Abstract: A method for removing one or more objects or materials from a body lumen includes delivering a tube and an expandable device to the body lumen to a position proximal to the one or more objects or materials. The expandable device is positioned with a lumen of the tube, and the expandable device includes a lumen extending from a distal portion to a proximal portion. The method further includes proximally retracting the tube such that the expandable device remains in the position proximal to the one or more objects or materials, distally advancing the expandable device such that the distal portion of the expandable device at least partially surrounds the one or more objects or materials, at least partially closing a distal end of the expandable device, and moving the expandable device proximally to remove the expandable device and the one or more objects or materials from the lumen.

Abstract: Irrigation systems and methods are disclosed. An irrigation system includes a body defining a proximal portion and a distal portion. The proximal portion defines a cavity sized and configured to receive a working end of a hand-piece therein. An inlet tube extends through a portion of the body and is configured to receive a fluid flow therethrough. An outlet tube assembly is coupled to the distal portion of the body and extends distally beyond a distal edge of the body. The outlet tube assembly includes an inner tube and an outer tube. The inner tube and the outer tube define a fluid path therebetween. The inlet tube is in fluid communication with the outlet tube assembly such that the fluid flow received through the inlet tube flows through the fluid path of the outlet tube assembly and exits the outlet tube assembly at a distal end.

Abstract: A tissue repair construct, having a repair strand, defining a lumen and having a first end defining an opening of the lumen and a second end opposed to the first end. Further, a shuttle having a loop at a first end and a pull end, opposed to the first end, is engaged through the lumen of the repair strand, entering at the opening and exiting at a broach point through the repair strand, the loop extending out of the opening and the pull end being coincident to the second end of the repair strand.

Abstract: A medical manipulator includes a flexible shaft, a distal-end portion, an operating unit with which the distal-end portion is operated, a wire transmitting a motive force of the unit to the distal-end portion, a coil formed from a material having a greater rigidity than the shaft and one end thereof being secured to the distal-end portion and the other end thereof being secured to the unit, and a tube having a greater bending rigidity than the coil. The unit includes a socket connected to the shaft, a ball relatively rotatable to the socket, and a handle with which the wire is pushed/pulled in the longitudinal direction, the coil is disposed at a position at which the coil covers an area surrounding the wire, and the tube is disposed at a position at which the tube covers an area surrounding the coil in spaces in the socket and the ball.

Abstract: A hernia repair device is provided which may include a soft tissue repair prosthesis and an expandable device configured to be removably connected with the soft tissue repair prosthesis. Attachment components may be used to removably connect the soft tissue repair prosthesis with the expandable device. The hernia repair device may be manipulated into a reduced configuration for insertion into the body. When expanded, the expandable device may be configured to position the soft tissue repair prosthesis adjacent a hernia defect. The expandable device and/or the attachment components may be shaped and/or configured to minimize the maximum dimension of the hernia repair device in its reduced configuration.

Abstract: A medical system may include a left atrial appendage closure device including an expandable framework and a proximal hub disposed along a central longitudinal axis of the expandable framework, the expandable framework being configured to shift between a collapsed delivery configuration and an expanded deployed configuration; wherein the left atrial appendage closure device includes a sensor at least partially disposed within an interior of the expandable framework and axially movable relative to the proximal hub; wherein the proximal hub includes a first threaded connection structure; and a delivery catheter including a core wire extending axially within a lumen of the delivery catheter, the core wire having a second threaded connection structure at a distal end thereof configured to releasably engage the first threaded connection structure in an unreleased configuration and the second threaded connection structure is disengaged from the first threaded connection structure in a released configuration.

Abstract: In one example embodiment, an apparatus for treating a tissue site may include a contact layer formed from a compressible material. The contact layer may include a plurality of apertures extending at least partially through the contact layer. The contact layer may be configurable such that at least a portion of the apertures include a first plurality of orifices having a diameter in a first diameter range and such that at least a portion of the apertures include a second plurality of orifices having a diameter in a second diameter range. The first diameter range may be from about 2 mm to about 6 mm. The second diameter range may be from about 8 mm to about 15 mm. The apparatus may include a cover configured to form a sealed space including the contact layer and the tissue site.

Abstract: A robotic surgical system according to at least one embodiment of the present disclosure includes a robot arm including a proximal end and a distal end and a surgical tool that attaches to the distal end of the robot arm via a robot mount flange on the surgical tool. The surgical tool includes a blade support tip that extends from a first end and a rod that extends from a second end opposite the first end. The rod may include a blunt tip end and an actuation end, where the blunt tip end extends from the second end. Accordingly, the surgical tool may be rotatable about a tool rotation axis between a cutting position disposing the blade support tip in proximity to a target site and a tissue pathway creation position disposing the blunt tip end in proximity to the target site.

Abstract: A robotic surgical tool includes a handle providing a drive input, an elongate shaft extendable through the handle and having an end effector arranged at a distal end of the shaft, and an accumulator system housed within the handle and operatively coupled to the drive input such that actuation of the drive input operates the accumulator system. At least one drive cable is threaded through the accumulator system and extends distally along the shaft, wherein operation of the accumulator system acts on the at least one drive cable to operate the end effector.

Abstract: An apparatus includes a transducer assembly including a transducer housing and an ultrasonic transducer disposed within the transducer housing. A transducer horn is disposed at least partially within the transducer housing and includes a probe coupling. A first probe includes a first coupler and a first elongate member coupled to the first coupler. The first coupler has a first coupling portion and a second coupling portion, and the first coupling portion is configured to be releasably coupled to the probe coupling of the transducer horn such that the first probe is coupled to the ultrasonic transducer. A second probe includes a second coupler and a second elongate member coupled to the second coupler. The second coupler has a third coupling portion releasably couplable to the second coupling portion of the first coupler such that the second probe is coupled to the ultrasonic transducer.

Abstract: A medical device, a clip unit, and a method for indwelling a clip unit. The medical device includes a treatment portion, an operation wire that can operate the treatment portion, and a link that can releasably connect the treatment portion and the operation wire. The link includes a hook that includes first and second deformation portions, and a base that can be releasably coupled to the hook. The first deformation portion is capable of being deformed by movement of the operation wire, and the second deformation portion is capable of being deformed by further movement of the operation portion after the first deformation portion is deformed.

Abstract: Sutures with pre-tied knots for use in percutaneous surgical procedures and devices for easily and quickly tying complex suture knots are disclosed.

Abstract: A clip-cartridge assembly and a clip applicator are provided. The clip-cartridge assembly includes a clip-cartridge, a clip delivery device, and a clip jaw provided on a side of the clip-cartridge. The clip-cartridge includes an accommodation cavity for placing a ligation clip and the clip delivery device; the clip delivery device includes an elastic member and a clip pushing block for pushing the ligation clip within the accommodation cavity to move; and if the clip jaw is closed, the elastic member, by an elastic force of the elastic member, drives the clip pushing block to move in a movement direction toward the clip jaw.

Abstract: A stent delivery system includes a core member and an expandable member coupled to the core member distal segment. A stent extends along the core member distal segment such that an inner surface of the stent is positioned over the expandable member. The stent has a primary heat-set configuration where the stent is radially expanded, and a secondary heat-set configuration where the stent is radially compressed. The expandable member is adapted to radially expand at least a portion of the stent from a radially compressed configuration toward a radially expanded configuration.

Abstract: A surgical grasper includes an articulation assembly configured to enable a tool assembly to pivot in a first plane and articulate in a second plane orthogonal to the first plane. The surgical grasper eliminates the center line pivot joint used in conventional articulation mechanism, which, in turn, enables use of thicker cable that provides greater clamping force of first and second jaws of the tool assembly.

Abstract: A closure device includes a first ring structure having a first distal portion and a first medial portion and a second ring structure having a second distal portion and a second medial portion. The first and second distal portions are movable between an open position, where the first and second distal portions form an angle relative to one another for receiving target tissue therebetween, and a closed position, where the first and second distal portions are drawn toward one another for gripping the target tissue. The device also includes an anvil about which the first and second medial portions are formed. Either one of proximal motion of the anvil relative to the first and second rings or proximal motion of the medial portions relative to the anvil causes the first and second distal portions to move into either one of the open position or the closed position.

Abstract: A surgical system includes a skull attachment device that includes a support base configured to seat against a skull of a patient and one or more pins extending from a bottom surface of the support base and configured to pierce the scalp to seat the skull attachment device against the skull. The surgical system also includes an interface disposed along a top surface of the support base and having a shape that compliments a profile of a mating feature of a stereotactic device for defining a position and an orientation of the stereotactic device with respect to the support base while the interface is engaged with the mating feature.

Abstract: A surgical robot includes a surgical tool including a bendable joint portion, and a bending tendon connected to the joint portion and configured to bend the joint portion, a tube connected to the surgical tool and configured to accommodate the bending tendon therein, a base housing configured to rotatably support the tube and accommodate the bending tendon that passes through the tube, a bending driver configured to grasp the bending tendon, and translate in a longitudinal direction parallel to a rotation axis of the tube with respect to the base housing, and a rotation driver configured to rotatably support the tube with respect to the base housing, wherein when the tube rotates, the rotation driver is connected to one portion of the bending driver that grasps the bending tendon, and rotates the tube and the bending tendon together.

Abstract: A stent delivery device for delivering a self-expanding stent comprises an inner sheath including a proximal end portion and a distal end portion, a stent stopper including a stopper main body that is circumferentially disposed over at least a portion of the inner sheath at the proximal end portion, and at least one projection extending radially outward from the stopper main body for releasably engaging a portion of the self-expanding stent, and an outer sheath slidably disposed over the inner sheath and the stent stopper. The at least one projection includes a distal end surface and a proximal end surface, and the proximal end surface includes a recess extending into a body of the projection toward the distal end surface.

Abstract: A medical device for cutting substances inside a body lumen includes a flexible and elongated drive shaft including a distal portion and a proximal portion, a cutting member connected to the distal portion of the drive shaft to be rotatable with the drive shaft, and a hub located at the proximal portion and supporting the drive shaft, the hub including a first bearing mounted on the drive shaft and an elastic ring that is made of an elastic material on an outer periphery of the first bearing.