Abstract: Devices and methods for closing access points in tissue are described. The devices include a tubular element fabricated form, for example, biologic material, a biologic tubular structure, or synthetic material. Using minimally invasive procedures, the devices and methods described herein allow implantation of the tubular element through the access point or wound such that it traverses the tissue. The tube has a sealed end which prevents leakage of fluid from, for example, the heart or a vessel upon securing the tube to the tissue.

Abstract: A manipulator including an elongated shaft, a distal-end treatment section disposed at a distal end of the shaft, a distal-end articulated section having a bendable joint and a rotatable joint, and a proximal-end operating section disposed at a proximal end side of the shaft, wherein the bendable joint has an axis intersecting a longitudinal axis of the shaft, the rotatable joint has an axis that intersects the axis of the bendable joint and that is substantially aligned with a central axis of the distal-end treatment section, the proximal-end operating section includes a first operating section gripped by one hand and causing the bendable joint to move about the axis intersecting the longitudinal axis of the shaft, and also includes a second operating section provided in the first operating section and causing the rotatable joint to move.

Abstract: The present disclosure relates to the field of endovascular treatment. More particularly, the present invention uses a modified hydrogel intrasaccular occlusion device designed to implement an endovascular treatment to ameliorating or eliminating aneurysm recurrence, which hydrogel may optionally be impregnated with pharmaceutical compounds. The present invention also teaches the use of thin hydrogel coatings to ameliorate endovascular treatment related difficulties.

Abstract: A distal protection device for use in a body lumen. The device includes a functional element which may be a filler or an occlusive element. The device includes means for controlling the movement and placement of the functional element along a guidewire. Motion of the guidewire can be independent of the motion of the functional element.

Abstract: A surgical clip may be configured to ligate tissue. The surgical clip may include first and second leg members. The first leg member may have a proximal portion, a distal portion, a convex first inner surface, and a convex first outer surface. The first leg member may also include an inner portion at least partially defining the first inner surface and an outer portion at least partially defining the first outer surface. The inner and outer portions may be joined at first and second portions of the first leg member and separated by a channel. The second leg member may include a proximal portion, a distal portion, a second inner surface, and a second outer surface. The first and second leg members may be movable relative to each other between open and closed configurations, and the first and second inner surfaces may be configured to ligate the tissue when in the closed configuration.

Abstract: The present invention teaches the use of a disc shaped mesh intrasaccular occlusion structure with at least one hole in said disc, with optional supplemental hydrogel, which is designed to implement an endovascular treatment to facilitate saccular aneurysm treatment while ameliorating or eliminating aneurysm recurrence.

Abstract: The present invention teaches the uses of a disc shaped mesh intrasaccular occlusion structure, with optional supplemental hydrogel, which is designed to implement an endovascular treatment to facilitate saccular aneurysm treatment while ameliorating or eliminating aneurysm recurrence.

Abstract: A rotatable operating head for removal of obstructive material from a target site in a body lumen or cavity is operably connected to a rotatable, translatable drive shaft that is driven by a drive motor and received through an elongated catheter. The operating head includes a plurality of differential cutting blades, with at least one of the cutting blades being a stepped blade, the stepped blade comprising a raised cutting surface positioned adjacent, or in proximity to, a shoulder region.

Abstract: An atrial appendage closure device is provided that includes an insertion rod having a first end and a second end. An occluding member having an outer surface and an inner surface is connected to the first end of the insertion rod. The occluding member is moveable between a retracted position and a deployed position such that, in the deployed position, the occluding member is configured to provide a seal between a left atrial appendage and a left atrium of a heart. An anchoring member is further connected to the insertion rod and is configured to slide along the insertion rod to secure the device to a wall of a left atrial appendage. Methods for occluding a left atrial appendage that make use of the closure devices are also provided.

Abstract: A medical device for capturing one or more stone fragments includes a sheath having a proximal end and a distal end, a handle at the proximal end of the sheath, and a basket operable with the handle. The basket includes a plurality of wires that capture the stone fragments and has a collapsed configuration when the basket is positioned within the sheath and an expanded configuration when the basket is positioned beyond the distal end of the sheath. The medical device further includes an indicator that communicates to an operator of the medical device that the size of the stone fragments exceeds a predetermined limit and a release mechanism that releases the stone fragments from the plurality of wires when the size of the stone fragments exceeds the predetermined limit. The plurality of wires are able to reset into an operable position after releasing the stone fragments.

Abstract: A method and apparatus for steering of a flexible needle into tissue using a steering robotic platform for manipulation of the needle shaft, and by use of a semi-active arm for locating and orienting of the steering robot on the patient's body. As opposed to other steering methods, the robot does not hold the base of the needle, which is its proximal region, but rather grips the shaft of the needle by means of a manipulatable needle gripping device, near its distal end. The needle gripper attached to the robotic platform may be equipped with a traction assembly to provide motion to the needle in its longitudinal direction, such that it co-ordinates the entry of the needle with the desired entry angle. The gripping of the needle at its distal end, close to its insertion point, provides the needle manipulator with a low profile, with concomitant advantages.

Abstract: Featured is an inventive anchor/implant deployment device for use in repairing damage to tissue (e.g., meniscus) as well as tissue repair methods related thereto. Such an anchor/implant deployment device is advantageously configured and arranged so the deployment device is capable of making at least an in situ adjustment to the path of a needle portion having the anchor(s)/implant(s); is capable of rotating such a needle portion or the portion extending into the tissue/meniscus so that the distal end entering into the tissue/meniscus is desirably oriented such as to, for example, minimize damage to tissue; and making the needle portion of the deployment device replaceable so as to allow the deployment device to be reloaded thereby making other portions of the deployment device reusable during a given, procedure.

Abstract: An arthroscopic anchor insertion tool and method for inserting consecutive, longitudinally aligned anchors from a common deployment channel of a cannulated needle by employing positive stops to prevent travel of an actuator from simultaneously advancing multiple anchors into a surgical site.

Abstract: According to an aspect of the present disclosure, a medical device may include a deflation catheter assembly. The deflation catheter assembly may include a tubular member having an outer surface, an inner surface, and a central lumen defined by the inner surface. The deflation catheter assembly may also include a plurality of passages extending through a side of the tubular member and from the inner surface to the outer surface. The deflation catheter assembly may also include an anchoring member coupled to the tubular member. A distal portion of the tubular member may extend distal the anchoring member. The plurality of passages may be at the distal portion of the tubular member. The anchoring member may be configured to move between an unexpanded state and an expanded state. At least a portion of the anchoring member may protrude radially outwardly from the outer surface of the tubular member when the anchoring member is in the expanded state.

Abstract: The present disclosure provides an elastomeric material for the delivery of an ophthalmic agent to the eye of a subject and methods of using such material.

Abstract: Apparatus and methods are provided for flaring a stent deployed within a branch vessel including an ostium communicating with a main vessel, a first end of the stent extending at least partially from the branch. A catheter is provided that includes a balloon having a reinforced region adjacent an unreinforced region. When the balloon is positioned at a desired location, e.g., within a stent, prosthetic valve, or other tubular prosthesis, the balloon may be inflated to a first pressure causing the reinforced and unreinforced regions to expand substantially simultaneously. Upon inflation of the balloon beyond the first pressure, the reinforced region of the balloon remains at the first diameter and the unreinforced region continues to expand, e.g., to flare one or more ends of the prosthesis.

Abstract: Placing an intraocular shunt ab externo into an eye can include inserting the shunt into the eye and either before and/or after insertion, ballooning a target outflow region of the eye to permit an outflow end of the shunt to be enveloped within the ballooned target outflow region. An injector docking device can optionally be used to guide insertion of the needle and shunt into the eye.

Abstract: A circumcision device comprises a hollow bell-shaped body, a semi-conical part, and a handle. The body comprises an open anterior end, an open posterior end, a circumferential flange proximal to the open anterior end on an exterior surface of the body. The semi-conical part comprises an open anterior end and an open posterior end. The open posterior end extends from the circumferential flange. The open anterior end of the semi-conical part prevents slippage of the circumcision device to a shaft of a penis on which the circumcision device is configured to be mounted, when the circumcision device is mounted on the penis. The handle has an inverted Y-shape comprising two forked legs, each of the two forked legs coupled to a periphery of the open anterior end of the semi-conical part, the coupling forming a junction. The junction is formed structurally weak to facilitate detaching the handle from the semi-conical part.

Abstract: Anchoring or docking devices configured to be positioned at a native valve of a human heart and to provide structural support for docking a prosthetic valve therein. The docking devices can have coiled structures that define an inner space in which the prosthetic valve can be held. The docking devices can have enlarged end regions with circular or non-circular shapes, for example, to facilitate implantation of the docking device or to better hold the docking device in position once deployed. The docking devices can be laser-cut tubes with locking wires to assist in better maintaining a shape of the docking device. The docking devices can include various features to promote friction, such as frictional cover layers. Such docking devices can have ends configured to more securely attach the cover layers to cores of the docking devices.

Abstract: A tissue shaver and methods of use is disclosed. The tissue shaver operates to remove tissue.