Abstract: The invention relates to a balloon catheter for the placement of stent grafts (1) with a proximal (7) and at least one distal balloon (8), a multi-lumen shaft (5a) having one lumen (6) sized to accommodate a guidewire and at least two lumina (5a, 5b) for individually applying hydraulic pressure to the balloons, with lumina (5b, 6) accommodating the guidewire and one or several distally arranged balloons (8) being passed through the proximal balloon (7) and the stent graft (1) being crimped onto the balloons (7, 8).

Abstract: Lancet device includes a housing, a removable front cap mounted to the housing, a lancet holding member, and a trigger. A system is utilized for placing the lancet device in a trigger-set or armed position. A depth adjustment system includes a member that is at least partially rotatably mounted and that has an axis of rotation arranged substantially perpendicular to a center axis of the lancet holding member. An ejection system is utilized for at least one of preventing axial movement of the lancet holding member and removing or ejecting a lancet from the lancet holding member.

Abstract: A dermatological skin treatment device is provided. The device comprises a handpiece and a cutting tool, wherein the tool is inserted through the conduit and percutaneously inserted into a tissue disposed within a recessed area of the handpiece. The device and method cut the fibrous structures under the skin that cause cellulite at an angle substantially parallel to the surface of the skin and replace these structures with a non-cellulite forming structure by deploying a highly fibrous mesh through a single needle hole to create a highly fibrous layer directly or through wound healing processes.

Abstract: A treatment tool of an endoscope including: a movable tip end portion that performs a treatment on a living body; a flexible first coil sheath into which a wire is spirally wound; a flexible second coil sheath into which a wire is spirally wound and which is concentrically fitted onto or into the first coil sheath; a flexible operation wire that is formed into an elongated thin shape, a tip end thereof being connected to the movable tip end portion, and the operation wire being movably inserted into the first coil sheath; and an operation portion for advancing and retracting the operation wire, in which a tip end of the second coil sheath is fixed to the movable tip end and a base end thereof is fixed to the operation portion.

Abstract: A surgical instrument for performing treatment to a treatment target portion includes a cylindrical elongated member; a treatment part, and a connection part. The connection part includes a first turning axis part provided to the elongated member, a second turning axis part provided to the treatment part, a first rolling guide part that is provided to the elongated member and includes a circular-arc-shaped part coaxial with the first turning axis part, a second rolling guide part that is provided to the treatment part and includes a rolling guide part including a circular-arc-shaped part coaxial with the second turning axis part, the rolling guide part rollingly contacting the first rolling guide part, and an engaging part that brings the treatment part and the elongated member into an engaging state. The connection part is detachable between the first turning axis part and the second turning axis part.

Abstract: A device useful for accessing the left atrium is provided. The device comprises an elongated tubular body and a dilating tip. The tubular body has an axis, a proximal end, a distal end and a lumen longitudinally extending therethrough. The dilating tip is slidably mounted on the distal end of the tubular body. The dilating tip comprises a segmented surface that is generally transverse to the axis of the tubular body, and a generally rigid tube extending distally from the segmented surface and having a sharp distal end. Distal movement of the tubular body relative to the dilating tip exerts a force on the segmented surface to thereby open the segmented surface.

Abstract: A delivery system for delivery of an implantable stented device to a body lumen, the device having a plurality of structures at its proximal end, wherein the delivery system comprises a first body portion removably attached to a second body portion and wherein the second body portion includes a plurality of attachment components at its distal end for attachment to the plurality of structures at the proximal end of the device.

Abstract: A handheld apparatus including (a) a motorized hand-piece including a mechanical rotatable coupling shaft which is caused to rotate so that it imparts a rotating motion to the coupling shaft; (b) an interface cup member which includes a body with an exterior surface having hook and loop fasteners thereon and a lower surface with an interface opening which is affixed to the coupling member of the mechanical rotatable shaft; and (c) the hand-piece individually retaining a multiplicity of different interchangeable components which are used for different purposes, each different component affixed on one surface to the hook and loop fasteners of the interface cup and which rotate when the motorized hand piece is energized and causes the interface cup to rotate.

Abstract: A catheter system comprises a catheter having an elongate catheter shaft such that a portion of the catheter shaft proximal a stent retaining region defines at least one bend that is bent around the longitudinal axis of a vessel. The catheter also has a side branch guidewire housing, defining a side branch guidewire lumen, and a side branch guidewire that extends through the side branch guidewire lumen.

Abstract: Dilators and sheaths for use in minimally invasive vascular therapy are disclosed. In some embodiments, the dilators include a slot that accesses a guidewire lumen within the dilator. These slots facilitate rapid exchange of one dilator for another. In another embodiment, a dilator is sufficiently stiff to facilitate entry, but also designed to facilitate placement of the dilator along a tortuous path.

Abstract: A balloon catheter having a pre-mounted recovery sheath for recovering an expanded device, such as an embolic protection device, in a patient's body lumen, and a method of using a balloon catheter system of the invention to recover the expanded device.

Abstract: The present invention relates to a non-evertable blood filter that divides the transverse cross sectional area of a venous vessel into three annular regions or zones. The inner zone, the region immediately surrounding the longitudinal axis of the vessel, is maintained in a relatively open state with only minimal interference from the members making up the filter device so that blood flow can be maintained at a relatively normal rate. Concentrically surrounding the inner zone is the intermediate zone, to which captured emboli are directed out of the bloodstream passing primarily through the inner zone. Finally, concentrically surrounding the intermediate zone is the outer zone adjacent to the vessel wall.

Abstract: A system may include an endoluminal prosthesis and a guide wire. The prosthesis may include a tubular body including a graft material wall, a proximal end opening, a distal end opening, and a lumen extending longitudinally therein. The prosthesis may include first and second fenestrations in the graft material wall. The first and second fenestrations may be spaced from one another circumferentially about the tubular body. The guide wire may have a first end and a second end both extending from a region proximal of the proximal end opening. The guide wire may enter the proximal end opening, exit the first fenestration, partially traverse an exterior surface of the prosthesis, enter the second fenestration, and exit the proximal end opening. No portion of the guide wire may extend distally beyond the distal end opening.

Abstract: A deployment device for a prosthesis includes a driving assembly, including a driving tube and a driving pin. The driving assembly can impact a driven assembly, which is further connected to the prosthesis. The driving assembly can impact the driven assembly multiple times, thereby driving the prosthesis further into a tissue.

Abstract: Stent delivery systems, clip members for use with stent delivery systems, and methods for making and using the same are disclosed. An example stent delivery system may include an inner shaft having a distal region. A stent may be disposed about the distal region. A deployment sheath may be slidably disposed about the inner shaft. A handle may be coupled to the inner shaft. The handle may include a clip member having a first holding portion and a second holding portion. The inner shaft may extend through the first holding portion and the second holding portion. A holding cuff may be thermally bonded to the inner shaft. The holding cuff may be positioned between the first holding portion and the second holding portion.

Abstract: Devices for securing prostheses such as heart valves or annuloplasty rings with sutures and without using knots are disclosed. The devices are particularly well suited for traditional surgery or minimally invasive surgery, and improve the ease of implantation by eliminating surgical knots a clinician would normally tie in the limited space in and around the implant site. The devices have opposed the clamp halves surrounded by a coil spring. Sutures pass between the clamp halves and the coil spring has an inner coil diameter sufficient to compress the sutures between the clamp. A retention member positioned between the clamp halves maintains a minimum space and therebetween to enable the locking device to be slid along the sutures into position, and to adjust the tension of the sutures therethrough. A delivery tool may be used to deliver and deploy the locking devices.

Abstract: A stent for treating a physical anomaly. The stent includes a skeletal support structure for expanding in the physical anomaly and a shape memory material coupled to the skeletal support structure.

Abstract: A stent graft system for intraluminal deployment in an aorta and a branch vessel that includes an aorta stent graft for deployment within the aorta and defining a lumen for the passage of blood therethrough, and having a fenestration positioned and sized so as to allow blood to flow to a contiguous branch vessel. The system also includes a branch vessel prosthesis, preferably a stent graft, having a tubular portion and a flaring portion, such that, when deployed, the flaring portion is located within the lumen of the aorta stent graft and the tubular portion passes through the fenestration and into the branch vessel. A balloon expansion catheter expands the tubular portion and flare the flaring portion. The expansion of the tubular portion and the flaring of the flaring portion may occur sequentially or simultaneously.

Abstract: A dermatological skin treatment device is provided. The device comprises a handpiece and a cutting tool, wherein the tool is inserted through the conduit and percutaneously inserted into a tissue disposed within a recessed area of the handpiece. The device and method cut the fibrous structures under the skin that cause cellulite at an angle substantially parallel to the surface of the skin and replace these structures with a non-cellulite forming structure by deploying a highly fibrous mesh through a single needle hole to create a highly fibrous layer directly or through wound healing processes.

Abstract: The invention relates to a lancet wheel comprising multiple annularly positioned lancets (3), which have a lancet body (3b) that is made of metal and ends in a lancet tip (3a), and a carrier (5), to which the lancets (3) are connected via radially running webs (6), which allow raising of the lancets (3) into the usage position. According to the invention, it is provided that the lancets (3) are radially aligned, and the webs (6) have a plastic body, which predefine an intended bending point, around which the webs (6) are bent to raise the lancets (3). Furthermore, the invention relates to a method for producing a lancet wheel.