Abstract: A vascular intervention device delivery system, such as for implanting a self expanding stent, includes a thumbwheel rotatably mounted in a handle. The thumbwheel includes a radially outward thumb surface and a radially inward ratchet surface of a ratchet. A catheter has a proximal end attached to the handle, and a distal carrier segment for mounting a vascular intervention device thereon. A retractable sheath is movable from a first position covering the distal carrier segment to a second position retracted proximally uncovering the distal carrier segment. A pull extends between the thumbwheel and the retractable sheath. A ratchet pawl is mounted in the handle and has a catch in contact with the ratchet surface. The ratchet holds the thumbwheel against rotation in a forward direction, and the retractable sheath moves responsive to rotation of the thumbwheel in a reverse direction.

Abstract: A suture anchor system and method including a suture anchor and a suture anchor drive. The suture anchor is positionable on a rod of the suture anchor drive. The rod defines an awl for forming a hole in a bone. The suture anchor drive further has an impactor for moving the suture anchor along the rod between a retracted position and an advanced position so as to implant the suture anchor in the bone with the awl positioned in the bone.

Abstract: A device for capturing and removing an obstruction in a bodily duct of a patient. The device includes a cylindrical body having a circumference and a longitudinal axis. According to some implementations the cylindrical body is comprised of a plurality of closed cell structures arranged in diagonal rows around the longitudinal axis. At least some of closed cell structures have substantially the same shape and size. According to some implementations at least some of the closed cell structures of substantially the same shape and size occupy a same circumferential location in the cylindrical body and are longitudinally separated from one another by no less than two, three, four or more diagonal rows of closed cell structures. According to other implementations the closed cell structures include diagonally extending struts having at least a curve portion and a straight portion.

Abstract: A method for delivering a closure element to an opening formed in a wall of a body lumen. The method includes inserting a distal end region of an apparatus into the opening in the wall of the body lumen, moving a third grasping portion toward the first grasping portion to limit movement of the distal end of the apparatus relative to the opening in the wall of the body lumen, and moving a second grasping portion toward the first grasping portion to advance the closure element distally. The second grasping portion and third grasping portion are movable toward the first grasping portion.

Abstract: Surgical instruments are disclosed in which an elongated shaft is used in conjunction with a separate, remotely actuable tool head for performing a procedure on a target tissue. The shaft has a tool engagement member carried at its distal end that is remotely actuable through the shaft to engage and release the tool head.

Abstract: Medical leads include distal tip anchors that are retained by fixation mechanisms of implantation tools. The fixation mechanism may include a fixed body that has features retaining the distal tip anchor. The fixation mechanism may include a movable body that can apply tension to the distal tip anchor to force the distal tip anchor to be released from the features of the fixed body. The movable body may include an axial portion that is received by an axial hole of the fixed body to allow for axial movement of the movable body to release the distal tip anchor. The fixation mechanism may instead include an elongated flexible body that passes through the distal tip anchor and is attached to the fixed body. Tension applied to the elongated body creates a releasing motion of the distal tip anchor to free the distal tip anchor from the features of the fixed body.

Abstract: A curette for pituitary adenoma surgery may include a curette having a tubular blade portion. A first cutting edge is formed at a first end of the blade portion, and a protective shell is formed at an outer periphery of the first cutting edge. A first annular ring formed at a first end of the protective shell is located at the same side of the first cutting edge, and a rod portion extended from a surface of the protective shell is configured to provide a handhold for a user. The first annular ring of the protective shell can prevent the first cutting edge of the blade portion from accidentally cutting the meninges or blood vessels during pituitary adenoma surgery. Thus, the curette can improve the efficiency of the surgery and lower surgery time, anesthetic dosage and risk of the surgery.

Abstract: A deployment system for a self expanding stent includes a catheter assembly with a tip attached to a distal end segment of an elongate tube. The tip includes a proximal portion molecularly joined to a distal portion, which has a lower durometer hardness than the proximal portion. The proximal portion includes an anchor surface in contact with the distal portion, and oriented perpendicular to a central axis of the elongate tube. The elongate tube may be formed from a thermosetting polyimide, and the overmolded tip may be made from two different colored and different hardnesses of polyether block amide material. The tip is overmolded onto an untreated external surface of the elongate tube.

Abstract: A circumcision tool for securely holding and cutting the prepuce of a penis includes a forceps body and a prepuce clamp. The forceps body includes a first arm and a second arm that are pivotally connected to each other to form a dual-lever body. A first handle is terminally connected to the first arm, while a second handle is terminally connected to the second arm, allowing for manipulation of the first arm and the second arm. The prepuce clamp includes a first hinged clamp and a second hinged clamp; the first hinged clamp being connected to the first arm opposite the first handle and the second hinged clamp being connected to the second arm opposite the second handle. The first hinged clamp and the second hinged clamp are ring shaped members that can be laterally separated to fit around the penis.

Abstract: A medical device, configured to perform an endovascular therapy, e.g., thrombectomy, can comprise an elongate manipulation member and an intervention member. The intervention member can comprise a proximal end portion and a mesh. The proximal end portion can be coupled with the distal end portion of the elongate manipulation member. The mesh can have a plurality of cells and, be compressible to a collapsed configuration for delivery to an endovascular treatment site through a catheter, and be self-expandable from the collapsed configuration to an expanded configuration. At least a portion of the mesh, from a first location to a second location along the mesh, can be configured such that an amount of cell deformation in response to longitudinally directed tensile forces decreases by less than 5% or increases in a distal direction along the portion of the mesh.

Abstract: A vessel filter movable between a collapsed position for delivery to the vessel and an expanded position for placement within the vessel, and having a filter portion having a converging region to direct particles toward the center. The filter portion converges into a tubular portion. The second region is flared in the expanded position to have a transverse dimension increasing in a direction away from the filter portion and includes a vessel engaging portion. The first region has a spacer to keep the filter more toward a center of a vessel, wherein in the collapsed position the spacer extends axially in an elongated position cranially of the cranial end of the filter and in the expanded position the spacer forms a looped region extending radially with respect to a longitudinal axis of the filter. The spacer has a first end attached to the internal surface of the tubular portion and extends within the tubular portion and emerges cranially from the tubular region to form the looped region.

Abstract: Some embodiments relate to a clip comprising: a base portion; first and second opposed arms coupled to the base portion; and first and second opposed jaws coupled to the respective first and second arms, the first and second opposed jaws each having an inwardly extending portion that extends towards the base portion; wherein at least the base portion is formed of a shape memory alloy tending to force the first and second arms toward each other when a temperature of the base portion meets or exceeds a transformation temperature of the base portion.

Abstract: Tissue fasteners carried on a tissue piercing deployment wire fasten tissue layers of a mammalian body together. The fasteners include a first member, a second member, and a connecting member extending between the first and second members. The first and second members are substantially parallel to each other. The fasteners may be deployed in limited spaces and in various applications including the restoration of a gastroesophageal flap valve.

Abstract: A medical balloon has a strengthening sleeve formed of circumferential fibres and longitudinal fibres. The circumferential fibres have a greater thickness than the longitudinal fibres and preferably have a greater cross-sectional area or volume. In one embodiment, the circumferential fibres are twice as thick as the longitudinal fibres. The use of thinner longitudinal fibres reduces the thickness of the strengthening sleeve and as a result enables a thinner balloon wall, whilst still retaining the circumferential strength of the balloon. Reduced balloon wall thickness improves the foldability and wrappability of the balloon for deployment purposes, and therefore provides a balloon with a smaller diameter for deployment purposes, with improved trackability through a patient's vasculature.

Abstract: A beak trimming device is provided. The device includes a trough operative to receive an avian attractant. The trough has an inner surface. The inner surface includes one or more abrasive surfaces configured to contact and trim a beak of a bird accessing the attractant at the trough. In some embodiments, the attractant is feed.

Abstract: The devices and methods described herein relate to improved structures for removing obstructions from body lumens. Such devices have applicability in through-out the body, including clearing of blockages within the vasculature, by addressing the frictional resistance on the obstruction prior to attempting to translate and/or mobilize the obstruction within the body lumen.

Abstract: A handle unit for a surgical device that operates an end effector to give various kinds of treatments, includes: a handle main body having a fixed member; a support section that is supported by the same hand of the user and is movable along a turning plane defined by moving closer to or away from the fixed member; a first coupling section that is coupled with the handle main body by moving the support section along the turning plane; a second coupling section that has an extended axis defined by the first coupling section and the support section and is configured to turn the support section in a periaxial direction orthogonal to the extended axis; and a third coupling section that is configured to turn the support section in the periaxial direction of the extended axis.

Abstract: A system for breaking obstructions in body lumens includes a catheter including an elongated carrier, a balloon about the carrier in sealed relation thereto, the balloon being arranged to receive a fluid therein that inflates the balloon, and an arc generator including at least one electrode within the balloon that forms a mechanical shock wave within the balloon. The system further includes a power source that provides electrical energy to the arc generator.

Abstract: An endovascular delivery system for an endovascular prosthesis includes a radiopaque marker system for accurate delivery of the prosthesis. The radiopaque marker system is disposed within a prosthesis or stent holder within the delivery system. The radiopaque marker system includes a plurality of radiopaque markers that provide different views rotation of the prosthesis or stent holder.

Abstract: A skin cleanser includes a surface, such as a silicone surface, with at least one textured portion for transmitting vibrational tapping to the skin. The skin cleanser includes at least one oscillating motor for generating the tapping motion to the skin. The textured portion includes touch-points or a wave that transmit the tapping motion to skin in contact with the textured portions. The touch-points may include thicker and thinner formations of the touch-points to provide firmer or softer vibrations to the skin. The touch-points are within about 0.5 to 2.5 mm in diameter. One configuration includes multiple oscillating motors configured to provide different vibration frequencies at around 50-300 Hertz and operable simultaneously.