Abstract: Provided is a treatment tool exchanging device that switches and holds a plurality of treatment tools for treating a target to be treated. The treatment tool exchanging device includes a flexible insertion part into which the plurality of treatment tools are inserted and in which a plurality of treatment tool channels for defining insertion paths for the treatment tools are formed, a driving part that advances each of the plurality of treatment tools, a manipulating part that manipulates the plurality of treatment tools to perform treatment, and a control unit that controls the amount of protrusion, from the treatment tool channel of the treatment tool, which has protruded from a distal end of the treatment tool channel, among the plurality of treatment tools. The insertion part has a switching part that changes the insertion path of the treatment tool to be inserted.

Abstract: There is disclosed a trephine guide having an upper guide member having a first substantially circular guide aperture and a first circumferential portion and a lower guide member having a second substantially circular guide aperture and a second circumferential portion. The upper and lower guide members are connected in a spaced apart configuration by at least one arm extending from the first circumferential portion to the second circumferential portion, such that the first and second guide apertures are substantially concentric, thereby to allow a trephine to pass through the upper and lower guide members. The at least one arm has a width that extends over less than three quarters of the circumference of the first or second circumferential portions to allow good visibility to a trephine blade.

Abstract: A stent and a stent delivery system are configured to exhibit good slip strength, flexibility, and expandability. The stent includes a plurality of wave-shaped struts positioned at intervals in the circumferential direction of the stent, and a plurality of connecting struts positioned between the wave-shaped struts. Each of the wave-shaped struts extends from one end to the other end in the axial direction, and has proximate portions that form portions in the vicinity of an adjacent wave-shaped strut, distant portions that form portions away from the adjacent wave-shaped strut, and straight portions that connect the proximate portions and the distant portions. The straight portions extend in the circumferential direction of the stent in a state in which the stent is mounted on the balloon. The connecting struts connect to each other the distant portions of adjacent wave-shaped struts.

Abstract: Embodiments may include fixation devices and methods for securing first and second body tissue portions. Fixation devices may include a base component, an insert component, and a flexible member. The base component may include a passage. The insert component may be positionable within at least a portion of the passage. The elongate member may be configured to be positioned through the first and second body tissue portions. The elongate member may be tensioned and pinched between the base component and insert component to secure the first and second portions.

Abstract: A clot removal device has an expandable treatment member having a distal tip and a proximal end, a delivery wire having a distal end coupled to the proximal end of the expandable treatment member, and a flow restrictor carried along the delivery wire at a location that is separate and proximal from the expandable treatment member. The flow restrictor has a body with a distal section and a proximal section, the distal section being covered and the proximal section being uncovered. The expandable treatment member is moveable relative to the flow restrictor, and can be retracted into the distal section.

Abstract: Described herein are suture anchors systems and methods for installing suture anchor systems in bone. Suture anchor systems described herein include a plurality of annular ribs formed around an elongated cylindrical body, a tip adapted for inserting into a bone, one or more longitudinal channels defined by one or more notches in at least one of the annular ribs, and a transverse bore adapted to receive at least one suture and in communication with the longitudinal channel(s). The suture anchor system is partially inserted into the bone, the sutures are adjusted, and insertion is completed, securing the suture anchor and the suture in the bone.

Abstract: A choking intervention device for clearing an object obstructing a breathing passage of a choking victim includes a bellows assembly and a removable facemask configured to enclose a person's mouth and nose. The bellows assembly includes a bellows having a base with an opening thereon. The opening is configured to provide access to an interior volume of the bellows assembly. The bellows assembly further includes a handle on the bellows at a side opposite the base. The facemask is coupled to the base of the bellows and is configured to enclose the choking victim's mouth and nose.

Abstract: A patch for repairing a hernia defect including a patch body that is reducible into a small configuration for delivery through a narrow incision or cannula into a patient. A support member assists in unfurling the patch body from the small configuration into an expanded configuration. A sleeve releasably mounts the support member to the patch body.

Abstract: Devices and methods are described for performing a procedure on multiple adjacent segments of a body surface. The methods generally involve positioning a locator device on a body surface to delineate a first body surface segment. A first portion of the locator device may be moved while leaving a second portion of the locator device in place as a reference. The second portion of the locator may then be moved to reform the locator device and delineate a second segment of the body surface. Locator devices comprising two detachable portions are also described.

Abstract: The NEEDLE KNIFE APPARATUSES, METHODS AND SYSTEMS (“NK”) may have a cannula, through which a needle knife may be deployed. The needle knife may oscillate to cut through a patient's tissue, such as muscle tissue in the forehead of a patient to eliminate forehead wrinkles. In certain embodiments, the knife portion of the needle knife is normally sheathed within a cannula during insertion into and removal from a patient. The oscillation may be performed manually or by a motor, which may be attached via a connection mechanism. The connection mechanism may include a colley system or be glued in place. Once inserted into a patient, the oscillating motor mechanism is engaged to rapidly oscillate the needle knife to expose the knife to rapidly cut soft tissue.

Abstract: An assembly includes a flexible fixation member, a suture, and a delivery device. The fixation member includes a body with two terminal ends. A suture passes through the flexible fixation member at various points along a length of the body such that portions of the fixation member are slidable relative to the suture and configurable to form a cluster within a surgical site. The delivery device includes a tubular member, an elongated inserter, and a trigger. The elongated inserter is slidably disposed within the tubular member. The inserter has a forked distal end configured to receive a portion of the flexible fixation member and the suture. The trigger is finger-engagable and fixedly coupled to the proximal end of the inserter. It is configured to advance and retract the inserter relative to the tubular member. The trigger includes a retention member for retaining a proximal end portion of the suture.

Abstract: An assembly includes a flexible fixation member, a suture, and a delivery device. The flexible fixation member includes a body with two terminal ends. A suture passes through the flexible fixation member at various points along a length of the body such that portions of the fixation member are slidable relative to the suture and configurable to form a cluster within a surgical site. The delivery device includes a tubular member, an elongated inserter, and a trigger. The elongated inserter is slidably disposed within the tubular member. The inserter has a forked distal end configured to receive a portion of the flexible fixation member and the suture. The trigger is finger-engagable and fixedly coupled to the proximal end of the inserter. It is configured to advance and retract the inserter relative to the tubular member. The trigger includes a retention member for retaining a proximal end portion of the suture.

Abstract: Disclosed is a medical device for shaping a vessel accommodated therein in a predetermined form, wherein said vessel includes a vein and an artery which are connected at a artifactual vascular junction thereof. The device includes an external vascular support (100) having at least one vascular support wall for accommodating an exterior vessel wall of a vessel therein when implanted. The support includes an arterial portion (1304) for apposition with said artery when accommodated therein, and/or a venous portion (1302) for apposition with said vein when accommodated therein. The venous portion (1302) and/or said arterial portion (1304) are shaped at a junction thereof to provide a vessel rounding to at least a portion of said vessel junction when in apposition with the latter upon implantation of said device for said vessel shaping. Corresponding methods are also disclosed. Thus dysfunction or failure of a vessel of the artifactual vascular junction may be reduced, minimized, or eliminated.

Abstract: A sufficient gripping force is exerted on a suture thread through an easy process. Provided is a ligation thread fastening tool including: a gripper that has a pair of crimp pieces opposed to each other with a space therebetween and whose inner faces opposed to each other are to be crimped together and that has, between the inner faces, a groove into which a suture thread can be inserted from a first side of the crimp pieces toward a second side thereof; and an accommodation portion that is provided in the gripper from the inner face outward of the groove so as to communicate with the groove and that accommodate an end portion of the suture thread inserted thereinto from the first side through the groove.

Abstract: A sensor device for sensing endoluminal geometry may include an expandable element disposed on the distal region of a shaft. The expandable element may be configured to move a collapsed configuration and an expanded configuration. The expandable element may include one or more sensor elements configured to sense proximity of the sensor element to tissue. The sensor device may include an indicator configured to distinguish between contact of the sensor element with tissue, loss of contact and proximity of the sensor element to tissue.

Abstract: A retrieval system for a medical device includes an access sheath, a clot catch with an attached mesh, and a filter catch having an attached retrieval member. The filter catch is translatable within clot catch, and the clot catch is translatable within the access sheath. The mesh is expandable into engagement with a body vessel during retrieval of the medical device. The mesh captures emboli that are dislodged during retrieval of the device. The device is captured by the clot catch during retrieval, and the clot catch is subsequently captured by the access sheath. The system can further include an inner sheath translatable within the clot catch, with the inner sheath capturing the medical device and the clot catch capturing the inner sheath.

Abstract: A device for simultaneously monitoring the health of surgical drills and detecting proximity to critical structures during surgery is described herein. By using various sensors (e.g. microphones, accelerometers, temperature sensors, etc.), signals from the drill can be measured and analyzed. The processed signals can then be used to indicate the proximity of the drill bit to critical structures, such as the patient's brain, and identify drill health issues (e.g. worn bearings, misaligned rotational axis, etc.).

Abstract: A system is provided to effectively position a stent within a vessel. The system includes a delivery catheter and a core wire extend through the catheter. The core wire includes an engaging surface region and a capture member disposed thereon, which cooperate to engage a stent such that the stent is able to be advanced or retracted with the advancement or retraction of the core wire. The engaging surface region and the capture member can generally be configured to engage the stent when a portion of the stent is disposed within the lumen of the catheter, and release the stent when no portion of the stent is within the lumen.

Abstract: A nerve repair conduit configured to be secured on first and second portions of a selected nerve. The nerve repair conduit includes a polymeric body having a proximal end, a distal end, an exterior surface and an interior surface defining an interior lumen. In addition, the nerve conduit includes at least one drug reservoir to hold agent(s) that may, for example, facilitate nerve regeneration. The drugs diffuse from the drug reservoir(s) into the nerve repair conduit through an outlet (e.g., a semipermeable membrane) in proximity to the first and second portions of a selected nerve. The nerve repair conduit may be configured to deliver the agent(s) at a rate having substantially zero-order kinetics and/or at a constant rate over a selected period of time (e.g., at least 1 week).

Abstract: Stitching patterns overlap to produce a corner-locked stitch pattern. The corner-locked stitch pattern includes one or more thread interlace points, and one or more overlays of threads from overlapping patterns. A network of corner-lock stitch patterns produces a mesh, which may be embroidered into a substrate, such as a medical textile or biotextile. Corner-lock stitch patterns resist puncture-induced and tension-induced deformation of mesh pores between corner-locked stitch patterns, and may be used to modulate compliance and enhance strength properties of a substrate into which they are sewn.