Abstract: Devices used to deflate an inflatable hemostasis device are disclosed. The devices may be configured to deflate the inflatable hemostasis device in staged increments over a period of time. The devices may include a barrel member and a plunger member comprising an insert configured to couple with a retention ring of the barrel to restrict a retraction distance of the plunger member.

Abstract: This tool is for treating an excised end of a body organ and is provided with: a long and thin, flexible first band section having a distal end and a proximal end that are made of a biodegradable-absorptive polymer; a long and thin, flexible second band section having a distal end and a proximal end that are made of a biodegradable-absorptive polymer; and a first locking section having a first ratchet claw made of a biodegradable-absorptive polymer, wherein the first locking section is formed at the distal end of the second band section, the distal end of the first band section and the proximal end of the second band section are joined together, at least one ratchet tooth that is capable of meshing with the first ratchet claw is formed on the external surface of the first band section, and the engagement of the ratchet tooth with the first ratchet claw forms a flattened ring which is used to bind a body organ so as to ligate a tube or cavity that opens at an excised end of the body organ.

Abstract: A prosthetic valve delivery system may be provided. The prosthetic valve delivery system may include a first catheter and a first steering mechanism configured to bend the first catheter within a first steering plane. The prosthetic valve delivery system may also include a second catheter coaxially arranged within the first catheter and a second steering mechanism configured to bend the second catheter within a second steering plane, different from the first steering plane. Moreover, the prosthetic valve delivery system may include a capsule positioned distal to both the first catheter and the second catheter. The capsule may be configured to retain a prosthetic valve therein during transvascular advancement of the capsule.

Abstract: A mechanical tissue coupling system that includes a first side tissue grasping assembly, a second side tissue grasping assembly and a joining assembly. The joining assembly is structurally configured to join the first side tissue grasping assembly to the second side tissue grasping assembly. An applicator is likewise disclosed as is a method of using the system and the applicator.

Abstract: Devices, systems, and methods for treating vascular defects are disclosed herein. One aspect of the present technology, for example, includes an occlusive device comprising a mesh having a low-profile state for intravascular delivery to the aneurysm and a deployed state, the mesh comprising a first end portion, a second end portion, and a length extending between the first and second end portions, and a first lateral edge, a second lateral edge, and a width extending between the first and second lateral edges. The mesh may have a predetermined shape in the deployed state in which (a) the mesh is curved along its width, (b) the mesh is curved along its length, and (c) the mesh has an undulating contour across at least a portion of one or both of its length or its width. The mesh is configured to be positioned within the aneurysm in the deployed state such that the mesh extends over the neck of the aneurysm.

Abstract: A medical device for assisting the break-up, disruption or disintegration of calcified or other hardened material within vessels of the human or animal body which material otherwise prevents or inhibits stenting procedures or passage of guidewires, catheters and other devices through the vessels. The device includes a catheter having a lumen extending between a distal end and a proximal end of the catheter and a displaceable element at the distal end of the catheter configured for axial and/or radial displacement relative to the catheter when driven by pressure fluctuations within the lumen. A pressure pump is coupled to a proximal end of the catheter and is configured for application of a baseline pressure to the catheter lumen. A pressure modulation source is also coupled to the proximal end of the catheter, configured to modulate the baseline pressure in the catheter lumen with one or more pressure impulses, and preferably with a series of pressure pulses.

Abstract: A needle and suture assembly includes a needle made of a superelastic alloy, such as Nitinol, including an elongated body having a proximal end and a distal end with a sharpened tip, a suture having a free end juxtaposed with the proximal end of the elongated body of the needle, and a connector disposed between the needle and the suture. The connector includes a first end attached to the proximal end of the elongated body of the needle and a second end attached to the free end of the suture. The connector is made of a material, such as stainless steel, having less elasticity and greater plasticity than the superelastic alloy of the needle.

Abstract: In some examples, a catheter includes an elongated member including at least one balloon connected to the elongated member, the at least one balloon being configured to inflate to an expanded state. In the expanded state, the at least one balloon forms at least a portion of a cavity with a wall of a vessel of the patient. The catheter including at least one electrode carried by the elongated member and having at least one surface exposed to the cavity formed by the at least one balloon. The electrode is configured to connect to an energy source that is configured to deliver, via the electrode, an electrical signal to a fluid contained in the cavity and in contact with the electrode to cause the fluid to undergo cavitation to generate a pressure pulse wave within the fluid.

Abstract: Vaso-occlusive apparatuses, including implants, and methods of using them to treat aneurysms. The vaso-occlusive implants described herein include one or more soft and expandable braided member coupled to a pushable member such as a coil that maybe inserted and retrieved from within an aneurism using a delivery catheter as well as a friction element between the soft braided member and the coil. The friction element allows the relatively soft and elongate implant to be pushed out of a cannula without binding up within the cannula.

Abstract: A lung volume reduction elastic implant (500) and a lung volume reduction instrument are provided. The lung volume reduction elastic implant (500) has an elastic deformation part (51), and a flexible guide (53, 53a) connected to the distal end of the elastic deformation part (51). The flexible guide (53, 53a) is provided with a first flexible part (531). The first flexible part (531) has an insert part (5312) and a distal part (5311). The insert part (5312) is connected to the distal end of the elastic deformation part (51). The distal end of the distal part (5311) of the first flexible part (531) is the distal end of the lung volume reduction elastic implant (500). The first flexible part (531) is internally provided with a radiograph component (56).

Abstract: Medical devices and methods for making and using medical devices are disclosed. An example system for delivering an implantable medical device includes a handle member including a seal assembly, wherein the seal assembly includes an outer sheath seal assembly coupled to an outer sheath, the outer sheath including a curved portion, the outer sheath seal assembly being translatable relative to the handle. The seal assembly also includes a first fixed seal assembly fixed relative to the handle, the first fixed seal assembly including a first alignment surface and a compression shaft coupled to the first fixed seal assembly. Additionally, first alignment surface is designed to align the compression shaft with at least a portion of the outer sheath.

Abstract: A device for applying external pressure on a surface of an anatomical object, such as a blood vessel, includes at least two jaws, a closing force generating device for applying compressive or closing force to the jaws so to driving the jaws against each other. The device also includes an actuating device for applying counterforce against the compressive force, and a control unit. The control unit controls the operation of the actuating device to apply the counterforce so that the external pressure applied by the jaws into the surface of the anatomical object, such as a blood vessel, is applied in a way to manipulate a flow rate of a fluid circulation in the anatomical object as a function of time in a controllable manner.

Abstract: A valve prosthesis and a system for delivering a valve prosthesis are described herein. The system can include a support frame, a valve anchor comprising an anchoring leg and a plurality of U-shaped members, and a suture coupled to the support frame and slidably coupled to the anchoring leg.

Abstract: A delivery system and method for percutaneous aortic valve (PAV) replacement and apparatus used therein. A temporary aortic valve including a reversibly expandable occluder surrounds a central catheter mechanism. The temporary valve is positioned within the ascending aorta, just above and downstream from the coronary ostia. The occluder is configured such that, when fully expanded against the aortic wall, gaps are left that promote continuous coronary perfusion during the cardiac cycle. The temporary valve substitutes for the function of the native aortic valve during its replacement. The native aortic valve is next dilated, and then ablated through deployment of low profile, elongated, sequentially delivered stents. The stent(s) displace the native tissues and remain within the aortic annulus to receive and provide a structure for retaining the PAV. The PAV is delivered, positioned and deployed within the stent(s) at the aortic annulus with precision and relative ease.

Abstract: Disclosed are devices and methods for delivering several sutures accurately and simultaneously around the perimeter of an annular prosthetic device (prosthetic heart valve, annuloplasty ring, etc.) to secure the prosthetic device within a native heart valve region. Devices can comprise a proximal handle portion including an actuator and a distal suturing portion including several curved and straight needles arrayed around the shaft axis. The straight needles and the curved needles are configured to simultaneously guide a plurality of sutures through the native tissue and through the annular prosthetic device. The actuator can cause the straight needles to move axially relative to the curved needles and can also cause the curved needles to rotate, such that the motions are coordinated to simultaneously place all the sutures.

Abstract: A left atrial appendage occluder, including a closure disc, a bracket located on one side of the closure disc, and a connecting member connecting the closure disc and the bracket; the bracket includes a first fixing connection member, a second fixing connection member, and a number of support rods; the first ends of the plurality of support rods are collapsed and secured by the first fixing connection member; the second ends of the plurality of support rods are collapsed and secured by the second fixing connection member; a connecting member is connected to the first fixing connection member. The bracket is arranged such that the two ends constituted by at least two support rods have a closed structure, thus increasing the area of contact between the outer surface of the bracket and the left atrial appendage.

Abstract: An all-suture anchor for attaching soft tissue to bone while creating an interference fit within a bone hole, and a deployment device for the all-suture anchor. The all-suture anchor includes an anchor body having first and second ends. The second end is folded toward the first end, creating a looped distal end of the anchor body, while the first and second ends of the anchor body form a proximal end. The anchor body is composed of a first material having a first density. A passing filament, of a second (different) density, is woven through the anchor body at passing locations such that a pair of free ends of the passing filament extends from the proximal end of the anchor body. The all-suture anchor additionally includes a binding filament bound axially at the proximal end of the anchor body around the first end and the second end of the anchor body.

Abstract: An advanced polymeric, surgical clip is provided for clamping a blood vessel between two legs. A hook section of the clip comprises two sharpened forward edges for penetrating connective tissue adjacent a vessel before closing the surgical about a blood vessel. The upper leg of the surgical clip may comprise an oblique flank for disposing over the one or more edge of the hook section, the lower surface of the oblique flank defining a channel in which a tip of the hook section travels.

Abstract: A method for delivering an implant including, a catheter having a shaft defined by a proximal end and a distal end and a bore extending therethrough; a first joint in the shaft, and a second joint in the shaft located distal of the first joint. The first joint and the second joint are separated by a first digit sized to receive the implant and located between the first joint and the second joint. The second joint and the distal end are separated by a second digit being sized to receive the implant. The implant is advanced through the first digit and into the second digit without bending the implant or the first and second digits by rotating the digits at the first joint and the second joint.

Abstract: A lead puncture needle includes a core rod, a puncture needle, a lead mechanism and a handle. A front end of the core rod includes a blunt head and a lead slot. During puncture, the puncture needle is exposed. After the puncture, the blunt head protrudes out of the puncture needle to avoid injury to normal tissue. When a button is pressed, the core rod moves downward, and the lead slot protrudes from the puncture needle. When the button is pressed again, the core rod moves upward, and the lead slot is retracted into the puncture needle to form traction on a surgical suture. The design of the blunt head ensures that it is retracted during puncture to expose the puncture needle to facilitate puncture and the blunt head is controlled to be exposed outside the puncture needle in a separation process, thereby avoiding accidental injury to the surrounding tissue.