Abstract: An end effector of a surgical tool may include a housing, a jaw support shaft, jaw members, an articulation member, and cam pulleys. The jaw members may be supported on the support shaft and may be pivotable about a pivot axis. The articulation member may have a slot and include articulation pins extending from it that are coupled to the jaw members. The slot may be adapted to receive the jaw support shaft to support the articulation member between the jaw members. The articulation member may be rotatable about the jaw support shaft to articulate the jaw members relative to the longitudinal axis. The cam pulleys may be mounted to the housing and coupled to the jaw members. The cam pulleys may be rotatable about the pivot axis to pivot the pair of jaw members between open and closed conditions.

Abstract: A clip applier tool for use with a robotic surgical system is disclosed. The clip applier tool comprises a housing, a shaft, an end effector, a firing chamber, a replaceable clip magazine, an articulation joint, an articulation drive configured to articulate the end effector, a rotation drive configured to rotate the shaft, and a firing drive. The housing comprises an interface for attachment to the robotic surgical system. The interface comprises rotatable inputs. The end effector comprises a crimping chamber. The replaceable clip magazine comprises a storage chamber, clips removably positioned in the storage chamber, and a biasing member configured to sequentially bias the clips from the storage chamber into the firing chamber. The firing drive is configured to advance a clip positioned in the firing chamber into the crimping chamber. The articulation drive, the rotation drive, and the firing drive are each operably coupled to different rotatable inputs.

Abstract: Systems and methods comprising an anchor adapted to be positioned at a native heart valve annulus. The anchor comprises multiple coils adapted to support a heart valve prosthesis. A flexible outer tube adapted to hold the multiple coils of the anchor can combine with the anchor to form an assembly. A delivery tool adapted to deliver the assembly into position at a native heart valve can be provided and used. The outer tube is adapted to be removed from the multiple coils of the anchor after the coil portions of the anchor are positioned above and/or below the heart valve annulus. Additional apparatus and methods are disclosed.

Abstract: A surgical hand piece has a source of ultrasonic energy connected to a one-piece member that transmits the ultrasonic energy. The one-piece member is connected directly to the source of ultrasonic energy without intervening structure. A distal end of the member is a surgical work tip for performing surgery. The member transmits the ultrasonic energy to the work tip. The member is a one-piece structure, whereby the handpiece is less expensive to make than members with multiple piece structures.

Abstract: A clip applier adapted for use with a surgical robot is disclosed. The clip applier comprises a shaft having clips stored therein and jaws adapted for receiving a clip from the shaft. The shaft is in mechanical communication with a robotic mounting portion. The robotic mounting portion contains a gear drive assembly for rotating the shaft, feeding clips into the jaws and forming clips in the jaws.

Abstract: A delivery system for side-delivery of a prosthetic valve includes a compression device defining a lumen having a first perimeter at a proximal end that is larger than a second perimeter of the lumen at a distal end. A loading device is coupleable to the compression device and defines a lumen having substantially the second perimeter. A distal end of the loading device includes a first gate that is movable between an open state and a closed state to at least partially occlude the lumen of the loading device. A delivery device defines a lumen having substantially the second perimeter. A proximal end of the delivery device is coupleable to the distal end of the loading device and includes a second gate movable between an open state and a closed state to at least partially occlude the lumen of the delivery device.

Abstract: Certain aspects of the present disclosure provide an apparatus and method of using a multifunctional device to cut/tab a graft from a donor region of an eye. The apparatus includes a multifunctional device for ophthalmic surgery, having an insertion sleeve comprising an inner surface defining a compartment, a flat wire contained within the compartment folded to form a loop, wherein the flat wire comprises a sharp edge (continuous or tabbed) operable for cutting retinal tissue, and wherein the loop is positioned at a distal end of the insertion sleeve, and a handpiece coupled to the insertion tube and configured to adjust a size of the loop.

Abstract: Disclosed herein are devices for improving coaption of the mitral valve leaflets to reduce or eliminate mitral valve regurgitation. The devices may be used to perform mitral valve annuloplasty, or to serve as a docking station for a transcatheter prosthetic heart valve. The various embodiments of devices are configured for percutaneous and, in some cases, transvascular delivery. Delivery systems useful for routing the devices to the mitral valve are also disclosed, including catheters, balloons and/or mechanical expansion systems. The devices themselves include at least one tissue penetrating member. Methods of delivery include partially embedding the devices in the mitral valve annulus via at least one tissue penetrating member. Tissue penetrating members may be embedded into the tissue in a simultaneous or a nearly simultaneous fashion. Upon embedding, the devices employ various expansion and/or contraction features to adjust the mitral valve diameter.

Abstract: Intraocular lens (IOL) injectors are describe that include a rack and pinion to advance an IOL through the IOL injector and eject the IOL therefrom. IOL injectors described herein may also include a slide advance operable to advance an IOL from a storage location to a dwell location within the IOL injector.

Abstract: A system and method for managing an occlusion, such as a blood clot, within a lumen or passageway of a patient. More particularly, a system and method for rapidly restoring blood flow through an occlusion including a self-expanding, tubular member through which blood may flow when in an expanded state. The tubular member has a structure configured to engage the occlusive material, thereby allowing for extraction of at least a portion of the occlusive material. The system may further employ a material extraction member that is deployed distally of the tubular member.

Abstract: Disclosed embodiments include apparatuses, systems, and methods for facilitating anastomosis between bodily passages. In an illustrative embodiment, an eversion mechanism is configured to engage a first external surface of a receiving passage adjacent a first opening in the receiving passage in order to create a receiving flange presenting a first interior face. A donor support mechanism is configured to support a donor passage with an opening in an end in an everted position that forms a donor flange presenting a second interior face. The donor support mechanism is further configured to present the second interior face of the donor flange against the first interior face of the receiving flange to present a passage juncture. A suturing mechanism is configured to motivate a filament through a helical path around the passage juncture to suture the second interior face of the donor passage to the first interior face of the receiving passage.

Abstract: A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device and a plurality of anchor assemblies. The delivery system is configured to deliver a first anchor using loaded energy and reload the energy required to deliver an addition anchor.

Abstract: A filtering sheath includes an elongated tubular member defined by a circumferential wall and having a distal end, a proximal end, and a lumen extending therebetween. The distal end has a plurality of slits extending through the circumferential wall, the plurality of slits defining an expandable filter region. The plurality of slits are arranged in a pattern that allows the expandable filter region to move between a first, contracted configuration, and a second, expanded configuration.

Abstract: An intravascular catheter device includes an expandable portion which has a plurality of struts and is secured to a flexible catheter tube. A tip member is attached to a distal portion of a sleeve and a distal portion of the struts. Axial retraction of the tip member moves the expandable portion from a closed position where the struts extend parallel with a centerline of the expandable portion to an opened position where the struts bow outwardly. An incising element is associated with at least one of the struts. The incising element extends parallel with the centerline when the expandable portion is in the closed position.

Abstract: Embodiments include devices and methods configured to fractionally resect skin and/or fat. Fractional resection is applied as a stand-alone procedure in anatomical areas that are off-limits to conventional plastic surgery due to the poor tradeoff between the visibility of the incisional scar and amount of enhancement obtained. Fractional resection is also applied as an adjunct to established plastic surgery procedures such as liposuction, and is employed to significantly reduce the length of incisions required for a particular application. The shortening of incisions has application in both the aesthetic and reconstructive realms of plastic surgery.

Abstract: A medical device includes a fluid collection element, a fluid communication element and a pulling element. The pulling element is attached to a distal end of the fluid collection element and/or fluid communication element. The medical device can be included in a medical kit.

Abstract: Methods and apparatus are provided to facilitate the minimally invasive removal of tissue and to facilitate the direct approach to anesthetizing a body wall of a patient. A pull-type cutting device also is disclosed to introduce an opening into the body wall to provide access for intra-chest surgical interventions, for example a minimally invasive biopsy technique as also described for excising target tissue from within a patient, including a nodule from within the patient's lung.

Abstract: A suture delivery system is described. The system includes an anchor and a cooperating driver, the driver facilitating a delivery of the anchor into the abdominal cavity. The system allows for the deployment of a suture internally into an abdominal wall.

Abstract: A treatment method and medical device are disclosed for cutting a substance inside a body lumen. The medical device for cutting substances inside a body lumen including a rotatable tubular drive shaft; an expanding part connected to a distal side of the drive shaft; a cutting part covering the expanding part; and an elongated tube extending through the drive shaft and connected to the expanding part, wherein a distal end of the expanding part is placed distal to a distal end of the cutting part.

Abstract: A treatment method and medical device are disclosed for cutting a substance inside a body lumen. The medical device includes a drive shaft that is rotatable; a strut that is rotatably connected to a distal side of the drive shaft, that extends along a rotation axis, and whose central portion is expandable radially outward; and a support portion that is rotatably connected to the distal side of the drive shaft, that is formed in a mesh shape and a tubular shape while including multiple gaps, at least a portion of which is positioned on a radially inner side of the strut, and that is expandable radially outward by a central portion in a direction extending along the rotation axis being bent.