Abstract: A joint assembly for an endovascular device, comprising a shaft comprising a main body and an enlarged end, a proximal strut comprising a slot, wherein the slot engages the enlarged end of the shaft and a locking collar comprising a proximal face and a distal face, and at least partially covering the enlarged end of the shaft and the slot of the proximal strut, such that the locking collar constrains the proximal strut such that the proximal strut cannot disengage from the enlarged end of the shaft when the joint assembly and the clot retrieval device is under load.

Abstract: An occlusion device (210) is provided for occluding a left atrial appendage (LAA), including a compliant balloon (230) defining a fluid-tight balloon chamber (232), and an actuating shaft (234), which is disposed at least partially within the balloon chamber (232) for setting a distance between distal and proximal end portions (236, 238) of the balloon (230). A proximal LAA-orifice cover (70) includes a frame (72) and a covering (74) fixed to the frame (72). An orifice-support stent (290) is fixed to and extends distally from the proximal LAA-orifice cover (70), and is generally cylindrical when in a radially-expanded state. Other embodiments are also described.

Abstract: An apparatus for cutting a wall of a vessel, such as scoring or slicing a lesion associated therewith. A catheter (10) includes a shaft (12) having a distal portion supporting a housing (20) including a first lateral passage (20a). A cutter (22) is adapted for moving from a retracted position within the housing (20) to a deployed position for at least partially projecting from the passage (20a). A expandable actuator (24) within the housing (20), such as an inflatable balloon (26), actuates the cutter (22) to move from the retracted position fully within the housing (20) to the deployed position at least partially projecting from the housing (20). More than one cutter (22?) may be provided, which cutters (22?) may be simultaneously actuated by the same actuator (26?).

Abstract: A multihead grooming and cleaning tool, particularly for infants, has an elongate handle with two opposed slots. A tool body is housed in each respective slot and rotates around a tool body axis. In a first use configuration, a first tool head is deployed beyond the end of the handle while a second tool head is shrouded by the handle. In a second use configuration, the opposite is the case. Detenting structure in the slot coacts with detenting structure on the tool body to detent the tool body to the first or the second use configuration.

Abstract: In a multiple-lumen catheter having multiple guidewires for treatment of vascular blockages, the catheter comprising a proximal-end assembly, a distal-end portion and a multi-lumen medial portion therebetween, the improvement wherein: (1) the multiple guidewires are preloaded in the catheter, each guidewire in its own single-guidewire lumen extending from its own guidewire entry port in the proximal-end assembly to a lumen convergence portion; and (2) the distal-end portion includes: (a) the lumen convergence portion along which the multiple lumens merge into a single output lumen sized to match the largest-diameter lumen of the multiple lumens, (b) an intermediate distal-end section connected to the lumen convergence portion and surrounding the single output lumen continuing therethrough, and (c) a tapered tip surrounding the single output lumen continuing therethrough.

Abstract: Embodiments of a catheter assembly are disclosed. The catheter assembly comprises a shaft; at least one connector assembly. The connector assembly can comprise a first connector portion and a second connector portion, wherein the first connector portion is fixedly coupled to a distal end of the shaft, and is coupled to the second connector portion with a limited degree of freedom of movement by at least one radially extending pin retained within at least one slot on the second connector portion. The at least one slot can have an oversized circumferential dimension that allows limited rotation of the second connector portion relative to the first connector portion about a longitudinal axis of the shaft.

Abstract: Disclosed embodiments include apparatuses, systems, and methods for facilitating surgical anastomosis between bodily passages. In an illustrative embodiment, an eversion mechanism is configured to partially evert a distal portion of an opening of a receiving passage and further configured to leave a proximal portion of the opening of the receiving passage in a non-everted position. A donor support mechanism is configured to partially evert a distal portion of an opening at an end of a donor passage and further configured to leave a first proximal portion of the end of the donor passage in a non-everted position. The donor support mechanism is further configured to form a passage juncture at the end of the donor passage and the opening of the receiving passage. A suturing mechanism is configured to motivate a filament through a generally helical path around the passage juncture to suture the donor passage to the receiving passage.

Abstract: An implant includes a pair of anchors and a pair of anchor housing assemblies, wherein an anchor housing assembly includes an anchoring component configured to translate the anchor proximally-distally through the anchor housing assembly and a cinch component configured to control a space between the pair of anchor housing assemblies.

Abstract: A surgical towel clamp apparatus includes a first elongated element having a curved tip and a right finger ring, a second elongated element having a curved tip and a left finger ring, wherein the first and second elongated elements are coupled at a first pivot point, a third elongated element having a straight tip and coupled to the right finger ring, a fourth elongated element having a straight tip and coupled to the left finger ring, wherein the third and fourth elongated elements are coupled at a second pivot point, wherein in an open orientation, the rings are apart, the curved tips are apart, and the straight tips are apart, and wherein in a closed orientation, the left and right finger rings are adjacent, the curved tips are in contact and the straight tips are in contact.

Abstract: Described herein are methods using mechanical inverting tube apparatuses 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 connecting device is provided for connecting a pipe or tube-shaped element to the heart or a blood vessel of a patient, comprising a suture ring that has an opening, which can be closed by means of a closure element and through which said pipe or tube-shaped element is guided in the axial direction. The closure element is secured to the suture ring by means of at least one elastic securing element. A radially-expandable sealing element can also be provided in order to establish a sealing placement of the closure element against the suture ring.

Abstract: A composite suture needle configured for passing through a smaller cannula used in minimally invasive surgery includes a curved elongated body made of stainless steel. The curved elongated body has a proximal end and a distal end with a pointed tip. The composite suture needle includes a sheath overlying the curved elongated body. The sheath is curved for conforming to the shape of the curved elongated body. The sheath is made of a material that is more elastic than the curved elongated body. The pointed tip of the curved elongated body extends distally beyond the distal end of the sheath. The curved elongated body is made of stainless steel and the sheath is made of a material, such as nitinol, that is more elastic than the elongated body.

Abstract: In a method for intermittently occluding the coronary sinus, in which the coronary sinus is occluded using an occlusion device, the fluid pressure in the occluded coronary sinus is continuously measured and stored, the fluid pressure curve is determined as a function of time, and the occlusion of the coronary sinus is triggered and/or released as a function of at least one characteristic value derived from the measured pressure values. The pressure increase and/or pressure decrease per time unit each occurring at a heart beat are used as characteristic values.

Abstract: The disclosed technology is directed to a puncture needle access system for introducing guide wire into an interior of a tubular organ. The puncture needle access system includes an endoscope having an insertion portion. An endoscopic puncture needle is configured to be engaged with the insertion portion and includes an elongated tubular sheath having a lumen that extends in a longitudinal direction through the elongated tubular sheath. A tubular needle tube is inserted movably in the longitudinal direction into the lumen of the elongated tubular sheath. The tubular needle tube includes an inclined cutting-edge face formed at a distal end. The elongated tubular sheath includes an inclined surface oriented toward a distal end of the sheath so that the inclined surface comes closer to the elongated tubular sheath. The distal end of the sheath is located on a proximal end side of the sheath relative to a distal end of the inclined surface.

Abstract: A method includes inserting a first dilation catheter into a first nostril of a patient. A first dilator of the first dilation catheter is positioned between the nasal septum of the patient and the turbinate of the patient. The first dilator is expanded, thereby remodeling one or more of the nasal septum, the turbinate, or mucosal tissue of the patient. The first dilation catheter is removed from the nostril of the patient. A second dilation catheter may be inserted into a second nostril of the patient. A dilator of the second dilation catheter may provide an opposing force on the nasal septum to prevent over-medialization of the nasal septum.

Abstract: A medical system includes an insertion device including a delivery shaft with an internal lumen, a coupling tube coupled to the delivery shaft and configured to receive a medical device, and a liner tube inserted through the internal lumen of the delivery shaft.

Abstract: A system for delivering an implantable medical device includes a handle housing. An outer sheath is coupler secured to a proximal end of an outer sheath that is configured to cover at least a portion of the implantable medical device. An outer sheath drive assembly is operably coupled to the outer sheath coupler and is configured to translate the outer sheath relative to the handle housing. An actuation shaft coupler is secured to a proximal end of an activation shaft. An actuation shaft drive assembly is operably coupled to the actuation shaft coupler and is configured to cause the actuation shaft to translate relative to the handle housing and shift the implantable medical device from a first position and a second position in which the implantable medical device is radially expanded relative to the first position.

Abstract: Disclosed is an ultrasonic scalpel bit, comprising a bit tip (1), a bit bar (2) and a bit body (3), one end of the bit bar (2) being connected to the bit tip (1), and the other end of the bit bar (2) being connected to the bit body (3), wherein a main body of the bit tip (1) is of a flat sheet structure, an upper and a lower face of which respectively form an upper bit ridge (11) and a lower bit ridge (12) of the bit tip (1); a protrusion (14) is formed at a front end of the upper bit ridge (11); the upper bit ridge (11) has a thickness greater than that of the flat sheet structure and that of the lower bit ridge (12); and the protrusion (14) is smooth and free of edges.

Abstract: A suture device is utilized in forming a purse string suture during, e.g., laparoscopic end to end anastomosis procedure, to effect joining of two opposing intestinal sections. The suture device is utilized in other procedures such as, e.g., transanal total mesorectal excision (TaTME) for removal of low rectal and ultra-low rectal tumors and preservation of anal sphincters to avoid permanent stomas. In particular, the suture device is utilized in forming surgical stitches used to close an internal anal structure or to narrow a passage for performing further transanal dissection to create total mesorectal excision.

Abstract: The present application discloses various embodiments of a hemostatic device with improved comfort features over the known prior art, including hemostatic devices having attachment straps with non-linear edges and/or non-planar skin-facing edges.