Abstract: A cannula (10) receives surgical instruments (120) for performing a surgical procedure on a body (130). The cannula (10) comprises a tube structure (12) defining a passage (16) through which the surgical instruments (120) are inserted into the body (130). The tube structure (12) has a proximal end (20) and a distal end (62). The tube structure (12) includes an expandable portion (40) for enabling an increase in the cross-sectional area of the passage (16) at the distal end (62). The expandable portion (40) of the tube structure (12), when expanded, has a conical configuration.

Abstract: A device for extracting (or inserting) objects from the body, such as urinary stones, using a low pressure inflatable toroidal balloon that serves to engulf the object during extraction (or insertion) while dilating and protecting the passageway. The balloon loads onto an ureteroscope prior to insertion, rather than through the ureteroscope as do existing balloons. The toroidal balloon is a simple and unique device that may be applied external to the extracting telescope and does not interfere with existing methods for stone manipulation such as laser lithotripsy, irrigation and basket extraction in the case of urinary stone manipulation.

Abstract: An ultrasonic treatment instrument includes a piezoelectric element assembly, a probe, a backing plate, an electrode assembly, a cylinder and a cylindrical inner cover. The piezoelectric element assembly includes piezoelectric elements and generates ultrasonic vibration. The probe is connected to the piezoelectric element assembly and transmits the ultrasonic vibration. The backing plate is connected to the piezoelectric element assembly. The electrode assembly includes electrodes respectively clamped between the piezoelectric elements, electrifies the piezoelectric elements and generates the ultrasonic vibration. The cylinder is connected to the probe and locates the piezoelectric element assembly, the backing plate and the electrode assembly therein. The cylindrical inner cover includes an inner diameter larger than the backing plate and an outer diameter smaller than the cylinder.

Abstract: A dermatome having a blade assembly, where the blade assembly includes a blade and a blade mount. The blade may include a blade edge, a reference edge and at least one hole or receiver positioned between the blade edge and the reference edge. The blade mount may include a base, a blade locator extending from the base and at least one reference fence abutting the reference edge of the blade. The blade locator may include a protrusion for inserting into the hole or receiver of the blade. The blade and blade mount of the blade assembly may self align and provide for a simple and permanent connection.

Abstract: A method of inserting an ocular implant into a patient's eye, the ocular implant being mounted on a carrier, the method comprising: inserting a cannula into an anterior chamber of the eye; moving a distal exit port of the cannula into communication with Schlemm's canal; and advancing the ocular implant and carrier through an exit port of the cannula into Schlemm's canal. The invention also provides an ocular implant and delivery system comprising: a cannula comprising a distal exit port adapted to be inserted into a Schlemm's canal portion of an eye; an ocular implant; a carrier disposed within the implant and movable with the implant within the cannula; and a proximal control adapted to be operated from exterior to an eye to move at least one of the carrier and the implant when the distal exit port of the cannula is within the eye.

Abstract: A combined rolling membrane-balloon catheter, in particular for expanding stenoses in bodily vessels, including: an outer shaft (1) and an inner shaft (4) which is axially displaceable therein, an intermediate shaft (7) situated between the inner and outer shafts (4, 1) which is likewise axially displaceable, a rolling membrane (12) which is attached in a pressure-tight manner between the distal end (2) of the outer shaft (1) and the distal end (11) of the inner shaft (4), and which may be displaced between a passive position within the outer shaft (1) and an active position which is distally expanded from the outer shaft (1) by the action of pressure, and a dilatable balloon (14) which is attached in a pressure-tight manner between the distal end (11) of the inner shaft (4) and the distal end of the intermediate shaft (7), and which may be displaced between a passive position within the outer shaft (1) and proximally in front of the rolling membrane (12), and an active position which is distally expanded fro

Abstract: The present invention is directed to stent that has a plurality of axially spaced serpentine bands. Each serpentine band comprises a plurality of struts, wherein adjacent struts are connected to each other forming a plurality of peaks and valleys. The plurality of struts comprise a plurality of adjacent pairs of struts, wherein each adjacent pair of struts comprises a first strut and a second strut and wherein the first and second struts have a first end, a second end and a length and a plurality of interconnecting struts axially connect the serpentine bands. The stent further includes a plurality of connector nodes, wherein a plurality of first and second struts that are associated with a connector node have a greater stiffness than a plurality of struts that are not associated with a connector node.

Abstract: A steerable catheter system to perform a transseptal puncture procedure comprises a steerable catheter shaft with at least one inner lumen, and an inner element slidably positioned within a shaft lumen, wherein the distal tip of the shaft can be deflected, counter-deflected, rotated, and counter-rotated and wherein the inner element can be deployed or retracted. In one embodiment, a single steerable catheter is capable of performing an intended procedure and a transseptal procedure all in one, wherein the catheter comprises an outer steerable catheter and an inner element which can be deployed to perform a transseptal puncture, and wherein, once the inner element crosses the inter-atrial septum, the catheter itself can slide forward without advancement of the inner element.

Abstract: The present invention provides balloon dissection apparatus and methods of use in which an elongate balloon is utilized to dissect along a region that follows a naturally existing path alongside a vessel or structure, such as an artery, a vein, a lymphatic vessel, the trachea, the esophagus, or even a nerve bundle.

Abstract: This disclosure is directed to a device for facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The device includes an intravascular device including a shaft having a distal end and a proximal end. The device includes a handle assembly fixed about the proximal end of the shaft, the handle assembly including a first portion. Rotation of the first portion in a first direction about a longitudinal axis of the shaft causes rotation of the shaft in the first direction when a torque applied by the first portion to the shaft is below a first maximum torque. Further rotation of the first portion in the first direction about a longitudinal axis of the shaft does not cause rotation of the shaft in the first direction when the torque applied by the first portion to the shaft is equal to or above the first maximum torque.

Abstract: An exemplary surgical apparatus may include a guide catheter including a clip channel, at least one hook channel, and at least one sling channel defined therein; a clip applier movable within the clip channel, wherein the clip applier holds at least one clip; at least one hook movable within a corresponding hook channel; and at least one sling movable within a corresponding sling channel. An exemplary surgical method for treating a mitral valve may include providing a guide catheter; a clip applier held by the guide catheter, and a clip held by the clip applier; introducing the distal end of the guide catheter into the left atrium; engaging the anterior and posterior leaflets of the mitral valve with the clip; closing the clip; and disengaging the clip applier from the clip, whereby the clip remains in the mitral valve.

Abstract: An aortic punch including a handle mechanism and punch cartridge for interchangeability of a variety of cartridges with a common handle.

Abstract: A suture organizer to maintain a plurality of sutures attached to a patient during a surgical procedure or operation in position relative to each other during the surgical procedure or operation comprising a hemostat retainer including a hemostat retainer member to receive and retain the finger hole or thumb hole of a corresponding hemostat connected to a corresponding suture and a clasp including a pair of clasp members to cooperatively clamp a surgical drape or the like therebetween to hold the suture organizer in position during the surgical procedure or operation.

Abstract: A retrieval apparatus for entrapping and retaining an object located in a body for its extraction therefrom is described. The retrieval apparatus includes a snare and a snare control assembly. The snare has a proximal section and a distal section, and comprises a plurality of filaments extending from a proximal end of the proximal section towards the distal section, and then returning to the proximal end to form a plurality of loops. In the deployed state, the loops are interlaced to each other within the proximal section and are free and not interleaved within the distal section. Segments of the filaments of the distal section are bent with respect to segments of the filaments of the proximal section such that the retrieval snare in the contracted state forms a hollow cavity extending from the distal section towards the proximal section.

Abstract: Systems, devices and methods for performing small incision DLEK include providing a corneal transplantation donor tissue graft; then forming the tissue graft into an implantable configuration using the flexible substrate. Related medical kits and tools for forming a compact or rolled donor tissue graft are also described.

Abstract: Surgical micro-resecting and evoked potential monitoring system and method. The system includes a micro-resecting instrument, handpiece, and evoked potential monitor. The instrument includes an outer tube forming a cutting window at which a cutting tip of an inner member is located. A hub assembly rotatably maintains the inner and outer members. An electrically non-conductive material covers a region of the outer tube, and wiring is connected to an exposed surface of the outer tube. The instrument defines a probe surface proximate the cutting window as part of an electrical pathway with the wiring. The hub assembly is powered by the handpiece, and the wiring is connected to the evoked potential monitor. Evoked potential monitoring is performed at the probe surface via stimulation energy delivered along the electrical pathway, and tissue/bone resection occurs with rotation of the cutting tip.

Abstract: A system and method of detecting implant detachment within the body of a patient. The activation of the heater coil causes the degradation, melting or reduction of a component that brings the heater coil into or out of electrical contact with another component, or causes the individual loops of the coil to contact each other, thereby resulting in a notable change in resistance in the circuit supplying the heater coil with electricity.

Abstract: A coupling device is formed of a double tubing of a substantially non-porous membrane material, typically a conventional graft material, that is of inner and outer layers of membrane material. The inner and outer layers are coupled by bridging rings which allow the layers to be spaced from one another in use. Attached to the inner and outer layers are first and second stents. The stent is located on the inside of the double tubing, while the stent is located on the outside of the double tubing. The device can expand in effect to ‘bulge’ and thus to fill the gaps to the vessel wall and to the stent-graft sections. The device can provide reliable coupling of stent-grafts in vessels of varying diameter or in vessels inflicted with one or more aneurysms.

Abstract: A forceps for endoscope includes: a pair of first and second forceps members that is supported by a forceps rotary shaft so as to be relatively rotatable; an opening and closing wire that is moved forward and backward in the direction of the axis so that the first forceps member and the second forceps member are rotated relatively; a stopper that switches an angle in which the first forceps member and the second forceps member rotate relatively at first and second positions different from each other in the direction of the axis; an adjusting wire is moved forward and backward in the direction of the axis; and a sheath through which the opening and closing wire and the adjusting wire are inserted and in which the first forceps member, the second forceps member, and the stopper protrude from the front end thereof.

Abstract: A vacuum extractor cup 2 for vacuum extractor delivery is provided which includes a cup portion 11 formed with a foldable and flexible material such as a sheet made of, for example, a vinyl material and in a cup-like shape with a sucking hole 13 on its bottom side and an extracting hole 14 on its opening side and includes a porous elastic member 12 formed with sponge. An extracting ring portion 16 has elastic force being larger than elastic force of a surrounding wall 15 in the cup portion 11. A convex/concave portion 17 is formed in an inner surface of the surrounding wall 15 in the cup portion 11 and the convex/concave portion 17 serves as a slipping-stop device between the cup portion 11 and porous elastic member 12.