Abstract: An obturator assembly for use in dissection of tissue includes an obturator housing, an obturator member mounted to the obturator housing and an obturator sleeve coaxially mounted about the obturator member and adapted for reciprocal longitudinal movement between a retracted position and an extended position. The obturator member includes an obturator rod and a penetrating end. The obturator sleeve has a nose adjacent the penetrating end. The penetrating end defines outer edges leading toward a distal end surface. The outer edges are at least partially exposed from the nose when in the extended position of the obturator sleeve.

Abstract: The devices and methods generally relate to treatment of occluded body lumens. In particular, the present devices and method relate to removal of the occluding material from the blood vessels as well as other body lumens.

Abstract: An endoscopic stitching device including a tool assembly having a pair of juxtaposed jaws; a rotatably supported camming hub defining a groove formed in an inner surface of a central lumen thereof; and a center rod slidably and rotatably disposed within the lumen of the camming hub. The center rod is operatively engaged with the groove formed in the camming hub and engaged with the pair of jaws. The inner groove of the camming hub is configured such that, in at least one position, axial translation of the center rod relative to the camming hub results in rotation of the camming hub and at least one of opening and closing of the pair of jaws. The inner groove of the camming hub is configured such that, in at least one other position, rotation of the canter rod results in rotation of the tool assembly.

Abstract: An apparatus for treating a heart valve apparatus includes at least two anchoring elements designed to be anchored at the annulus and/or heart wall of the valve to be treated. Each anchoring element has a support surface. At least one linking element includes a central branch and two curved side branches, one of which is designed to be engaged on the support surface of an anchoring element, while the other is designed to be engaged on the support surface of another anchoring element, the linking element then being designed to be pivoted to a position such that the anchoring elements interconnect and in which the ends of the central branch are located in the vicinity of the support surfaces.

Abstract: The present disclosure is directed to a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method may include providing an intravascular device having a distal portion and a longitudinal axis and inserting the intravascular device into the vascular lumen. The method may further include positioning the distal portion in the vascular wall, rotating the intravascular device about the longitudinal axis, and advancing the intravascular device within the vascular wall.

Abstract: A snare device for capturing an object or for cutting tissue in the body of a human or animal. The device employs at least one twisted loop of memory shaped material housed in and movable relative to a hollow member such as a catheter. The device and method of employment is particularly well adapted for retrieving objects from internal body cavities and cutting tissue therein.

Abstract: A method for acupuncture reflexotherapy is disclosed. The method may include introducing a needle rod having a head formed at a first end into one or more auricular acupuncture points of a patient. The needle may be secured to the patient with a detachable retainer at a second end of the needle rod. Additionally, the retainer may be non-detachable from the needle rod and may be formed by a bended free end of the needle rod. The method may further include varying one or more parameters of the needle rod, head, or retainer to alter a stimulating effect on the auricular acupuncture points and induce weight loss.

Abstract: A stent or stent-graft delivery system includes a handle having a graft cover retractor having a screw gear and a drive and quick release assembly. The drive and quick release assembly allows a user to retract a graft cover by rotating the assembly in a first rotational direction about the screw gear. When the assembly is being rotated in a particular rotational direction, a partial revolution in the opposite rotational direction disengages the assembly from the screw gear, which is sensed by a change in the force required to rotate the assembly. With the assembly disengaged from the screw gear, the assembly can be slid along the screw so that the graft cover can be positioned more quickly. In transitioning from using the screw gear to sliding along screw gear, it unnecessary to push any button and unnecessary for the user to remove her/his hand from the assembly.

Abstract: A method of retrieving a tissue specimen comprising inserting a surgical retrieval apparatus through an opening in a patient's skin, the surgical retrieval apparatus including a support member and a retrieval bag extending from the support member and having an opening to receive the tissue specimen. A net is introduced into the retrieval bag and placed over the tissue specimen. The net and retrieval bag are removed from the patient's body to remove the tissue specimen.

Abstract: A staple is provided having a backspan and a first and second legs extending distally from the backspan. Each of the first and second legs includes a bend dividing each leg into a traversing leg portion and a substantially linear clenching leg portion. A staple plate is positionable over the first and second legs between the backspan and the first and second clenching leg portions. An anvil assembly has first and second movable members which move toward to one another to engage outer surfaces of the first and second clenching leg portions. There is further disclosed a method of forming the staple through tissue.

Abstract: An insertion system is provided for delivering an intraocular lens into an eye. The insertion system has an inserter for delivering the lens and a lens case for holding the lens prior to delivery. The inserter has a handpiece having a longitudinal axis, a proximal end, and a distal end. The inserter also has a nosepiece disposed at the distal end of the inserter, the nosepiece having a rotational axis that is substantially perpendicular to the longitudinal axis and a load chamber with a transfer interface for receiving the lens. The case has a transfer port for transferring the lens from the case into the load chamber. Once the lens is transferred into the load chamber, the nosepiece is adapted to rotate approximately 180 degrees about the rotational axis between a first position for loading the lens and a second position for delivering the lens into the eye.

Abstract: The invention describes includes a device and method for dilating a coronary arterial stenosis and for creating a transection in the myocardium. The transection creates a new artery composed partially of the old artery and partially of the normal healing tissue and myocardium. Several dilating means are described, as well as several cutting means and alignment means by which the cutting means may be located and properly oriented. In operation, the dilating means, cutting means and alignment means are advanced in the distal end of a catheter, which may be guided into position by a guidewire.

Abstract: Vitrectomy probes and system related thereto are disclosed herein. The disclosure describes various example vitrectomy probes having an adjustable cutting port size. Various example features are described for adjusting the size of the cutting port. Further, the disclosure provides examples for adjusting the size of the cutter port while the vitrectomy probe is in operation. Some implementations disclosed herein include a piezoelectric element operable to adjust a position of a stroke limiter to define a size of the cutter port.

Abstract: A plunger for an IOL injector device includes a shaft with a distal tip and a compressible sleeve positioned about the shaft with the tip extending forwardly of the sleeve. In a first stage of IOL advancement through the injector device, the plunger tip engages and pushes the IOL through a first section of the injector body. In a second stage of IOL advancement, the sleeve enters the narrowing section of the injector body toward the open tip thereof with the IOL and sleeve both undergoing compression. The sleeve compresses and lengthens in a forward direction ultimately enveloping the plunger distal tip. Viscoelastic applied inside the injector accumulates between the leading edge of the compressed sleeve and the compressed IOL thereby creating hydraulic pressure which pushes the compressed IOL through the remainder of the injector body and out the open distal tip thereof.

Abstract: A tool serves to facilitate one or more of dilation of a flexor tendon sheath and corresponding pulleys, attachment of a severed flexor tendon thereto, passage of the severed flexor tendon through the flexor tendon sheath and the corresponding pulleys, and reattachment of the severed flexor tendon. The tool includes a tip portion, a shaft portion, and a handle portion. During use of the tool, the tip portion and at least a part of the shaft portion can be passed through the flexor tendon sheath, and the handle portion is can be used to control such passage. The tip portion and the shaft portion can be used to dilate the flexor tendon sheath. The severed flexor tendon can be attached to the tip portion, and the tool can be withdrawn from flexor tendon sheath to pass the severed flexor tendon to a repair site.

Abstract: A rectal balloon apparatus comprises a shaft having a fluid passageway extending therethrough. A rectal gas relieving lumen may be positioned with the shaft for removal of rectal gas. A motion detecting sensor and a radiation detecting sensor may be positioned with the balloon, the shaft, and/or the rectal gas release lumen.

Abstract: An apparatus for generating a correcting cut surface in the cornea including a laser unit, which can focus and move pulsed laser radiation; a first contact element; and a control unit, controlling the laser unit which has a standard setting which, when a standard curvature is imposed upon corneal surface by the first contact element, would lead to a standard cut surface. The standard cut surface has a known curvature with respect to a reference surface. The curvature, with respect to the reference surface of the correcting cut surface to be generated deviates from the known curvature of the standard cut surface. The apparatus includes a second contact element adapted to generate the correcting cut surface, which cornea imposes an actual curvature deviating from the standard curvature, thus generating a cut surface using the standard setting results in the correcting cut surface to be generated.

Abstract: The invention relates to a system for ophthalmic laser surgery, comprising a source (110) of pulsed laser radiation with radiation parameters matched to the making of an incision in an ocular tissue, particularly in the cornea, a scanner (160) for deflecting the laser radiation, an electronic control unit (190) which has been set up to control the scanner in accordance with a predetermined incision geometry, and a modulator unit (170) for modulating the laser pulses emitted from the source (110). The control unit (190) has furthermore been set up to control the modulator unit (170) in accordance with a beam-deflection pattern established for the incision geometry in such a manner that in predetermined parts of the beam-deflection pattern at least some of the laser pulses have a reduced pulse energy or are suppressed.

Abstract: The invention relates a sheath that is affixed to a body lumen, proximal to an anastomosis site. The sheath includes a sleeve defining a passage. A grasping structure is positioned distally of the distal opening of the sheath to facilitate elongation of the sleeve from a first length to a second longer length. A method for using the sheath is also disclosed.

Abstract: Described here are devices and methods for suture management. In some variations, the devices comprise an elongate tubular member having a proximal end, a distal end, a lumen therebetween, a cantilever blade positioned near the distal end of the elongate tubular member, and an expandable member positioned adjacent the cantilever blade for actuating the cantilever blade. Also described are devices comprising an elongate tubular member having a proximal end, a distal end, a lumen at least partially therebetween, and an aperture in a wall thereof for passage of a suture therethrough. These devices further comprise a blade connected to a blade housing disposed within the lumen, where the blade is oriented parallel to the longitudinal axis of the lumen. The blade and blade housing may be slidable within the lumen, or an inner shaft for may be slidable within the lumen. Methods of using the devices are also described.