Abstract: This document describes rotational atherectomy devices and systems for removing or reducing stenotic lesions in blood vessels by rotating an abrasive element within the vessel to partially or completely remove the stenotic lesion material.

Abstract: A bilateral femoral artery hemostasis device by compression comprises a first pressing plate, a second pressing plate and a bellyband; the bellyband comprises more than one fixing belt and more than one elastic compression hemostasis belt, the second pressing plate is located above the first pressing plate, the second pressing plate is more than one; the first pressing plate comprises a compression plate located at a bottom of the first pressing plate and a top plate located at an upper part of the first pressing plate; a first pressing plate supporting leg is vertically arranged on an upper side surface of the top plate, and a space for the fixing belt to pass through is provided between the first compressing plate supporting legs. The hemostasis device is simple to operate, and only one medical staff member can complete all operations, thereby reducing the work intensity of the medical staff.

Abstract: An anastomotic connector comprises a vessel anchor, a midgraft connector and graft material. The vessel anchor has a generally tubular main body including a distal end and a proximal end, the distal end defining a plurality of flanges integrally formed with the tubular main body and being movable from a first loaded position to a second expanded position. The midgraft connector operably couples the graft to the vessel anchor to form an anastomotic connector between an artery and a vein.

Abstract: A suture cinch, cinch applicator, and cinch loader for loading the cinch into the applicator are provided and permit re-use of the applicator with multiple cinches during an endoscopic procedure. The applicator can be loaded with a first cinch, apply the first cinch onto a portion of suture to fix the portion of suture relative to anatomical tissue, reloaded with a second cinch optionally using the loader, and subsequently used to apply the second cinch to fix another portion of suture to fix the other portion of suture relative to anatomical tissue. The cinch is a unitary tubular member through which the suture can be advanced when the cinch is loaded within the applicator. The cinch defines multiple ribs and a cutter in a wall thereof. Operation of the applicator deforms the ribs inward to retain the cinch on the suture and displaces the cutter to sever the suture.

Abstract: An embolectomy device includes a clot engaging structure comprising a plurality of interconnected struts forming an open cell structure, and further includes an attachment structure configured to advance and retract the clot engaging structure out of, and back into, respectively, the open distal end of a delivery catheter, the attachment structure comprising an elongated support member attached to one or more struts of the clot engaging structure only at locations on each of the respective one or more struts that are distal of a proximal end of the clot engaging structure.

Abstract: A system for removing a thrombus. The system includes an expandable device that maintains axially fixed engagement with the thrombus. The expandable device applies a first force to the thrombus according to surrounding vessel size. The expandable device applies a second force to the thrombus according to an increased vessel size to maintain axially fixed engagement.

Abstract: A delivery and release device for stent-graft includes a guiding head and a central tube connected thereto, an outer tube sleeving on the outside of the central tube, a positioning tube sheathed between the central tube and the outer tube, a front fixator, a back fixator and a positioner successively sheathed between the positioning tube and the outer tube. The stent-graft is placed between the back fixator and the positioner. A metal bar is connected to the guiding head along its axial direction with a ring suture being connected to the front fixator. The ring suture sleeves onto the metal bar after passing through the stent-graft. During the release process, the metal bar moves forward in the axial direction to detach from the ring suture, thereby the stent-graft is released.

Abstract: A tissue-removing catheter includes a sensor configured to detect a parameter of the catheter during the cutting operation of the catheter when a tissue-removing element is in a tissue-removing position. A locking control circuit is in electrical communication with the sensor and a locking device. During an operational control function, the locking control circuit receives a signal from the sensor based at least in part on the parameter of the catheter detected during the cutting operation of the catheter. The locking control circuit determines whether the received signal is indicative of a tissue-removing element engaging a non-tissue obstruction. The locking control circuit configures the locking device in its locked configuration to inhibit movement of the tissue-removing element from its tissue-removing position to its neutral position if the received signal is indicative of the tissue-removing element engaging a non-tissue obstruction.

Abstract: This document describes rotational atherectomy devices and systems for removing or reducing stenotic lesions in blood vessels by rotating an abrasive element within the vessel to partially or completely remove the stenotic lesion material.

Abstract: A combination double-barreled and debranching stent graft and methods for its use, where the stent graft comprises, a main body stent graft defining a single lumen with distal and proximal ends, a first bifurcation in the main body defining first and second lumens, the main body stent graft defines a tubular wall that is contiguous with the first and second lumens such that any fluid entering the main body stent graft must exit by entering one of the first or second lumens, (c) a second bifurcation within the first lumen defining a first leg and a second leg, (d) a third bifurcation within the first leg defining a third leg and a fourth leg, and (e) a fourth bifurcation within the second leg between about 10 mm and about 20 mm distal from the second bifurcation defining a fifth leg and a sixth leg.

Abstract: An apparatus, system and method for re-canalization or opening a passage through an occlusion in a blood vessel is provided. The apparatus and method, which are appropriate for cardiovascular and peripheral vessels, use a pulling member and a spring member, for example a compression spring, to oscillate a drilling component. The drilling component at the distal end of the catheter tip has combined longitudinal stiffness for penetrating a total or partial occlusion and high axial (lateral) flexibility to improve deliverability and crossability of a catheter through a partially occluded vessel or a tortuous vessel, and may taper distally. The system of the invention includes the apparatus and a control unit to permit adjustment of the frequency or amplitude of oscillation of the drilling component. Also provided is a method for oscillating a drilling component using a pulling member and a spring member and a method of traversing an occlusion.

Abstract: A surgical grasping instrument is provided which includes a body portion having an elongate tubular member extending from the body portion and a jaw assembly movably mounted on a distal end of the elongate tubular member. The jaw assembly includes first and second jaws having arcuate grasping portions for securely grasping a circular surgical stapler anvil shaft. The jaw assembly is mounted on a movable head portion which is movable relative to a longitudinal axis of the elongate tubular member to rotate and articulate the jaw assembly relative to the longitudinal axis to manipulate the anvil within the body of a patient.

Abstract: This document describes rotational atherectomy devices and systems for removing or reducing stenotic lesions in blood vessels by rotating an abrasive element within the vessel to partially or completely remove the stenotic lesion material.

Abstract: A stoma dilation device that includes a tubular support defining a continuous pathway through the device; an inflatable dilation balloon located on the tubular support, the inflatable dilation balloon including a dilation region forming a first portion of the device and a retention region forming a second portion of the device; and a balloon inflation lumen. The retention region of the balloon is configured to have a diameter upon full, unrestrained inflation that is greater than the diameter of the dilation region.

Abstract: An occlusion device formed of a microcoil having a three-dimensional relaxed state employing open looped portions interposed between closed loop portions. Planes defined by sequentially formed open looped and closed loop portions are neither coincident nor parallel to one another.

Abstract: Apparatus for securing a first object to a second object, said apparatus comprising: an anchor body which is longitudinally and laterally deformable; and a working suture which is connected to said anchor body; said anchor body and said working suture being configured such that, when at least one of said anchor body and said working suture receives a repair suture which is connected to the first object, and said anchor body is thereafter disposed in a hole in the second object, applying tension to said working suture secures said anchor body to the second object and secures said repair suture to said anchor body without requiring that a knot be tied after said anchor body is disposed in the hole in the second object.

Abstract: Bio-adhesive textured surfaces are described which allow implants to be localized within a living body. Hierarchical levels of texture on an implantable medical device, some capable of establishing a Wenzel state and others a Cassie state, are employed to interface with living structures to provide resistance to device migration. Since a gaseous state is traditionally required to establish a Cassie or Wenzel state, and gases do not remain long in living tissue, described are tissue/device interactions analogous to the above states with the component normally represented by a gas replaced by a bodily constituent, wherein separation of tissue constituents develops and an analogous Cassie, Wenzel or Cassie-Wenzel state evolves.

Abstract: A balloon or balloon cover comprising a composite material having a least one expanded fluoropolymer material and an elastomer is provided. The expanded fluoropolymer material can contain serpentine fibrils. In exemplary embodiments, the fluoropolymer is polytetrafluoroethylene. The composite material may be axially, helically, and/or circumferentially wrapped to form a balloon or balloon cover. The balloon or balloon cover exhibits a sharp increase in stiffness at a predetermined diameter. The balloon or balloon cover can be designed to have a stop point in either a radial or axial direction.

Abstract: An occluder device for occluding a gap between a medical device and adjacent body tissue includes a conformable body having a hollow interior, a leading end and a trailing end; and a port disposed at the trailing end of the body and in fluid communication with the interior of the body.

Abstract: A laparoscopic clip applier comprising multiple clips housed in a rigid sleeve, where the arms of the clips are oriented lengthwise in the sleeve, and a deployment mechanism for deploying the clips from a distal end of the sleeve via a perforation made by a needle provided with the distal end of the sleeve.