Abstract: Tissue expanders and their methods of use.

Abstract: A method and device for reducing gag reflex by applying pressure to a pressure point in the palm of the hand. A splint that holds the hand relatively immobile has a rigid member and an actuating pressure system, such as a solenoid, at the pressure point. The rigid member at least partially immobilizes the human user's palm and fingers. The actuating pressure system is mounted at an inner side of the volar side of the enclosure adjacent to a pressure region of the palm. A power supply is connected to the actuating pressure system to apply an electrical current to the pressure system, which exerts pressure to the pressure region of the user's palm in order to diminish or normalize the user's gag reflex response.

Abstract: A stent graft introducer (1) which includes a handle arrangement which by telescopic movement of a slide or slide portions (104, 106) into a handle portion (100) causes controlled sequential deployment of a stent graft (14). Stops (218,217, 218, 219) ensure actions are carried out in a selected order. A sheath (116) of the introducer is fixed to a slide portion such that with retraction of the slide portion the sheath is withdrawn from a stent graft retained on the introducer and at a selected position trigger wires retaining the stent graft onto the introducer are also released. Interconnections between the slides and the handle are provided to prevent relative rotation and re-extension after full retraction.

Abstract: A system for treating a bifurcation includes a first radially expandable stent and a second radially expandable stent. The first stent has a side hole and a plurality of lateral elements extending from the side hole. The second stent has a plurality of axial elements extending away from the proximal end of the second stent. The axial elements of the second stent interdigitate with the lateral elements of the first stent when both stents have been expanded.

Abstract: Aneurysms are treated by filling at least one double-walled filling structure with a filling medium within the aneurysm, such as filling structures having a membrane that allows water molecules to permeate across the membrane in response to a water potential differential across the membrane. The transport of fluid across the membrane allows the bag to expand or shrink to accommodate changes in the size or shape of the aneurysm, thereby maintaining a seal between the filling structure against the vessel wall and maintaining apposition of the filling structure against the inside surface of the aneurysm. Transport of water molecules into or out of the filling structure is controlled by adjusting for the osmolarity of the filling fluid medium. The filling structures may be delivered over balloon deployment mechanisms in order to shape occlude the aneurysm and open a tubular lumen for flow of blood through the filling structure.

Abstract: An instrument for determining the proper orientation for repairing a defect site on a tissue surface generally comprises a shaft, a plurality of probes operatively coupled to the shaft, and at least one indicator operatively coupled to the plurality of probes. The probes are configured to extend beyond a first end of the shaft and are movable relative the shaft. The at least one indicator is configured to display the displacements of the probes relative to the first end so that the displacements of the probes may be compared. A method of using the instrument when repairing a defect on a tissue surface is also disclosed.

Abstract: A surgical device for performing surgery generally includes a handle assembly, an elongate member extending from the handle assembly, an articulation mechanism operatively associated with the handle assembly, and an end effector. The elongate member has an articulating section and straight section. The articulating section is configured to articulate with respect to the straight section. The articulation mechanism is operatively associated with the handle assembly and the articulating section such that the articulating section articulates toward a first direction relative to the straight section upon movement of the handle assembly towards the first direction with respect to the straight section. The end effector is operatively coupled to the articulating section of the elongate member and includes first and second jaw members. The surgical device further includes a locking mechanism configured for fixing a relative position of first and second jaw members.

Abstract: In a retention device, a medical robot and a method to set the tool center point of a medical robot, the retention device has a fixing device to fix the head of a person held by the retention device. The fixing device provides an indication of the position of the openings of the auditory canals of the ears of the person relative to the retention device based on the relation between the fixing device and the head of the person and the relation between the fixing device and the retention device.

Abstract: A lancing device (A) includes a lancing adjustment mechanism for adjusting the lancing depth of a lancet (L) into a target portion (99) by operating an operation member (20c). The lancing adjustment mechanism is designed to provide a nonlinear relationship between the lancing depth of the lancet (L) into the target portion (99) and the operation amount of the operation member (20c). With this arrangement, it is possible to suitably adjust bleeding at the lanced portion, thereby improving the operationality of the lancing device (A).

Abstract: The gradient coated stent 150 of the present invention provides a coated stent having a continuous coating 130 disposed on the stent elements. The continuous coating 130 includes a first coating component and a second coating component. The concentration of the first coating component varies continuously over at least part of the thickness of the continuous coating 130. The concentration of the second coating component can also vary over at least part of the thickness of the continuous coating 130. In one embodiment, the concentration of the first coating component decreases in the direction from the stent element towards the outer edge of the continuous coating 130 and the concentration of the second coating component increases in the direction from the stent element towards the outer edge of the continuous coating 130.

Abstract: An embolic capturing device for capturing emboli within a body lumen is disclosed. The embolic capturing device (10) comprises a filtering basket (20) and at least one coil (22) attached to the basket. The filtering basket includes a frame (23) and a filtering body (30) disposed on the frame. The at least one coil is attached to the filtering body for filtering emboli in the body lumen.

Abstract: An intravascular implant delivery system carries an implant by retaining an engagement member engaging the implant in a position proximal of an aperture at a distal end of the delivery system. The engagement member is retained proximal to the aperture by a cord that obstructs the movement of the engagement member through the aperture. The engagement member is free to rotate and move within an area defined by the delivery system, allowing the implant to react to forces imparted to the implant by the movement of the delivery system and implant through a delivery catheter. Once the implant is in a desired implant position, the cord is moved away from an aperture and the engagement member is allowed to move away from the delivery system.

Abstract: A system for treating a bifurcation includes first and second delivery catheters, each having an expandable member. A stent having a side hole is disposed on the second delivery catheter. A portion of the first delivery catheter is disposed under a portion of the stent. The first delivery catheter is slidable relative to the second delivery catheter, and the first delivery catheter passes through the side hole. Expansion of the first expandable member expands a portion of the stent and expansion of the second expandable member expands the rest of the stent.

Abstract: An occluding device for occlusion of fluid flow through a body cavity is disclosed. The device comprises an embolization coil formed from at least one wire strand and having an initial tension. The embolization coil is defined by a primary coil formed into a secondary coil. The primary coil has a primary shape defined by a linear longitudinally extending coil having a plurality of helical turns and is helically wound into the secondary coil, wherein the secondary coil has a series of axially spaced apart loops. The axially spaced apart loops are larger than the helical turns of the primary coil. The embolization coil is movable between an expanded state for occlusion of a body cavity and a collapsed state for delivery or retrieval. An absorbent material, including at least one of cotton and regenerated cellulose, is attached to the embolization coil and extends therefrom. A kit is also included.

Abstract: An ultrasonic treatment device includes a probe in which a hole-shaped portion, being opened at a first opening position placed at a distal end portion of the probe and a second opening position placed at an outer peripheral portion of the probe and allowing the first opening position and the second opening position to communicate with each other, is formed. The ultrasonic treatment device includes a path which is extended in the hole-like portion from the first opening position to the second opening position along the longitudinal axis, and which is extended to an outside of the probe from the second opening position, and the path being extended to the extending position of the fixed handle toward the handle extending direction in the fixed handle.

Abstract: A medical device and system for modifying a left atrial appendage (“LAA”), as well as related methods, are provided. In accordance with one embodiment, a medical device includes a plurality of discrete frame segments coupled with at least one ring member to form a frame structure. Each discrete frame segment includes an expanding leg, a collapsing leg and a hub extension. A tissue growth member is coupled with the plurality of discrete frame segments to define a substantially convex surface and a substantially concave surface.

Abstract: An intravascular implant delivery system carries an implant by retaining an engagement member engaging the implant in a position proximal of an aperture at a distal end of the delivery system. The engagement member is retained proximal to the aperture by a cord that obstructs the movement of the engagement member through the aperture. The engagement member is free to rotate and move within an area defined by the delivery system, allowing the implant to react to forces imparted to the implant by the movement of the delivery system and implant through a delivery catheter. Once the implant is in a desired implant position, the cord is moved away from an aperture and the engagement member is allowed to move away from the delivery system.

Abstract: An implantable medical device delivery system is provided with a carrier member having a proximal portion, a distal portion, and a frangible portion intermediate the proximal and distal portions. The frangible portion includes at least one notch providing a break hinge. A locking member is fixedly secured to the proximal portion of the carrier member and is releasably connected to an implantable medical device at or adjacent to the distal portion of the carrier member. In use, the implantable medical device is positioned generally adjacent to a target location of a body vessel and the frangible portion is broken about the break hinge. The proximal portion of the carrier member is then moved away from the distal portion to retract the locking member, thereby deploying the implantable medical device.

Abstract: The three dimensional, low friction vasoocclusive coil has a portion that is three dimensionally box or cubed shaped. The three dimensional box or cubed shaped portion will form a basket for filling the anatomical cavity at the site in the vasculature to be treated. The vasoocclusive device is formed from at least one strand of a flexible material formed to have a first inoperable, substantially linear configuration for insertion into and through a catheter or cannula to a desired portion of the vasculature to be treated, and a second operable, three dimensional configuration for occluding the desired portion of the vasculature to be treated. The vasoocclusive coil may optionally include a portion that is substantially J-shaped or helically shaped, for filling and reinforcing the three dimensional portion.

Abstract: Embodiments of an expandable sheath can be used in conjunction with a catheter assembly to introduce a prosthetic device, such as a heart valve, into a patient. Such embodiments can minimize trauma to the vessel by allowing for temporary expansion of a portion of the introducer sheath to accommodate the delivery apparatus, followed by a return to the original diameter once the prosthetic device passes through. Some embodiments can include a sheath with inner and outer layers, where a folded portion of the inner layer extends through a slit in the outer layer and a portion of the outer layer overlaps the folded portion of the inner layer. Some embodiments include an elastic outer cover positioned outside the outer layer. Embodiments of the present expandable sheath can avoid the need for multiple insertions for the dilation of the vessel, thus offering advantages over prior art introducer sheaths.