Abstract: Disclosed embodiments of introducer devices provide hemostatic sealing and allow a delivery catheter to be inserted through the introducer seals without the use of a separate loader device that covers a medical device that is mounted on the catheter. Some disclosed introducers comprise a housing, a distal sheath extending distally from the housing and adapted to be inserted into a patient's vasculature, a distal hemostatic seal mounted within the housing and a proximal hemostatic seal mounted within the housing, and a slidable tube positioned within the housing that is movable longitudinally relative to the distal hemostatic seal between a proximal position and a distal position, wherein in the proximal position a distal end of the tube is positioned proximal to the distal hemostatic seal with the distal hemostatic seal closed, and wherein in the distal position the distal end of the tube extends through the distal hemostatic seal.

Abstract: A oral care implement for cleaning soft oral tissue of the mouth, such as the tongue. The oral care implement includes a handle, an intermediary region, and a cleaning region. The cleaning regions include a plurality of collecting bases for collecting debris from the oral tissue. The collecting bases may include multiple protrusions that extend from the collecting bases that remove debris from the user's soft oral tissue.

Abstract: A surgical clip applier is disclosed which is configured to automatically feed a clip from a clip cartridge once the surgical clip applier is positioned in the patient.

Abstract: The present invention is directed to a deployment system for an endoluminal device. The deployment system includes a confining sheath placed around a compacted endoluminal device. A deployment line is provided in the system. As the deployment line is actuated, the sheath retracts from around the compacted endoluminal device. Once the sheath is retracted from around the compacted endoluminal device, the endoluminal device is operable to expand. Any remaining sheath material is removed from the implantation site along with the deployment line.

Abstract: A surgical clip applier comprising an electric motor system is disclosed. The electric motor system is configured to drive one or more drive systems of the surgical clip applier. The surgical clip applier comprises a control system configured to control the electric motor system. The control system is configured to monitor a parameter of the electric motor system to assess the operation of the one or more drive systems. In at least one instance, the control system monitors the electric current drawn by an electric motor and adapts the operation of the electric motor based on the electric current being drawn by the motor. The control system slows the electric motor down when the electric current drawn by the electric motor exceeds a threshold. The control system modulates the width, or duration, of voltage pulses applied to the electric motor to control the speed of the electric motor.

Abstract: This invention relates to a delivery apparatus and method for deployment of a mitral valve replacement.

Abstract: Devices, systems and methods for compressing, cutting, incising, reconfiguring, remodeling, attaching, repositioning, supporting, dislocating or altering the composition of tissues or anatomical structures to alter their positional or force relationship to other tissues or anatomical structures. In some applications, the invention may be used to used to improve patency or fluid flow through a body lumen or cavity (e.g., to limit constriction of the urethra by an enlarged prostate gland).

Abstract: Devices can generally include an implant having a braided section that can be implanted in a deployed state such that, in the deployed state, the braided section folds to form an outer occlusive sack extending across a neck of an aneurysm to engage a wall of the aneurysm from within a sac of the aneurysm and an inner occlusive sack forming a trough nested within the outer occlusive sack. The implant can be closed at one or more of the braid ends to define a substantially enclosed bowl-shaped volume.

Abstract: Methods and devices for using surgical devices with articulating end effectors are provided. Surgical devices with articulating end effectors can provide rotary driven pivoting of the end effector. In some embodiments, the device can include a handle, a first and a second tube extending from the handle, the second tube disposed within the first tube, and an end effector that includes a pair of distal jaws configured to move in response to rotation of the first tube about a longitudinal axis thereof and rotation of the second tube about a longitudinal axis thereof. The jaws can move in two different ways depending on whether the first and second tubes are rotating in a same direction as one another or in different ways than each other. The jaws can open/close and articulate using the same mechanical mechanism. The device can be powered, or the device can be non-powered.

Abstract: An interventional device for cutting tissue at a targeted cardiac valve, such as a mitral valve. The interventional device includes a catheter having a proximal end and a distal end. A cutting mechanism is positionable at the distal end, such as by routing the cutting mechanism through the catheter to position it at the distal end. The cutting mechanism includes one or more cutting elements configured for cutting valve tissue when engaged against the tissue. A handle is coupled to the proximal end of the catheter and includes one or more controls for actuating the cutting mechanism.

Abstract: Assemblies and methods suitable for knotless arthroscopic repair of tissue defects include two fixation members coupled by two limbs of suture comprising a continuous loop. A unidirectional restriction element that can be a preformed locking, sliding suture knot proximate to one of the fixation members, provides tensioning of the repair.

Abstract: An apparatus includes a thread (58) and a tissue anchor (60) coupled to the thread. The anchor includes a proximal portion (60p), shaped to define one or more appendages (82), a distal portion (60d), and a plurality of strips (84) joining the proximal portion to the distal portion. The anchor is configured to anchor the thread at tissue (42) of a subject by virtue of the appendages expanding radially, and the strips expanding radially to form respective loops at a distal side of the tissue, upon removal of a radially-constraining force from the anchor. Other embodiments are also described.

Abstract: An endovascular surgical tool may include a flexible, electrically-conductive delivery tube, a return conductor, a resistive heating element attached to the distal end of the delivery tube, and a therapeutic payload attached to a loop of the resistive heating element by a coil connecting member. The delivery tube may include at least one segment at its distal end which includes a plurality of transverse slots. Each slot of the plurality of slots includes an origin on the perimeter of the delivery tube, a terminus closer to a central axis of the delivery tube than the origin, and a depth between the origin and terminus. The origins of at least two slots of the plurality of slots may be located at different angular positions relative to the central axis. The return conductor may be electrically insulated from and positioned within the delivery tube.

Abstract: The present disclosure relates to cannula assemblies for use with robotic surgical systems. According to an aspect of the present disclosure, a surgical cannula assembly for use with a mounting structure of a robotic arm, is provided. The surgical cannula assembly includes a cannula configured for reception of a surgical instrument at least partially therethrough; an attachment mechanism configured to releasably engage the cannula; and a barrier configured to extend through a channel of the mounting structure. The barrier includes a proximal ring for positioning adjacent a proximal face of the mounting structure, a distal ring for positioning adjacent a distal face of the mounting structure, and a cylindrical section defining a lumen therein and extending between the proximal ring and the distal ring, the cannula configured for insertion within the lumen in a distal-to-proximal direction.

Abstract: An intragastric device includes an elongated member having a proximal end and a distal end and an anchor connected to the elongated member. The anchor includes a stem, a first arch and a second arch, and a curvilinear element. The stem includes a proximal end and a distal end. The distal end of the stem is attached to the proximal end of the elongated member. Each arch has first and second ends and a proximal peak therebetween. The first end of each arch is attached to the proximal end of the stem, and the second end of each arch extends radially away from the stem. The curvilinear element connects the second end of the first arch to the second end of the second arch.

Abstract: Disposable gynecologic instrument for dilation of body cavities by fluid injection, the construction according to the invention, include the instrument body (1) to which it has from the bottom tightly fixed a handle (2) with the reservoir (3) whilst is on the frontal part of the instrument body (1) projected is the trigger (4) positioned slidingly and designed for pressing with two fingers, which is by screw (41) connected to the main piston (42) movable within the cylinder, around which is placed a bigger spring (43) and where the outlet of cylinder is connected to one branch of the three-way pipeline (44), the other two of which are connected, one on the upper irreversible valve (12), and the other to the lower irreversible valve (22); and where is also on the front side of the instrument body (1) by screw thread and sealingly attached the main pipe (5), formed with longitudinal ribs (51) positioned crosswise and a series of aslope placed ribs (52) of circular perimeter, which increase the stiffness of the

Abstract: The invention relates to a medical implant for closure of a defect aperture, a vessel, an organ path or another aperture in a human or animal body, comprising a base body and at least one fibre, wherein the base body can be reversibly transformed against elastic material forces from a secondary shape into a primary shape, wherein in the primary shape the base body has an elongated shape and in the secondary shape is at least partially coiled and comprises a cone shape, which is characterized in that the at least one fibre is connected to the base body such that the fibre in the secondary shape of the base body extends at least once, preferably a plurality of times, transversely through the cone shape.

Abstract: A powered surgical handpiece includes a housing comprising a motor, and a surgical tool removably coupled to the housing and configured to be driven by the motor. The surgical tool includes a radio frequency identification (RFID) tag. The handpiece includes an antenna for wirelessly transmitting RF energy, and a coupler that is electrically isolated from the antenna and the RFID tag and that is configured to guide the transmitted RF energy to the RFID tag.

Abstract: This document discusses, among other things, systems and methods for robotically assisted implantation of an implant in a patient. A system includes an external positioning unit configured to engage an elongate member of the implant, and a control console communicatively coupled to the external positioning unit. The control console may have a user interface that enables a user to input motion control instructions. The control console may generate a motion control signal, according to a specific motion control instruction, to control the external positioning unit to propel the implant into a target implant site. The system may be used to robotically control the delivery and positing of a cochlear implant during a hearing-preservation cochlear implant surgery.

Abstract: The invention generally relates to devices for fastening a hernia mesh. The invention provides a surgical fastening device that includes a shaft with a fastener carrier disposed at least partially within the shaft, in which the carrier is configured to accept fasteners of a plurality of different sizes. Different sized fasteners can be preloaded in interchangeable carriers or even mixed together within a carrier in the fastening device. The device can deliver the fasteners to different depths in a patient's tissue.