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.

Abstract: Various embodiments of a non-deforming surgical fastener are discussed. In one embodiment, the fastener includes two legs and a backspan extending between the two legs. The fastener also includes a backspan thickness that is adapted to reduce the pressure and/or increase the holding strength applied to underlying materials. The non-deforming fastener is constructed and arranged to retain substantially the same shape before, during and after deployment into the target implantation site.

Abstract: A method of providing a fluid communication path to an implanted device. The method includes positioning at least a portion of a slender pointed element within a catheter, penetrating a septum of the implanted device with the slender pointed element positioned within the catheter, positioning at least a portion of the catheter within the implanted device, removing the slender pointed element from the catheter, and retaining the at least the portion of the catheter within the implanted device.

Abstract: A method for operating a biopsy device for taking tissue samples includes coupling an electric power source to a tension slide via a removable biopsy needle unit, the removable biopsy needle unit including a biopsy needle and a cutting sheath coaxially arranged with the biopsy needle, the biopsy needle having a sample removal chamber; rotating the cutting sheath via the electric power source to move the tension slide against an action of a spring; locking the tension slide in a cocked position by a releasable locking mechanism; and releasing the releasable locking mechanism when the tension slide is in the cocked position such that the tension slide is moved by the spring away from the cocked position to move the biopsy needle and the cutting sheath in a distal direction.

Abstract: A blood filter delivery system for delivering a blood filter into a vein includes a push rod for pushing the blood filter through and out of a catheter, the push rod having a filter positioning assembly on one end. The filter positioning assembly includes positioner members, which retain anchor members of the filter. The filter positioning assembly can position the end of the delivery catheter near the blood vessel centerline before releasing the filter's anchor members, thereby helping to align the blood filter along the centerline of the blood vessel.

Abstract: A medical balloon with a variable diameter that is reinforced with continuous fibers woven to form a fabric with a varying number of layers and fiber densities. Portions of the balloon having a relatively smaller diameter are reinforced with a fabric having a reduced fiber density and an increased number of layers to facilitate the placement of the layers. The fabric also includes a braiding pattern that facilitates the transition from a single layer fabric to a multiple layer fabric. Also described is a manufacturing method for the braiding and layering.

Abstract: A device for moving an elongate member relative to an elongate body through which it extends, the device including a housing, a mover, and a pre-mover. The housing is connectable to the elongate body. The mover is associated with the housing and is connectable to the elongate member for moving the elongate member relative to the housing. The pre-mover is associated with the housing and is connectable to the elongate member for adjusting the elongate member in preparation for moving the elongate member with the mover.

Abstract: A medical article securement device holds a medical article such as a catheter hub or a connector fitting in position upon the body of a patient and inhibits movement of the medical article relative to the patient. The medical article includes an elongated body, a pair of outwardly extending wings, and a port. The securement device includes a retainer and at least one anchor pad. The retainer forms a channel into which at least a portion of the medical article is secured. The retainer includes at least one abutment that abuts against a contact point or surface on the port. The anchor pad includes an adhesive layer that is attached to both an epidural layer of a patient and at least a portion of the pair of wings.

Abstract: A system and method for guiding a catheter or other medical device to a desired target destination within the vasculature of a patient via bioimpedance measurements is disclosed. The target destination in one embodiment includes placement of the catheter such that a distal tip thereof is disposed proximate the heart, e.g., the junction of the right atrium and superior vena cava. In one embodiment the method for guiding the catheter comprises introducing the catheter into a vessel of the patient, the catheter defining a lumen through which fluids can be infused into the vasculature of the patient. The catheter is advanced toward a target destination within the vasculature. A first impedance value based on intravascular detection of at least one electrical property related to a first tissue surface of the vessel is calculated to enable determination of the proximity of a distal end of the catheter to the target destination.

Abstract: A surgical instrument including a power assist device, and its method of use for deploying surgical fasteners, is disclosed. The surgical instrument may include a handle, an elongated shaft extending from the handle, and a surgical fastener deployment system including a driveshaft. The driveshaft is actuatable between at least a first proximal position and a second distal position. A striker is movable relative to the driveshaft and an impact surface is associated with the driveshaft. The impact surface is constructed and arranged to be struck by the striker member to displace the driveshaft to the second distal position and deploy the surgical fastener.

Abstract: Power injection catheters for high flow rate delivery of fluids are disclosed. In one embodiment, a catheter may include a body defining one lumen and a plurality of extension tubes each comprising a lumen in fluid communication with the one lumen of the catheter body. Further, an extension tube may be configured for performing power injection and an extension tube may include a proximal valve. In another embodiment, a catheter may comprise a plurality of lumens and extension tubes, each of the extension tubes comprising a lumen in fluid communication with one lumen of the catheter body, respectively. At least one extension tube may be configured for performing power injection and at least one extension tube may include a proximal valve. Such catheters may include a pressure relief mechanism for preventing overpressurizing of the catheter. A method of injecting a fluid into a patient's body is disclosed.

Abstract: An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and a pair of needles that are moveable to an extended position beyond the end of the shaft. One or more sutures are carried by the instrument and may be delivered transfascially. A transfascial suture assembly includes a suture having a first segment, a second segment, and an intermediate segment therebetween. A force distributing member is locatable at the intermediate segment. Suture retainers may be provided at the end of each suture segment, and may have a connection that is moveable relative to the portion of the suture segment connected therewith. A method of delivering transfascial sutures includes inserting a twin-needle instrument loaded with one or more sutures into an abdominal cavity and deploying, from within the abdominal cavity, the suture carrying needles through a soft tissue repair patch and then through at least part of the abdominal wall.

Abstract: An embolus filter introducer system has a symmetric introducer sheath with a filter inside. The introducer sheath can be attached at either end to a deployment actuator. The deployment actuator can thereby be used to push the filter out of the introducer sheath. Since the sheath can be oriented in a selectable direction, so can the filter, allowing the sheath to be introduced via a jugular or femoral approach to the vena cava.

Abstract: An endoscopic tissue suturing device may include a suturing head configured to capture tissue at a tissue capture region. A needle can move through the region to place stitches in the tissue. A control handle includes an actuator coupled to the needle. The control handle supports a suture spool about an axis of rotation. The axis of the spool may be parallel to the direction of movement of the actuator. The spool surface may be tapered at an angle relative to the axis of rotation. A spool end wall may be configured to urge the spool in an axial direction. The handle may provide external access to a portion of the suture. A cover may be provided to cover the spool. The cover may be rotatably supported on the handle independent of the spool. Suture material may be wound onto the spool by rotating the cover.

Abstract: A delivery system for a self-expanding device for placement in a bodily lumen, the system comprising a sheath that confines the device to a radially compact delivery disposition until the device is to be released into the lumen, the system having an elongate pull element to be pulled proximally from its proximal end, which pull element is arranged radially inside the sheath for pulling preferentially on a pull zone on the circumference of the distal end of the sheath, thereby to tear the sheath progressively along a tear line running the length of the sheath, starting at the distal end of the sheath, to release the device from the confining effect of the sheath, progressively, beginning at the distal end of the device and wherein the sheath is of polyethylene-terephthalate, cold drawn along its long axis, and in that the distal end of the sheath tapers inwardly to provide an inwardly tapered distal end of the system.

Abstract: A multi-lumen catheter including a generally cylindrical body enclosing a first and second lumen separated by a generally planar septum. A first and second tip section extend from a distal end of the body. The first and second tip section may each include a generally planar surface. The second tip section may include a first segment extending from the distal end of the body to a transition segment and a second segment extending from the transition segment to a distal end of the second tip section.

Abstract: A wing incorporating a wing tip with a curved leading edge and a curved trailing edge to minimize induced drag for a given wing form is disclosed. The curve of the leading and trailing edges of the wing tip may be described generally as parabolic, elliptic, or super elliptic. A finite tip segment may be included with a sweep angle between the end of the curved leading edge and the end of the curved trailing edge. The wing tip may also include a spanwise camber.

Abstract: A tissue tunneler including an expandable attachment mechanism for securing a catheter. In one variation, the tissue tunneler comprises an elongate tunneler with a protrusion extending from the proximal end of the tunneler. An expansion mechanism is provided on the protrusion for insertion into the catheter. An oversleeve slidably disposed over the elongated tunneler may be provided to engage the expansion mechanism and trap the catheter between the oversleeve and the expansion mechanism. In another variation, the expansion mechanism may comprise of an expandable O-ring configured to engage an inner surface within a catheter.

Abstract: A stent is described, which includes a plurality of stenting rings, each stenting ring including a plurality of struts and points of inflection, each point of inflection connecting adjacent struts, the points of inflection of adjacent stenting rings facing each other along an axis parallel to a longitudinal axis of the stent in a radially expanded stenting disposition while the stent is in an unbent configuration. Adjacent stenting rings are connected by connectors extending from a point of inflection on one stenting ring to a facing point of inflection on another stenting ring, the connectors being linear along an entire length thereof and parallel to the longitudinal axis of the stent, each of the connectors having a length shorter than a length of each of the struts.