Abstract: Delivery devices for delivering a stented prosthesis to a target site are disclosed. Certain disclosed delivery devices include a handle assembly including an actuator, a shaft assembly interconnected to the handle assembly, and are configured to releasably retain the stented prosthesis to the delivery device with at least one elongate tension member. The delivery devices further include a torque shaft that is configured to apply and adjust the amount of tension in the each tension member. For example, the torque shaft can be configured to wind and unwind each elongate tension member around the torque shaft to correspondingly compress and expand the stented prosthesis. The torque shaft can be controlled with an actuator provided in the handle assembly, for example. In some embodiments, the actuator is further configured to axially move the torque shaft.

Abstract: Delivery devices, delivery systems, and related methods, for precise administration of hemostatic compositions are disclosed, which may include a trigger mechanism, a pusher, a valve, and a cannula. The pusher is configured to engage with the trigger mechanism, retain a first syringe, a least by coupling with a plunger of the first syringe. The valve is fluidly coupled to the first syringe. The valve is further configured to engage with a second syringe, in fluid communication with both the valve and the first syringe. The cannula extends distally from and is fluidly coupled to the valve. Activation of the trigger mechanism causes the pusher and the plunger of the first syringe to translate in a distal direction, to expel a composition out of the first syringe, through the valve, through the cannula, and out of a distal end of the cannula.

Abstract: A balloon guide catheter system including a balloon guide catheter having a catheter shaft that includes: (i) a main lumen; (ii) an inflation lumen; and (iii) an exhaust lumen. The terminating distal end of the inflation lumen and the terminating distal end of the exhaust lumen being in localized fluid communication with one another underneath the balloon while in a non-inflated state. A balloon is disposed about a distal region of an outer surface of the catheter shaft. The exhaust lumen is configured to purge the residual air in a proximal direction and out from a proximal region of the balloon guide catheter.

Abstract: A rotary tattoo machine includes an inner housing; a tattoo needle; an electric motor including a shaft assembly; and a bearing arm including a bearing. The machine also includes a cam, the cam moving up and down the shaft assembly due to the rotation of the shaft assembly and the bearing, the moving of the cam to drive the tattoo needle from a retracted position to an extended position. The device my also include an outer housing or grip. The dimensions of or a shape of the cam reduces an amount of dwell time of the tattoo needle. The cam may be replaced by an alternate cam, the alternate cam having different dimensions or a different shape from the dimensions of or the shape of the original cam and the alternate cam to have a different amount of dwell time associated with the tattoo needle.

Abstract: Access assemblies include an instrument valve housing and a valve assembly disposed within the cavity of the instrument valve housing. The valve assembly includes a guard assembly, and a seal assembly disposed distal of the guard assembly. The seal assembly includes a support member including a ring portion and a seal portion disposed within the ring portion. The seal assembly further includes a plurality of seal sections extending from the ring portion of the support member. The support member and the plurality of seal sections are integrally formed.

Abstract: A device for suture management and tensioning is disclosed. The device for suture tensioning may include a housing having multiple suture channels, a cleat array, several indicator biasing elements, and an actuator movable between an unlocked position, a tensioned position, and a locked position. The cleat array in the device for suture tensioning may also include at least one first cleat movable relative to the housing and colinear with a second cleat fixedly attached to the housing. The device for suture tensioning may also include an indicator biasing element which is colinear with each cleat pair.

Abstract: A surgical port includes a shell and a seal assembly. The shell has a housing and a cannula that extends from the housing. The housing has a sidewall defining a window therethrough. The seal assembly includes one or more seals. The seal assembly is selectively receivable into the housing through the window of the housing of the shell.

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.

Abstract: A method can comprise advancing a suction cup at a distal end of a suction catheter into a heart chamber, contacting the suction cup to a heart valve leaflet, and partially axially collapsing the suction cup while applying a negative pressure through the suction catheter and the suction cup and contacting the suction cup to the heart valve leaflet.

Abstract: A fabric or mesh construct, and process for making same, which allows for early wound stability and then transitions to a more compliant state exhibiting a substantially constant macro-porous pore structure through the life of the implant to promote good tissue incorporation without bridging.

Abstract: A surgical robot and a surgical instrument are disclosed. The surgical instrument includes a wire transmission and an end section. The wire transmission includes a base and n transmission modules each including at least one end drive shaft, two traction elements and two guide pulleys. Each of the guide pulleys comprises a groove for receiving therein a respective one of the traction elements. The groove has a plane of rotation, an entry point of tangency and an exit point of tangency. An angle between the traction element defined by the end drive shaft and the entry point of tangency and the plane of rotation is in the range of 0-0.2°. Projections of all the traction elements at the respective exit points of tangency on the proximal end portion are circumferentially arranged in the same order as the circumferential arrangement of the respective through holes.

Abstract: An intracameral injector needle having a substantially cylindrical body defining a longitudinal flow path therein, and having a proximal end, a distal end, an outer peripheral face and a bevel region. A first bevel of the bevel region has a first bevel angle with respect to the outer peripheral face. A second bevel of the bevel region extends from the first bevel to the proximal end. The second bevel includes a tip of the intracameral injector needle, and has a second bevel angle with respect to the outer peripheral face, where the second bevel angle is different from the first bevel angle, the first bevel and the second bevel defining a transition therebetween. The transition is at least one of: (1) longitudinally positioned between the tip of the intracameral injector needle and a location of a maximum width of the bevel region; and (2) vertically disposed at a position below 50% of a maximum height of the bevel region.

Abstract: A portal saver device for installing a flexible cannulated tube at a surgical site. A portal saver device includes an obturator. The obturator has an obturator body having a cannulated outer obturator tube extending therethrough. The outer obturator tube has a distal tip with a dilating assembly movable between a collapsed, first configuration and an expanded, second configuration. A shaft expander has a cannulated inner obturator tube, which is movable between a first position and a second position within the outer obturator tube. In the first position, the inner obturator tube is retracted from the distal tip of the outer obturator tube and the dilating assembly is in the first configuration. In the second position, the inner obturator tube is advanced within the distal tip of the outer obturator tube and the dilating assembly is in the second configuration.

Abstract: A tissue resecting instrument includes an end effector assembly having a proximal hub housing, a retainer cap extending proximally therefrom, an elongated outer shaft extending distally from the proximal hub housing, an inner cutting shaft rotatably disposed within the elongated outer shaft, and an inner core drive assembly that includes a proximal driver and a distal driver. The distal driver is coupled to the inner cutting shaft such that rotation of the distal driver rotates the inner cutting shaft relative to the elongated outer shaft. The proximal driver is slidable relative to the distal drive between a more-proximal position wherein the proximal driver is engaged with the retainer cap to rotationally fix the proximal driver, thereby rotationally locking the inner cutting shaft, and a more-distal position wherein the proximal driver is disengaged from the retainer cap permitting rotation thereof thereby permitting rotation of the inner cutting shaft.

Abstract: A clip applier may be configured to apply a surgical clip. The clip applier may include first and second jaw members configured to engage the surgical clip, an actuating member configured to pivot at least one of the first and second jaw members between an open configuration and a closed configuration, and a stabilizing member configured to engage the surgical clip. The stabilizing member may be configured to move longitudinally with respect to the clip applier from a distal position at least partially between the first and second jaw members to a proximal position at least partially between the first and second jaw members. Movement of the stabilizing member between the distal position and the proximal position may be actuated by at least one of the first jaw member, the second jaw member, and the actuating member.

Abstract: Provided is a surgical method using a surgical instrument including an end tool having one or more joints and a trocar. The surgical method includes coupling an obturator with a main body of the trocar, inserting the trocar into a body of a patient, separating the obturator from the main body, coupling an end tool mounting member with the main body, and inserting the surgical instrument into the body of the patient through the trocar. In a state in which the end tool of the surgical instrument is mounted on the end tool mounting member, the end tool is rotated in the direction by using a contact point between the end tool and the end tool mounting member as a pivot point, the end tool and a shaft of the surgical instrument are substantially parallel to each other, and the surgical instrument is inserted into the body of the patient.

Abstract: Provided is a balloon catheter wherein a balloon is less likely to swell in the protective tube during an air leak test of the balloon in a state where the balloon having projecting portions is housed in a lumen of the protective tube. A balloon catheter comprising: a shaft extending in a distal-proximal direction; a balloon disposed on a distal side of the shaft and having, in a contracted state, a plurality of wing-shaped portions; projecting portions each disposed on a portion, of an outer surface of the balloon, that is none of the wing-shaped portions; and a protective tube having a lumen in which the balloon is disposed, wherein none of the wing-shaped portions is present between an apex of each projecting portion and a point, on an inner surface of the protective tube, that is at a shortest distance from the apex of the projecting portion.

Abstract: A device for marking a corneal surface of an eye includes a planar base having a central opening, a marking side, and a non-marking side, a linear marker extending across the central opening, and an outer circumference of the planar base having a wall extending vertically away from the non-marking side.

Abstract: Embodiments of valve repair systems, leaflet clip devices, and methods of reducing regurgitation through a native heart valve are disclosed. A valve repair system can include a delivery apparatus and a leaflet clip device that is coupled to the delivery apparatus. The leaflet clip device can comprise an elongated clipping member, and a tensioning mechanism. One or more tensioning members are operatively connected to the tensioning mechanism to transform the clipping member from a delivery configuration to an implantation configuration. The one or more tensioning members can include a first tensioning member having a distal end portion that is connected to a first end portion of the clipping member and a second tensioning member having a distal end portion that is connected to a second end portion of the clipping member.

Abstract: Disclosed is an occluding stent. The occluding stent includes a distal flange occluding body, a proximal flange occluding body, and a connection portion. External surfaces of the distal flange occluding body and the proximal flange occluding body are both provided with a coating. An external surface of the connection portion is wholly or partially provided with a coating. A first occluding coating is provided between the distal flange occluding body and an inner cavity of the connection portion. The present invention overcomes the defect that the existing occluder device for closure of an esophagobronchial fistula is harmful to surrounding tissues, makes the device retractable, enhances the safety of the device, and improves life and treatment of patients. A new safe and effective treatment method for an esophagobronchial fistula is provided.