Abstract: An anchorage device includes a substrate extending along a longitudinal axis between a first end having a first bonding area and an opposite second end having a second bonding area. The substrate has a third bonding area between the first and second bonding areas. Kits, systems and methods are disclosed.

Abstract: A robotic system for operating a endovascular deployment device (40) including a treatment device (43) mounted to a delivery tool (42) connected to a proximal control (41), and further including an optical shape sensor (44) (e.g., an endograft endovascular deployment device incorporating an optical shape sensor). The robotic system employs a robot (50) attachable to proximal control (41) and/or delivery tool (42) for navigating the treatment device (43) within a cardiovascular system (e.g., a robot controlling an axial rotation and/or axial translation of an endograft mounted to a sheath catheter). The robotic system further employs a robot controller (74) for controlling a navigation of treatment device (43) within the cardiovascular system by the robot (50) derived from a spatial registration between a shaping sensing by the optical shape sensor (44) of a portion or entirety of endovascular deployment device (40) to a medical image of the cardiovascular system (e.g.

Abstract: A modular surgical instrument is disclosed. The modular surgical instrument comprises a control interface, a shaft extending from the control interface, an end effector extending from said shaft, and a control circuit. The control circuit is configured to sense the electrical potential applied to the modular surgical instrument, determine if the sensed electrical potential is above a predetermined threshold, and adjust the operation of the modular surgical instrument when the sensed electrical potential exceeds the predetermined threshold.

Abstract: A surgical ligation clip includes a first jaw, a second jaw, and a hinge portion that pivotably couples the first jaw to the second jaw. The first and second jaws define respective clamping surfaces and include locking elements. The clamping surfaces support retention structure that minimizes movement of the clamp about tissue when the ligation clip is in the clamped position. The locking elements are supported on the first and second jaws and are movable into engagement with each other to retain the ligation clip in the clamped position.

Abstract: A reposable surgical clip applier (100) includes a handle assembly (110) having a housing, a trigger (114) and a drive assembly (120), the drive assembly (120) including a drive rod (122). The reposable surgical clip applier (100) further includes an outer tube assembly (200) disposed on a distal end of the housing and extending distally therefrom, and a clip cartridge assembly (300) selectively connectable to the distal end of the outer tube assembly (200). The clip cartridge assembly (300) includes an outer tube (314) and a pair of jaws (320a) fixedly supported in a distal end thereof, a first jaw pusher (130) in selective engagement with the distal end (122b) of the drive rod (122), a second jaw pusher (132) in selective engagement with the first jaw pusher (130) on a proximal end and the pair of jaws (320a) on a second end, and a plurality of surgical clips (C) disposed within the outer tube (314). A method of assembling a reposable surgical clip applier (100) is also provided.

Abstract: A surgical ligation clip includes a first jaw, a second jaw, and a hinge portion that pivotably couples the first jaw to the second jaw. The first and second jaws define respective clamping surfaces and include spaced bosses. Each of the spaced bosses include a transverse portion and a head portion that is oversized and has a diameter that is larger than the diameter of the transverse portions. The oversized head portions allow for the ligation clips to be securely supported on a clip applicator.

Abstract: This invention provides a guide for surgical purpose, comprising: a long column body, being in a hollow shape, an upper side thereof having a semi-cylinder, a bottom side thereof having a cuboid, and an inside thereof being provided with an elongated slot, in which an interior of the semi-cylinder is in communication with an interior of the cuboid; a wing-shaped part, being in a wing shape, and disposed at one end of the long column body and engaged with one side of the cuboid and extending from both ends of the one side of the cuboid, for grasping during surgery; a limiting piece, being in a ring shape and socketing the other end of the long column body and engaging with the other side of the cuboid, for withstanding the tissues during surgery; and a replaceable expander, being disposed in the elongated slot, for expanding and opening a surgical incision of tissues, wherein the replaceable expander is replaceable with another expander of different dimension in a stepwise manner via the one side of the cuboid

Abstract: An exemplary valve repair device for repairing a native valve of a patient includes a coaption element, a collar, a pair of paddles, a cap, and a shaft. The coaption element has a first end portion and a second end portion. The collar is connected to the first end portion of the coaption element. The pair of paddles each include an inner paddle portion and an outer paddle portion that are movable between an open position, a closed position, and a bailout position. The cap is connected to the pair of paddles. The shaft extends through the collar and the coaption element and is connected to the cap. Movement of the cap by the shaft causes the inner paddle portions and the outer paddle portions of the pair of paddles to move between the open position, the closed position, and the bailout position. When the paddles are in the bailout position, a bailout angle between each inner paddle portion and the shaft is greater than or equal to 120 degrees.

Abstract: A method of securing a surgical clip to a clip applier may include engaging a first applier tip with a first jaw member, and engaging a second applier tip with a second jaw member. The jaw members may be secured within sleeve portions of the applier tips. The surgical clip may then be received between the first and second jaw members and secured with the first and second applier tips. The surgical clip may be secured to the clip applier by receiving a proximal portion of the surgical clip between a first protrusion of the first applier tip and a second protrusion of the second applier tip, receiving a first boss member on a first leg member of the surgical clip in a recess of the first applier tip, and receiving a second boss member on a second leg member of the surgical clip in a recess of the second applier tip.

Abstract: Disclosed herein are expandable introducer sheaths and methods of making and using the same. The sheaths minimize trauma to a patient's vasculature by allowing for temporary expansion of a portion of the sheath to accommodate passage of a delivery system for a cardiovascular device, then return to a non-expanded state after the passage of the device. The sheath includes an elongated annular member having longitudinally extending channels that facilitate the sheath's temporary expansion. The channels are positioned in such a way that, upon expansion, they enable the movement of protruding contact surfaces toward the inner and outer surfaces of the annular member, reducing friction between the surface and the passing device. Some embodiments of the expandable sheath include an elastic outer layer that pushes the protruding contact surfaces back towards their original positions after the passage of the device.

Abstract: Devices and methods for skin graft harvesting are disclosed. In one aspect of the invention, substrates for transplanting skin grafts are disclosed that include a soft-tack, biocompatible composition having a surface adapted to contact at least one excised skin graft and engage the graft for removal from a donor site. In another aspect of the invention, at least a portion of the skin-contacting surface of the substrate (or dressing) is porous to facilitate fluid transport into (or out of) the graft site during harvesting and/or transplantation. The substrates can also incorporate an absorbent component to capture fluids. The substrate can be a mesh or fabric or web, e.g. woven, knitted, nonwoven or molded. The substrate can be a mesh of biocompatible fibers, for example, cellulosic, polyolefins, polyurethanes, polyesters or polyamide fibers. In one embodiment the mesh is formed of cellulose acetate fibers and coated with a silicone gel, to imparted the desire degree of tackiness.

Abstract: A releasable elongated assembly includes a release member having a length and an opening that extends along the length. The releasable elongated assembly includes a first elongated element having a first coupling member disposed in the opening and a second elongated element having a second coupling member disposed in the opening opposite the first coupling member along the length. The first and second elongated elements are interlaced with each other in the opening at a location between the first coupling member and the second coupling member such that the first and second elongated elements are attached to each other. The release member is moveable from a first position where the first and second coupling members are captured in the opening to a second position where the first and second coupling members are released from the opening so as to detach the first and second elongated elements from each other.

Abstract: An external vascular support for shaping a vein-artery junction between an artery and a vein anastomosed to the artery, the support comprising: an arterial portion that is shaped to be in apposition with an exterior wall of the artery when the artery is accommodated within a lumen of the arterial portion, and a venous portion that is shaped to be in apposition with an exterior wall of the vein when the vein is accommodated within a lumen of the venous portion, wherein the arterial and venous portions are physically connected at an acute angle, and the corner of the acute angle is shaped as a rounding having a radius of curvature in the range of 0.25 mm to 4 mm.

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 delivery device for delivery and deployment of a heart valve prosthesis with a torque anchoring mechanism includes a balloon having a shaped surface configured to engage a corresponding shaped surface of the heart valve prosthesis. The balloon is configured to rotate about a central longitudinal axis of the delivery device to rotate the heart valve prosthesis.

Abstract: An improved type of tourniquet is disclosed herein. This tourniquet includes an elongated elastomeric body that includes first and second distal ends. The body is provided with a row of holes, where each hole is spaced a determined distance from one another. A first subset of at least three holes are located proximately to the first distal end and a second subset of at least three holes are located proximately to the second distal end. The tourniquet also includes a buckle that is affixed to or otherwise secured near the first distal end. Additionally, the tourniquet includes a set of one or more protruding spikes that are affixed to the elongated elastomeric body and that are positioned proximately to the buckle.

Abstract: A hand-held device for home use is disclosed for cleaning eyelids, eye margins and eye lashes. The device includes a housing, which forms a handle, and a cleaning head, attached on one end. In accordance with an important aspect of the invention, a vibration generator is used to drive the cleaning head sonically. The sonically driven cleaning head is placed in contact with one or both eye lids for each eye and either held in a stationary position or moved from side to side or back and forth. The vibration of the cleaning head in contact with the soap and effectively scrubs the upper eyelid or lower eyelid without the need for vigorous scrubbing or significant agility. The vibrating cleaning head is a more effective daily home cleaning tool for eyelids and eyelashes than known devices with rotary swabs or sponges.

Abstract: A dissection system for corneal transplants includes a housing including a contact side to be positioned against a cornea. The housing includes an interior passageway with an opening at the contact side. The dissection system includes a blade assembly disposed in the interior passageway. The blade assembly includes a first blade and a second blade. The first blade includes a first cutting edge and the second blade includes a second cutting edge. The first blade and the second blade are movable relative to the housing such that the first cutting edge and the second cutting edge extend through the opening of the housing and out of the interior passageway. The first cutting edge produces a first cut in the cornea. The second cutting edge produces a second cut in the cornea. The first cut and the second cut define a volume of tissue for removal from the cornea.

Abstract: The instant disclosure is directed to methods of improving bone-soft tissue healing using biocompatible electrospun polymer fibers. In one embodiment, a method may include locating a portion of a subject's bone, affixing a tendon or ligament to the bone using a hardware fixture, and placing a patch comprising at least one electrospun polymer fiber in physical communication with both the bone and the tendon or ligament. In some embodiments, the bone may be a humerus, and the tendon or ligament may be a supraspinatus tendon. In certain embodiments, the patch may comprise substantially parallel electrospun polymer fibers, and may be placed such that the fibers are also substantially parallel with the long axis of the tendon or ligament.

Abstract: Numerous delivery devices for delivery of a stented prosthesis, such as a stented prosthetic heart valve. Various delivery devices include a capsule that is advanced proximally to retain the stented prosthesis, which is secured over an inner shaft assembly of the delivery device. The delivery device further includes a bumper or bumper assembly to provide a smooth transition of the capsule over the stented prosthesis. In some alternate disclosed embodiments, the bumper further serves to connect various elements of the inner shaft assembly. Additional embodiments include a bumper assembly arranged and configured to longitudinally expand and contract to substantially fill any open space as the capsule is retracted from the stented prosthesis, which prevents kinking in the capsule. Additional embodiments include proximal and/or distal bumpers for temporarily covering and smoothing the ends of the stented prosthesis as part of a delivery device that does not include a capsule.