Abstract: A system for delivering an implant device to a vascular site in a patient a delivery pusher apparatus, an implant device detachably connected to the delivery pusher apparatus by a tether having a distal end connected to a proximal end of the implant device, wherein the tether is substantially non-tensioned when connecting the implant device to the delivery pusher, and an electrical heating element configured coaxially around at least a portion of the tether, wherein heat generated by the heating element severs the tether at a point near the proximal end of the implant device.

Abstract: A medical instrument, comprising a flexible band body having a distal end and a proximal end; a flexible first rod-shaped body having a distal end and a proximal end; and a flexible second rod-shaped body having a distal end and a proximal end, wherein the distal end of the band body and the proximal end of the first rod-shaped body are connected, the distal end of the first rod-shaped body and the proximal end of the second rod-shaped body are connected via a connecting portion, the band body is more flexible than the first rod-shaped body and the second rod-shaped body, the second rod-shaped body has a locking part, the band body has a locking corresponding part, when tightened the locking part and the locking corresponding part, the proximal end of the first rod-shaped body and the distal end of the second rod-shaped body are connected via a part of the band body, the connecting portion is inflected, and a loop having a desired size can be formed by the first rod-shaped body, the second rod-shaped body and

Abstract: A device for closing an opening in a body lumen, the device having a first elongate member with a first lumen, a second elongate member distal the first elongate member, and a needle assembly slidably cooperating with the first elongate member to position a plurality of sutures within the lumen of the first elongate member. The needle assembly includes a needle base and a plurality of needle portions extending from the needle base. Slidable movement of the needle assembly in relation to the first elongate member locates the plurality of sutures selectively mounted to the needle assembly within the first lumen.

Abstract: An adjustable, knotless button/loop construct for fixation of ankle syndesmosis tibio-fibular diastasis and an associated method of ankle repair using the same. The knotless construct comprises a pair of buttons attached to a flexible, continuous, self-cinching, adjustable loop integrated with two splices that are interconnected. The knotless construct is passed through fibular and tibia tunnels and the buttons are secured on the cortical surfaces of tibia and fibula. One of the buttons (for example, an oblong button) is secured on the medial side of the tibia by passing the button and the flexible, adjustable loop though the fibular and tibia tunnels and then flipping and seating the button outside the tibia. The length of the flexible adjustable loop is adjusted so that the second button (for example, a round button) is appropriately secured on the lateral fibula.

Abstract: A suture passer for use in arthroscopic soft tissue repair procedures. The suture passer includes a cannulated needle having a distal tip. A post is slidable within the cannulated needle. A snare is slidable within the cannulated needle between an extended position and a retracted position. In the extended position, the snare extends from the distal tip of the cannulated needle and in the retracted position, the snare extends around the post. The suture passer may have a handle extending proximally from the cannulated needle. In use, suture is passed through an open region between the snare and the post in the extended position. As the snare and, in some cases, the post, are retracted, the snare extends around the post and closes the open region, trapping the suture between the snare and the post in a closed region.

Abstract: The invention discloses a surgical conduit anastomosis suture tensioning device, which comprises a tube A and a tube B, wherein the tube A is a preset tube, and the tube B is a suture hooking tube; the preset tube comprises a connector, a first crossbar and a first tail, the first crossbar is arranged between the connector and the first tail, the connector is vertical to the first crossbar and magnetic, and a plurality of grooves are evenly distributed on the surface of the first crossbar; the suture hooking tube comprises a suture hooking head, a second crossbar and a second tail, the second crossbar is arranged between the suture hooking head and the second tail, the suture hooking head is vertical to the second crossbar and magnetic, a suture hooking slot is arranged at the tip of the suture hooking head in a forky form, the surface of the second crossbar is smooth and free from grooves, and the second tail has the same structure as the first tail.

Abstract: There is disclosed a porous emboli deflector for preventing cerebral emboli while maintaining cerebral blood flow during an endovascular or open surgical procedure. The device prevents the entrance of emboli of a size able to cause stroke (such as greater than 100 microns) from entering either the right or left common carotid arteries, and/or the right or left vertebral arteries by deflecting emboli downstream of these vessels. The device can be placed prior to any manipulation of the heart or aorta allowing maximal protection of the brain during the index procedure. The deflector has a low profile within the aorta which allows sheaths, catheters, or wires used in the index procedure to pass. Also disclosed are methods for insertion and removal of the deflector.

Abstract: An anastomosis device includes magnets coupled to a wire capable of changing shape from a straight wire into a coil when deployed within a body. The coil exerts compressive force upon layers of tissue caught between loops of the coil. The compressive force is enhanced by attractive forces between magnets coupled with adjacent loops of the coil and causes the coil to cut through the tissue layers, creating an anastomosis. One end of the wire is preferably provided with a connecting member, such as a screw or a nut, for connecting with a delivery device. Positioned on or around the anastomosis device is an expandable drainage mechanism, such as a stent.

Abstract: An occlusion device for the left atrial appendage is plastically deformable and biodegradable.

Abstract: An endovascular delivery system having an elongate outer tubular sheath, an elongate inner tubular member releasably disposed within the elongate outer tubular sheath and an elongate crossover guidewire slidably disposed within the elongate outer tubular sheath.

Abstract: Methods and devices for transvascular prosthetic chordae tendinea implantation are disclosed. A catheter is advanced into the left atrium. From an atrium side, the catheter can be anchored to a superior surface of a mitral valve leaflet and a leaflet anchor can be advanced into the mitral valve leaflet to secure the mitral valve leaflet to a leaflet suture. A ventricular anchor is anchored to the wall of the ventricle to secure the ventricular wall to a ventricle suture. The leaflet suture and the ventricle suture may be tensioned and connected by a suture lock to form an artificial chordae.

Abstract: Systems, devices, and methods are provided for transseptal access of septa within a patient. The device can be advanced to a septum, e.g., towards a fossa ovalis. Instead of applying positive pressure to “tent” the septum, a negative pressure is applied to a lumen within a sheath, e.g., within an elongated member slidable within the sheath, via a negative pressure source such as a syringe on the proximal end of the sheath. This results in the septum pulling inward. The sheath employs a stationary needle-like central core component contained within the lumen of the sheath that punctures the septum when the same is pulled passed it by the negative pressure. The stationary needle-like central core component may be hollow and may form a portion of the elongated member or may be coupled to a distal end thereof.

Abstract: A tissue clip application fitting or retrofitting set comprising a cap attachment configured to be mounted on the distal end portion of a shaft-type medical endoscope. The cap attachment has a proximal mounting or placement portion and a distal tissue clip holding portion, in the region of which a cavity open at least in the distal direction is formed inside a radially outward-pointing peripheral surface. A tissue clip is supported on the peripheral surface, and can be displaced in the distal direction by a pull-off device in the form of a pull-off ring mounted on the radial outer peripheral surface of the tissue clip holding portion so that it can axially slide and move the tissue clip. The pull-off ring is operated by a cable pull that is in direct contact with the pull-off ring for the transmission of sliding force in at least two coupling or engagement points.

Abstract: The invention provides a vaginal dilator including a spiral body and a control rod, wherein the spiral body includes a first surface, a second surface, a buckling edge, a fixing seat and a plurality of positioning seats. The buckling edge is adjacent to the first surface and the second surface. The fixing seat is arranged on a side of the first surface which is adjacent to the buckling edge. The plurality of positioning seats are separately arranged on an other side of the first surface opposite to the side provided with the fixing seat. The control rod includes a locking end locked on the fixing seat.

Abstract: An ear canal clamp for small animals includes a base and a clamping mechanism. The clamping mechanism includes two clamping arms movably mounted on the base, a biasing member mounted on the base and constrained between the clamping arms, and two ear canal positioning members mounted respectively to the clamping arms and facing each other. The clamping arms are configured to move toward each other and compress the biasing member to increase the distance between the ear canal positioning members. A biasing force generated by the biasing member when compressed is used to push the clamping arms to move oppositely with respect to each other.

Abstract: A cutting assembly configured to be removably coupled to a drive assembly of a surgical instrument. An inner tube is coaxially and rotatably disposed within an outer tube and defines a lumen in communication with a cutting window. A projection is disposed within the lumen of the inner tube. The projection may include a distal first portion displaced radially inward relative to an interior surface of the inner tube, and a proximal second portion angled relative to the distal first portion. A distance between a proximal boundary of the cutting window and a nearest point on the projection may be less than a diameter of the lumen. An inner surface of the projection permits cutting action to continue until the material is sufficiently reduced to pass between a proximal boundary of the cutting window and the insert. The projection may be formed by an insert secured within the inner tube.

Abstract: A lancing device including a latch that pivots between a non-blocking position allowing a lancet carrier and a lancet to advance and retract through a first forward and reverse lancing stroke and a blocking position preventing further/excess/secondary oscillation of the lancet carrier and lancet. The pivotal latch can pivot about an axis perpendicular (e.g., for an L-shaped latch) or parallel/coaxial (e.g., for a sleeve latch) to the advancement and retraction motion of the lancet carrier and lancet.

Abstract: A cannulation tool, systems, and methods for placing a cannula is provided. The tool includes a body and a plurality of tubes removably secured to the body. Each tube is moveable from a retracted position to an extended position. The plurality of tubes may include an inner tube, an outer tube, and a set of tubes positioned between the inner tube and the outer tube. Each tube of the set of tubes is nested in an adjacent tube, the outer tube is positioned external to the set of tubes, and the inner tube is positioned internal to the set of tubes. The tool also includes a gripper rod having a gripper disposed on an end thereof for forcibly moving each tube of the set of tubes, in sequence, from the retracted position to the extended position.

Abstract: A drill guide fixture may be configured to prepare a skull for attachment of a cranial insertion fixture. The drill guide fixture may include a central drill guide and a bone anchor guide at a base of the drill guide fixture. The central drill guide may define a central drill guide hole therethrough, wherein the central drill guide hole has a first opening at a base of the drill guide fixture and a second opening spaced apart from the base of the drill guide fixture. The bone anchor drill guide may define a bone anchor drill guide hole therethrough, and the bone anchor drill guide hole may be offset from the central drill guide hole in a direction that is perpendicular with respect to a direction of the central drill guide hole. Related cranial insertion fixtures, robotic systems, and methods are also discussed.

Abstract: A nasal plug includes a first tube having a first wall forming a first lumen of a first diameter. The first tube has a first tube proximal end in a proximal plane and a distal end in a distal plane. The nasal plug further includes a second tube that includes a second wall forming a second lumen of a second diameter, the second diameter smaller than the first diameter. A channel is formed by the second lumen and extends from the first tube proximal end into the first lumen of the first tube. The second tube also includes a flexible wall having a free end within the first lumen. The flexible wall is movable within the first lumen and has a length sufficient to touch a surface of the first lumen and fluidically seal the first lumen between the flexible wall and the surface of the first lumen. The second tube includes a channel proximal end in a channel proximal end plane. The channel proximal end plane is at an angle with respect to the distal plane of the first tube.