Abstract: A biopsy device includes a device housing, a linear motor, and a controller circuit. The controller circuit has a processor circuit, a first feedback circuit, and a second feedback circuit. The first feedback circuit and the second feedback circuit operate simultaneously. The processor circuit executes program instructions to control an axial advancement of the distal end of the linear motor shaft in accordance with a linear motor shaft advancement profile based on first control signals received from at least one drive characteristic sensor of the first feedback circuit, and executes program instructions to keep the distal end of the linear motor shaft at a constant axial position, as offset by the position indicated by the linear motor shaft advancement profile, based on second control signals received from the housing position detector of the second feedback circuit so as to compensate for user movement of the device housing.

Abstract: A tool (10) for inserting a catheter (22) into a body of a patient is provided. The tool (10) comprises: a housing (12, 40, 50) in which at least a portion of the catheter (22) is initially disposed; a needle (16) distally extending from the housing (12, 40, 50), at least a portion of the catheter (22) disposed over the needle (16); a guidewire (32) initially disposed within the needle (16) partially; and an advancement assembly (20) for distally advancing the catheter (22). The housing (12, 40, 50) comprises: a first portion (12A, 42, 52) comprising a distal part (42A, 52A) and a proximal part (42B); and a second portion (12B, 44, 54) engaged with the first portion (12A, 42, 52), wherein the distal part (42A, 52A) of the first portion (12A, 42, 52) is configured to be able to distally slide with respect to the second portion (12B, 44, 54) to release the engagement between the first portion (12A, 42, 52) and the second portion (12B, 44, 54).

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 are disclosed. Such medical device kits can include one or more wrap assemblies for use in the placement/maintenance procedure. In accordance with present embodiments, the one or more wrap assemblies of the medical device kit can include various features to assist the clinician performing the particular procedure. In one embodiment, a medical wrap assembly is disclosed, comprising a foldable wrap body that includes a front surface, wherein the front surface is configured to define a sterile field. A plurality of pockets is included on the front surface of the wrap body. The pockets are configured to contain therein a plurality of medical components. The medical components are arranged in the pockets in a predetermined order of use for the medical procedure.

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: A biopsy device includes a housing, a probe assembly, and an insert aid. The probe includes a biopsy needle unit, a vacuum pressure-generating device, and a flexible connection tube that connects the biopsy needle unit to the vacuum pressure-generating device. The insert aid device has a body that defines a pair of cradles configured to respectively receive the biopsy needle unit and the vacuum pressure-generating device, and configured to orient the biopsy needle unit to lie parallel to the vacuum pressure-generating device in the insert aid device for insertion of the biopsy needle unit and the vacuum pressure-generating device into the housing.

Abstract: An apparatus for performing a medical procedure is provided. A catheter includes a tubular body having a plurality of markings indicative of a distance to an end portion of the catheter. A movable indicator repositionable on the tubular body to indicate a position of at least one of the plurality of markings. The indicator may also be provided with a magnifier for facilitating reading any indicia on the catheter.

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: A split-tip catheter for placement within the vasculature of a patient and for use in hemodialysis or other suitable procedures, and methods of use. The split-tip catheter can include a catheter body defining a first lumen and a second lumen, and a split distal region extending from a distal end of the catheter body. The split distal region can include an arterial segment defined by an outer wall enclosing an arterial segment lumen, the arterial segment lumen in fluid communication with the catheter body first lumen, and a venous segment defined by an outer wall enclosing a venous segment lumen, the venous segment lumen in fluid communication with the catheter body second lumen, the venous segment outer wall extending from the catheter body distal end to a distal nose portion. The distal nose portion can taper from a first outer perimeter to a second smaller outer perimeter.

Abstract: A fluid delivery line (FDL) for use in transporting a targeted temperature management (TTM) fluid between a TTM module and a thermal contact pad is disclosed. The FDL can include a bi-luminal fluid conduit and a bi-luminal proximal FDL connector. The two lumens of the proximal connector can be concentrically arranged. An authentication tag attached to the FDL can provide authentication data to a TTM module. A TTM system can include a connection adapter added to an existing TTM module where the adapter includes the electro-mechanical valves. An adapter controller operates the valves in accordance with obtained authentication data from the tag. Fluid connection systems can include valves that automatically open and close upon connection and disconnection. Fluid conduits and connectors can include concentrically arranged fluid lumens.

Abstract: A biopsy device includes a device housing, a linear motor, and a controller circuit. The controller circuit has a processor circuit, a first feedback circuit, and a second feedback circuit. The first feedback circuit and the second feedback circuit operate simultaneously. The processor circuit executes program instructions to control an axial advancement of the distal end of the linear motor shaft in accordance with a linear motor shaft advancement profile based on first control signals received from at least one drive characteristic sensor of the first feedback circuit, and executes program instructions to keep the distal end of the linear motor shaft at a constant axial position, as offset by the position indicated by the linear motor shaft advancement profile, based on second control signals received from the housing position detector of the second feedback circuit so as to compensate for user movement of the device housing.

Abstract: A catheter including a core wire, a sonic connector at a proximal terminus of the core wire, and a tip member at a distal terminus of the core wire. The core wire can be at least partially disposed within a lumen of an elongate body. The sonic connector can be configured to couple to an ultrasound-producing mechanism. The tip member can be welded to the core wire at one or more weld locations between the tip member and the core wire, and the tip member can flare from the core wire at one or more weld-free locations between the tip member and the core wire. The manner in which the tip member can flare from the core wire at the one or more weld-free locations is characteristic of ultrasonic activation of the tip member.

Abstract: Surgical instruments and their methods of use are disclosed. In some embodiments, the surgical instrument may include a handle and an elongated shaft assembly extending distally from the handle. The surgical instrument may also include a fastener deployment system for deploying fasteners from the elongated shaft assembly including a reciprocating driveshaft disposed within the elongated shaft assembly. The driveshaft may include an internal channel and at least one guide surface shaped and arranged to maintain an orientation of at least one fastener in the channel of the driveshaft. In other embodiments, the fastener deployment system may include a follower disposed within the elongated shaft assembly for displacing one or more fasteners within the elongated shaft assembly towards a distal fastener deployment position.