Abstract: In one embodiment, a surgical instrument comprises an articulable harmonic waveguide. The articulable harmonic waveguide comprises a first drive section comprising a proximal end and a distal end. The proximal end of the first drive section may be configured to connect to an ultrasonic transducer. The articulable harmonic waveguide further comprises a first flexible waveguide coupled to the distal end of the first drive section. An end effector extends distally from the first flexible waveguide. The surgical instrument further comprises an articulation actuator to flex the first flexible waveguide.

Abstract: A follicular unit extraction device comprises a handpiece for holding a follicle punch at its distal end which extends from the handpiece and terminates distally in a cutting edge. The punch is releasably coupled to a motor-driven drive shaft within the handpiece for rotation therewith. A portion of the driveshaft is tubular, and houses a piston that can move towards and away from the punch. An ejector pin is also supported within the tubular portion of the driveshaft distally of the ejector piston and is positioned to move towards the cutting edge of the punch when pushed by the piston. The handpiece and driveshaft have respective fluid inlet ports. The clearance between the piston and driveshaft interior, and the clearance between the ejector pin and punch interior, define a fluid path for conducting fluid entering the handpiece and drive shaft via inlet ports so that the fluid exits the punch at its cutting edge.

Abstract: Tissue fixation members interact with a housing to hold tissue relative to the housing and allow the orientation and position of the grasped tissue to be manipulated with improved efficacy. The tissue fixation members can be easily and quickly moved between deployed and retracted positions to reversibly grasp and release tissue.

Abstract: A surgical retrieval apparatus for receipt of multiple tissue specimens includes a collection bag, a support ring, and a flip ring. The collection bag includes first and second packets each having an outer portion and an inner portion. The first and second packets define first and second adjacent chambers, respectively, that are each configured for receipt of a tissue specimen therein. The first and second packets are coupled to both the support ring and the flip ring. The flip ring is pivotably coupled to the support ring and is rotatable relative to the support ring between a first position, wherein the first chamber is accessible for depositing a tissue specimen therein and a second position, wherein the second chamber is accessible for depositing a tissue specimen therein.

Abstract: An apparatus includes a flexible fixation member having a body with a longitudinal extent and a width, the body defining a plurality of openings through the body, each of the plurality of openings formed substantially cross wise through the width of the body, and a suture having two terminal ends, the suture being interwoven through each of the plurality of openings in the body of the fixation member such that multiple portions of the fixation member are slidably coupled to the suture and configurable to form a cluster within a surgical site.

Abstract: An aneurysm clip includes a compression spring having a compression axis, a first end, and a second end. A first force receiving surface is coupled to the first end of the spring, and a second force receiving surface is coupled to the second end of the spring. A first arm coupled to the first force receiving surface is approximately parallel to the spring's compression axis. A second arm coupled to the second force receiving surface is approximately parallel to the spring's compression axis. A first clamping leg coupled to the first arm extends approximately perpendicular therefrom, and a second clamping leg coupled to the second arm extends approximately perpendicular therefrom. The first and second clamping legs oppose one another and are biased into contact with one another by the spring.

Abstract: An integrated crossing balloon catheter. The catheter includes a hub assembly secured to the proximal end of the catheter shaft, an inflatable balloon secured to the distal end of the catheter shaft, and a stiffening tube positioned over the inflatable balloon and a distal end portion of the catheter shaft. The stiffening tube is configured to be advanced through a vasculature with the catheter shaft as a unit. The stiffening tube is translatable along the catheter shaft from a first position in which the inflatable balloon is within the stiffening tube to a second position in which the inflatable balloon is exposed from the stiffening tube.

Abstract: An intraocular lens insertion device having a novel configuration, capable of more accurately arranging front and back surfaces of an intraocular lens in a proper direction. The intraocular lens insertion device is adapted in such a manner that the intraocular lens is set on a stage in a state placed flat with a pair of haptics extended facing front and back sides in a movement direction by a plunger. Also, an interfering acting part is provided to an insertion tube part, and the interfering acting part interferes with the haptic, which is extended facing the front side in the movement direction of the intraocular lens moved by the plunger, to apply on the haptic an external force toward the back side in the movement direction. Thus, the interfering acting part curves and deforms the haptic to a side approaching an optical portion.

Abstract: A stent delivery system can include a core member, first and second restraints, and a stent engagement component. The core member can have a distal segment. The first and second restraints can be coupled to the core member distal segment and axially spaced apart from each other to provide an axial gap. The first and second restraints can each have an outer profile that tapers radially inwardly in directions away from the gap. The stent engagement component can be at least partially disposed in the axial gap between the first and second restraints such that the component is slidably and rotatably coupled to the core member distal segment.

Abstract: The invention relates to devices used in the fields of drag delivery or sampling. More particularly, it relates to a disposable assembly which is fitted to an actuator device which causes the skin piercing element to enter the skin to deliver a drug (or other substance) or take a sample. Preferably the assembly is “made safe” after actuation, such that the disposable assembly can't be reused and more preferably still the skin piercing element is safely housed in the assembly such that it does not constitute a “sharps” risk.

Abstract: A transcatheter valve prosthesis includes a self-expanding tubular stent component and a prosthetic valve disposed within and secured to the stent component. The tubular stent component has a proximal portion, a distal portion, and an intermediate portion between the proximal and distal portions. In a compressed delivery configuration, the tubular stent component has a generally circular cross-section along its length. In an expanded deployed configuration, the proximal and distal portions have a generally circular cross-section while the intermediate portion of the stent component has a generally triangular cross-section with three vertexes that are configured to project into three commissural points of a native valve when the valve prosthesis is implanted in situ.

Abstract: A device for transcatheter gathering of tissue of a heart valve leaflet may include an elongated tube, a capture tool moveable in the tube between a retracted position and an extended position, a tissue support located within a distal portion of the tube, and a clamping member pivotable in the tube between an open position spaced from the tissue support and a closed position adjacent the tissue support. The clamping member may have a flattened clamping portion and a C-shaped portion that defines a pocket therein. An open side of the C-shaped portion may face the tissue support. The capture tool and the clamping member may be operable to gather and clamp tissue between the tissue support and the clamping member, such that the clamped tissue has a gathered configuration. The device may also include a releasable clip adapted to hold the clamped tissue in the gathered configuration.

Abstract: A gutclamper includes two hard rod-like bodies having flexible belts on one ends, a joint at which the rod-like bodies are joined, and at least one through hole made in one of the belts. The gut tract is clipped by using the two hard rod-like bodies and the joint as a pivot. By clipping the gut tract by side surfaces of the rod-like bodies, it can be clipped while the width of the gut is pressed and widened, so that the gut is prevented from being excessively clamped and torn. In addition, the two rod-like bodies are made different in length from each other, a through hole is made in the belt connected to the shorter rod-like body, and the tip end of the longer rod-like body is fit into the through hole and locked, so that reliable clipping is realized without an excessive burden being placed on an operator.

Abstract: A fluid injection device includes a fluid supply unit that accommodates and supplies fluid, a fluid injection unit that injects fluid supplied from the fluid supply unit, and a driving waveform generating device which is equipped with at least one adjusting device, a one-input multiple-control parameter changing unit that simultaneously changes plural control parameters for determining a fluid injection condition of the fluid injection unit on the basis of a signal from the at least one adjusting device, and a driving waveform generator that generates and outputs a driving waveform of the fluid injection unit on the basis of the control parameters set by the one-input multiple-control parameter changing unit.

Abstract: An ultrasonic surgical instrument including an ultrasonically actuated blade or end effector having a treatment portion. The blade can define a central axis and at least one axis which is transverse to the central axis, wherein the transverse axis can lie within a plane which is perpendicular, or normal, to the longitudinal axis and can define a cross-section of the treatment portion. Such a cross-section can include a central portion and a step extending from the central portion, wherein the central portion can comprise a width, and wherein the step can comprise a cutting edge. In at least one embodiment, the cutting edge can be defined by first and second surfaces which define an angle therebetween. In various embodiments, the position of the cutting edge and/or the angle between the cutting edge surfaces can be selected in order to balance the blade with respect to the transverse axis.

Abstract: Systems, devices, and methods are provided for securing soft tissue to bone, for securing one or more objects using a surgical filament, and for drawing two or more tissues together so they can be secured in a desired location. One exemplary embodiment of a surgical repair method includes selecting a surgical repair construct that includes a snare linkage having a collapsible snare and a collapsible loop coupled to the snare linkage. Steps can be performed as part of the method such that the snare of the snare linkage is collapsed around a portion of the loop passing through the snare. The snare linkage and loop construct can be coupled to tissue and bone such that the snare and loop are both advanced distally towards bone to bring the tissue into proximity with the bone. Other exemplary systems, devices, and methods for use with soft tissue repair are also provided.

Abstract: A stent graft deployment device assembly (10) has a cylindrical fixed handle (6) to be gripped and held by a user and an tubular release handle (30) extending through the fixed handle. The release handle can be moved through the fixed handle. The deployment device assembly has a pusher assembly and a sheath (18) to cover a stent graft on the pusher assembly. The pusher assembly is connected to the fixed handle and the sheath is connected to the release handle so that retraction of the release handle through the fixed handle causes the sheath to be retracted from the stent graft on the pusher assembly. The fixed handle has a rotator component (36) with internal first and second screw threads. The tubular release handle has an external screw thread (31) which engages with the first screw thread. The external screw thread (31) can extend along part, all or in segments along the release handle. A release clamp (48) on the pusher has pins which engage with the second screw thread.

Abstract: A delivery device for a collapsible prosthetic heart valve includes an operating handle and a catheter assembly. The operating handle may include a housing defining a movement space therein, a carriage assembly moveable in a longitudinal direction within the movement space, a deployment actuator coupled to the housing and rotatable relative to the housing, and a coupling assembly rotationally fixed to the deployment actuator. The catheter assembly may include a first shaft around which a compartment is defined and a distal sheath operatively connected to the carriage assembly. Movement of the carriage assembly in the longitudinal direction in the movement space may move the distal sheath between the closed condition and the open condition. The coupling assembly may have an engaged position in which rotation of the deployment actuator moves the carriage assembly, and a disengaged position in which rotation of the deployment actuator does not move the carriage assembly.

Abstract: An earwax cleaner includes a bag-shaped holding portion and a soft earwax picking sleeve. The rear section of the bag-shaped holding portion is provided with a resilient bag-shaped body, and the front section is a pipe with an opening. The earwax picking sleeve has a reduced mouth at the distal end and a plurality of protrusions on an outer wall thereof. The earwax picking sleeve is fitted on the pipe of the holding portion. The opening of the pipe is aligned with the mouth of the earwax picking sleeve to form an open end for the air in the bag-shaped body of the holding portion to pass in and out. When in use, the pipe is inserted in the ear and the holding portion is slightly turned with the protrusions to pick the earwax from the wall of the ear to be collected in the bag-shaped body.

Abstract: Systems, devices, and methods are provided for securing soft tissue to bone, for securing one or more objects using a surgical filament, and for drawing two or more tissues together so they can be secured in a desired location. One exemplary embodiment of a surgical repair construct that is configured to atraumatically pass through soft tissue to secure tissue in a knotless manner includes a snare linkage, a collapsible loop, and a flexible suture pin. The snare linkage can include a collapsible snare for receiving the collapsible loop, and in use the snare can be collapsed around the collapsible loop and advanced distally towards the bone until the snare is proximate to the tissue, while the collapsible loop can be collapsed distally towards the bone to bring the tissue into proximity with the bone. Other exemplary systems, devices, and methods for use with soft tissue repair are also provided.