Abstract: A tissue resecting device includes a handpiece assembly and an end effector assembly. The handpiece assembly includes a motor and a cooling assembly. The cooling assembly includes a housing, a fan assembly, and a fin pack. The fan assembly includes a tubular member configured to be received in the elongate cover, and a plurality of blades rotatably supported on the tubular member and operatively coupled with a drive rotor of the motor for concomitant rotation therewith. The fin pack includes a tubular base and a plurality of fins extending radially outward from the tubular base. The tubular base is disposed within the elongate cover and about the tubular member of the fan assembly. Actuation of the motor rotates the plurality of blades of the fan assembly to thereby advance air through a space between the fin pack and the elongate cover of the housing to facilitate cooling of the motor.

Abstract: A device and method for delivering a synthetic mesh or graft for anatomical repair at a defect site. A plurality of flexible arms is connected to the synthetic mesh or graft. Grasping jaws are individually controlled at or near a proximal end of the device for connection of the graft and release of the graft at the surgical site. The flexible arms, with graft attached are positioned through a surgical incision to the defect site. An actuator positions the flexible arms to assume a radial array at the surgical site, unfolding and spreading the graft for attachment. The length of each flexible arm is individually adjustable to adapt to the size and shape of the graft selected for installation at the defect site to repair the defect.

Abstract: An atherectomy system includes a handle and a drive motor that is adapted to rotate a drive cable extending through the handle and operably coupled to an atherectomy burr. A control system is adapted to regulate operation of the drive motor, including providing the drive motor with a high frequency pulse width modulation (PWM) drive signal in order to operate the drive motor. The control system monitors a motor performance parameter such as motor speed or motor torque, and when the motor performance parameter approaches a limit of a performance range, the control system adds a low frequency PWM signal to the high frequency PWM drive signal, thereby causing the drive motor to produce a tactile signal that signals to the user that the motor performance parameter is approaching the limit of the performance range.

Abstract: The present disclosure describes tissue gripping devices, systems, and methods for gripping mitral valve tissue during treatment of a mitral valve and while a tissue fixation device is implanted in the mitral valve. The tissue gripping device includes a flexible member and one or more tissue gripping members coupled to one or more arms of the flexible member. The flexible member is formed from a shape-memory material, such as nitinol, and the tissue gripping member(s) are formed from a material that is more rigid than the shape-memory material. The tissue gripping member(s) are attached to the flexible member by threading or looping suture lines around and/or through the tissue gripping member(s) and the flexible member and/or by applying a cover material to the tissue gripping device to hold the tissue gripping member(s) against the flexible member.

Abstract: A device is configured for closing an aperture in a wall of a blood vessel. An embodiment of the device includes a body and at least one suture element held within the body. A suture capture rod is positioned within the body and is operatively associated with the suture element and arranged to pass the suture element through a vessel wall such that opposed portions of the suture element extend from the vessel wall. A removable guidewire segment is removably attached to a distal end of the body.

Abstract: A surgical instrument apparatus includes an elongate tubular body having a proximal end and a distal end and a bore extending through the tubular body; an actuator link extending through and configured to move longitudinally within the bore, the actuator link including a first end connected to a first actuator at the proximal end of the tubular body and a second end terminating in a coupler, wherein the first end of the first actuator causes the actuator link to selectively move between an extended state and a retracted state.

Abstract: A device and a method for sealing an opening in the wall of a blood vessel is provided. The device includes an automatic mechanism, a shaft fixedly connected to the automatic mechanism, a seal assembly attached to the distal end of the shaft, and a pushing rod also engaging the seal assembly, the automatic mechanism moving the pushing rod from a first position to a second position in response to the shaft being pulled distally a predetermined distance.

Abstract: A medical device includes a mesh member capable of radially expanding and contracting, and a cylindrical member located at one end of the mesh member. The mesh member is woven from a first wire and a second wire. The cylindrical member includes a wrapping portion and a lining portion that are fixed to each other at fixation portions positioned within spaces defined by the first wire and the second wire. Neither the wrapping portion nor the lining portion is fixed to either of the first wire or the second wire. Upon expansion or radial contraction of the mesh member, movement of the first wire or the second wire is not interfered with by the cylindrical member. This reduces the concentration of stress at the end of the mesh member and thus the likelihood that either the first wire or the second wire will break.

Abstract: An arterial anchor device and a venous anchor device operably coupled by graft material to form an anastomotic convector is provided. The arterial anchor device comprises 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 venous anchor device includes a tubular main body having a metal frame structure and including a distal end and a proximal end, the distal end including a plurality of barbs thereon wherein said distal end has an outer diameter greater than the proximal end. The arterial anchor device and venous devices are fluidly connected by a graft to form an anastomotic connector.

Abstract: Described herein are mechanical inverting tube apparatuses that may be used to remove clot (e.g., thrombectomy), the apparatuses including an inversion support catheter having an expandable funnel-shaped distal end, and a flexible tube that can be continuously rolled over the funnel-shaped distal end and invert into the inner lumen of the inversion support catheter.

Abstract: A telescoping catheter is provided such as for distal neurovascular aspiration or access. The catheter includes an elongate, flexible tubular body, having a proximal section with at least one lumen and a distal section which is axially movably positioned within the lumen. A control is provided for advancing the distal section from a first, proximally retracted position within the proximal section to a second extended position, extending distally beyond the proximal section. The distal end of at least one of the proximal and distal sections may be provided with at least one active feature, such as at least one movable jaw or rotatable agitator, to assist in the capture of vascular obstruction. The jaw may be operable in response to application of pulsatile negative pressure through the catheter.

Abstract: Delivery and detachment of an implant can be enhanced by a retraction mechanism to secure portions of a delivery wire within an interior space of the implant. A delivery system can include an implant having a proximal end portion. A delivery wire can include (i) a detachment zone proximal to the proximal end portion and (ii) a distal region distal to the proximal end portion. An expansion member can be located between the proximal end portion and the distal region of the delivery wire. The expansion member can be biased to move the distal region of the delivery wire distally away from the proximal end portion when severed at the detachment zone.

Abstract: An improved disposable puncture depth adjustable safety lancet includes a shell, a lancet core, a spring, and a trigger. The shell has an adjusting ring at a front end thereof to adjust a puncture depth, the adjusting ring being sleeved and clearance-fit at an outside of the trigger head. The adjusting ring and the shell are rotationally connected in a peripheral direction and are fixedly connected in an axial direction, and a rotational locating structure is formed by the adjusting ring and the shell in the peripheral direction. The adjusting ring has an inner wall equipped with a rotating step face or rotating bevel, and rotating the adjusting ring locates the adjusting ring in different locating positions. The rotating step face or rotating bevel is configured to meet the collision face of the lancet core in different axial positions, thereby changing the puncture depth of needle tip.

Abstract: The invention relates to a device for closing an atrial appendage, particularly the left atrial appendage, comprising a closing element, designed to be arranged in an atrial appendage entrance and to prevent an entrance of blood into the atrial appendage and/or a leakage of thrombus out of the atrial appendage, which is configured that it does not, in the implanted state, protrude out of the atrial appendage into the atrium of the heart; a first anchoring element, which is arranged adjacent to the closing element and connected to the closing element, wherein the first anchoring element is designed for an anchoring on an atrial appendage tissue wall, a connecting element which is at least in a radial direction flexible and connected to the first anchoring element and a second anchoring element, which is connected to the connecting element and designed for an anchoring on an atrial appendage tissue wall.

Abstract: The present application relates to surgical clip appliers having a plurality of clips for applying the clips to body tissues and vessels during surgical procedures and their methods of use and specifically to a reusable counter mechanism for use with a surgical clip applier. The surgical clip applier includes a housing, at least one handle pivotably connected to the housing, a channel assembly extending distally from the housing, a plurality of clips loaded in the channel assembly, a drive channel translatably supported in the housing and the channel assembly and being translatable upon actuation of the at least one handle, and a reusable counter mechanism removably insertable into a counter slot extending into the housing and engagable with the drive channel. The counter mechanism is configured display indicia corresponding to a quantity of clips and to update the indicia upon translation of the drive channel.

Abstract: Tissue compression devices having a tension limiting strap retainer and methods of using the same. The tissue compression devices described herein may include a strap retainer that is attached to a base by an elastic member that is configured to draw the strap retainer towards the base. The tissue compression devices described herein may also include a tension indicator that extends between the base of the tissue compression device and strap retainer. The tension indicator may be configured to limit the travel distance of the strap retainer away from the base in response to forces acting on the strap retainer. The tension indicator may also provide visual feedback to a user of the tension force in a strap to attach the tissue compression device to a patient.

Abstract: An actuator is movable between a first position and a second position to move a drive mechanism between a first configuration and a second configuration relative to a housing. A cartridge assembly configured to be removably coupled to the housing to couple such that the cartridge assembly is coupled to the drive mechanism. A first member of the drive mechanism moves a first member of the cartridge assembly to advance a surgical clip of the cartridge assembly in a distal direction when the drive mechanism is placed in the first configuration. A second member of the drive mechanism moves a second member of the cartridge assembly relative to the clamp mechanism when the drive mechanism is placed in the second configuration to transition the clamp mechanism from a first configuration to a second configuration. The clamp mechanism is configured to clamp the surgical clip when in the second configuration.

Abstract: An arterial anchor device operably coupled by graft material to form an anastomotic connector is provided. The arterial anchor device comprises 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 arterial anchor device is fluidly connected by a graft to form an anastomotic connector.

Abstract: An end effector for a surgical clip applier includes a housing, and jaws that extend past a distal end of the housing and include opposed first and second jaw members each comprising an independent structure movable relative to the other. The first jaw member defines a first inner surface and the second jaw member defines a second inner surface opposite the first inner surface. An actuation mechanism is operatively coupled to the jaw members and operable to move the jaws between an open position and a closed position. The first and second inner surfaces remain substantially parallel to each other as the jaws move between the open and closed positions.

Abstract: The present disclosure describes interventional devices, systems, and methods for closing a regurgitant gap in a cardiac valve. Interventional devices are configured to be deployed between two previously placed implants or between a previously placed implant and a valve commissure. The interventional devices compress captured leaflet tissue and/or apply a tensioning force along the line of coaptation to assist in closing the gap and reducing regurgitant flow through the gap.