Abstract: A lancing device comprises a housing, a trigger button, a drive spring and a protective cap. The housing forms an aperture and an opening opposite thereof. A lancet partially extends through the aperture. The trigger button is located near the opening. At least a portion of the trigger button is external to the housing. The drive spring is attached to and connects the lancet and the trigger button. The drive spring moves the lancet from the cocked position to the puncture position. The protective cap is removeably attached to the lancet opposite the drive spring and engages the housing when the cap is removeably attached to the lancet. The cap prevents the drive spring from moving the lancet to the puncture position prior to removing the cap from the lancet.

Abstract: An instrument capable of providing large-area shielding within an isolated operating region, such as the eye, while being passable through a small incision in the region through which the instrument must be inserted. For example, an instrument capable of being passed through a typical 3 mm (or smaller) phacoemulsification incision without undue damage to ocular tissue, and which expands to provide large-area shielding, e.g. to occlude a large-diameter (e.g. approx. 6 mm) posterior capsule opening. The surgical instrument includes two or more leaves, the leaves being interconnected by at least one fastener in a manner that causes expansion of a leading or distal portion of the instrument when the following or proximal portions of each leaf are manipulated, whether by a user or through interaction with a wall of the incision.

Abstract: A dermatological skin treatment device is provided. The device comprises a handpiece and a cutting tool, wherein the tool is inserted through the conduit and percutaneously inserted into a tissue disposed within a recessed area of the handpiece. The device and method cut the fibrous structures under the skin that cause cellulite at an angle substantially parallel to the surface of the skin and replace these structures with a non-cellulite forming structure by deploying a highly fibrous mesh through a single needle hole to create a highly fibrous layer directly or through wound healing processes. A tool is provided to aspirate excess fluid and tissue from the treatment area.

Abstract: A shipping system for a medical device, such as implantable lens for an eye, is provided that may be reconfigured from a shipping mode into an injection mode without manually handling the contained lens or other device. Upon manufacture, a lens may be placed within the system assembly in the shipping configuration. While in the shipping configuration, the lens is kept in its desired shape and within a selected environment. Upon arrival at the destination, the user may attach fittings for injection of the device into a body. The process of changing from the shipping to the injection mode deforms the device into a shape suitable for injection.

Abstract: A catheter for performing a procedure at a treatment site in the lumen of a blood vessel. The catheter includes an elongate tubular shaft having a proximal bend, a distal bend and a hinge element. A distal portion of the shaft includes a window extending through the sidewall of the shaft between the hinge element and the distal end of the elongate tubular shaft. A working element is disposed within the lumen of the elongate tubular shaft and is configured for performing the procedure through the window at the treatment site. The bends and hinge element are configured to urge the window against a wall of the vessel at the treatment site.

Abstract: A substantially flat implant for repositioning a patient's eyebrow that may allow for a gradient lift across the eyebrow. The implant may be geometrically non-symmetrical, and/or may have non-symmetric physical properties. The implant may include a foot portion that extends along a first longitudinal axis and has a length, and a vertical strip portion that extends outwardly from the foot portion along a second longitudinal axis. The strip portion has a length and a width that is smaller than the length of the foot. The second longitudinal axis is offset from the center of the length of the foot portion.

Abstract: A system for attaching an access port to bodily tissue includes an access port assembly and including an access port having a generally central axis. The access port assembly further includes an attachment mechanism structured to enable the access port to be attached, for example, to an abdominal muscle of a patient. The system includes a safety cap which lies substantially flush against the anchor base to provide no space for movement of the anchors. The safety cap prevents the anchors from deploying prematurely.

Abstract: Tissue management methods can include inserting a clamping device into a vessel and clamping a vessel wall via the clamping device. Tissue can be dilated about the clamping device and an anastomotic device provided to the vessel.

Abstract: The invention relates to a method of suturing. Briefly, a portion of a needle having a continuous suture thread running through the eye is advanced through a first location on a first side of a tissue. When the needle is withdrawn from said tissue a suture loop is retained on a second side of said tissue. This can be repeated to obtain as many suture loops as desired on additional locations of the tissue. When all the desired suture loops are formed the needle is advanced all the way through the tissue and a single strand of suture thread is passed through each suture loop on the second side of the said tissue. Thus, one continuous suture forms the suture loop(s) and engages the sutured loops. In a preferred embodiment the needle eye, through which the suture thread runs, is located in the tip portion of said needle. It is also preferred that the needle is curved. The tissue may be, for example, a tendon (e.g., patellar), a ligament, or a graft.

Abstract: A system for attaching an access port to bodily tissue includes an access port assembly and including an access port having a generally central axis. The access port assembly further includes an attachment mechanism structured to enable the access port to be attached, for example, to an abdominal muscle of a patient. The delivery tool includes a handle having a generally longitudinal axis and a delivery head structured to engage the access port assembly, and an activation mechanism for enabling deployment of the attachment mechanism when the delivery head is so engaged with the access port assembly. The delivery tool is configured such that the longitudinal axis of the handle is spaced apart from the generally central axis of the access port when the delivery head is so engaged with the access port assembly.

Abstract: An instrument port for introducing instruments into a surgical site, including a port body having a channel running therethrough from a proximal end to a distal end, an instrument sleeve in slidable contact with the channel, creating a gap therebetween, and fluid flow for removing emboli efficiently from the instrument port, wherein the fluid flow includes the gap is provided. A fluid flow system for use in an instrument port is provided. A method of removably securing an instrument sleeve to a port body by anchoring the instrument port to heart tissue, making at least one flood line in a channel, flushing out emboli, and performing surgery with the instrument port.

Abstract: A lancet device includes a main body in which is located a lancet drive shaft 20 having a lancet holder 22 at its front end. A front housing flap 12 is hinged to the front of the main body portion and opens to allow insertion/withdrawal of a lancet. A multi-function cocking/ejection element 16 is operable both to cock the drive shaft prior to firing and to eject a lancet from the lancet holder after firing. The cock/eject element also unlatches the front flap 12.

Abstract: A medical assembly includes a cannula and a scaling cap releasably coupled to the cannula. The cap includes a body and a sealing member integrally molded with the body to form a fluid-tight seal between the cap and cannula. The cap includes a member defining an opening for passage of a medical instrument therethrough in a fluid-tight manner. The member includes a first portion surrounding the opening and being thickened to limit tearing of the first portion, and a second portion surrounding the first portion being tapered down in thickness toward the first portion to increase flexibility of the member. The assembly includes a shaft receivable in a lumen defined by an inner surface of the cannula. The shaft includes a protrusion and the inner surface further defines a protrusion receiving formation.

Abstract: Trephine apparatus has an outer casing with means defining a substantially cylindrical passage, or aperture, opening at a substantially circular lower end element, and an inner, substantially cylindrical tube having a bore opening at a substantially circular lower end element, the lower end element of the inner tube being upwardly spaced, or recessed, from the lower end element of the outer casing within the passage. A substantially cylindrical trephine blade is mounted within the bore of the inner tube by means that is so constructed as to enable raising and lowering of the blade relative to the end elements of the outer casing and the inner tube. At least a lower end element of the outer casing, or a base portion including it, is made of a non-opaque material, enabling edge-on viewing of the basal element of the inner tube and the blade, such as by use of a microscope, without parallax between the blade and the basal element of the inner tube.

Abstract: Disclosed is a clot and foreign body removal system, including a catheter with at least one lumen. Located within the catheter is a clot capture wire that is connected to a hub at the proximal end. In one embodiment, the clot capture wire includes a coil made out of an elastic or superelastic material, preferably nitinol. The elasticity or superelasticity of the coil allows it to be deformed within the catheter and to then reform its original coil configuration when the coil is moved outside of the catheter lumen. In another embodiment the coil is a biphasic, shape memory coil, which changes shape upon heating, energy application, or passing an electric current. Once the coil configuration has been established, the coil can be used to ensnare and corkscrew a clot or blockage in a vessel. A clot is extracted from the vessel by moving the clot capture coil and catheter proximally until the clot can be removed completely or released into a different vessel that does not perfuse a critical organ.

Abstract: The devices and methods generally relate to treatment of occluded body lumens. In particular, the present devices and methods relate to removal of the occluding material from the blood vessels as well as other body lumens. The devices may include a catheter and a cutter assembly, where the cutter assembly has a distal cutter and a proximal cutter. The devices may also include a drive mechanism, a torque shaft, a deflecting mechanism and a torque control mechanism. The torque control mechanism may sweep the cutter assembly when the cutter assembly is deflected.

Abstract: Devices and methods are disclosed herein for a closure device. A closure device includes a body movable from a pre-deployed configuration towards a deployed configuration, a plurality of tissue-engaging portions extending from the body. At least two of the tissue-engaging portions are separated by a first distance in the deployed configuration and a second distance in the pre-deployed configuration in which the first distance is smaller than the second distance. The closure device also includes a plurality of device-capture features secured to the body. The device-capture features are configured to move the tissue-engaging portions to a separation greater than the first distance.

Abstract: A device for acquiring a blood sample comprising a lancet, a puncture drive having a drive rod coupled on the lancet, and a compression spring, which propels it is disclosed. A flywheel mass, which is mounted as to make it movable, is coupled to the drive rod. The flywheel mass can absorb kinetic energy during a propulsion phase and cause retraction of the lancet after reaching a maximum piercing depth. The flywheel mass can be a flywheel connected via a connecting rod to the drive rod and is set into rotation during propulsion of the lancet. After overcoming a dead center defining the maximum piercing depth, rotational energy stored in the flywheel causes the retraction of the lancet. At a specific angle, the rotation of the flywheel is stopped and the residual piercing depth is defined.

Abstract: Surgical instrument for endoscopic surgery that permits the simulation of the articulation movements of a surgeon finger, comprising a rigid tube (3) whose distal end has a first phalanx (4) articulated, being in turn articulated to a second phalanx (5), which is linked to the rigid tube (3) by means of cables housed in cross ducts (12), situated in the interior of the first phalanx (4), linking the movement of the second phalanx (5) to that of the first phalanx (4), whose articulation takes place due to the actuation of the transmission rod (11), the rigid tube (3) being attachable to a handle (1) that incorporates a controller (2) for the actuating of the instrument articulation movement by the surgeon, which operates a fork (14), which in turns actuates the transmission rod (11).

Abstract: A fluid jet device being provided with a fluid jet aperture section and producing a jet of fluid from the fluid jet aperture section includes: a pulsation generation section including a fluid chamber whose capacity can be changed, an inlet fluid path linked through the fluid chamber with a volume smaller than that of the fluid chamber, and an outlet fluid path linked through the fluid chamber and the fluid jet aperture section with an inertance set smaller than that of the inlet fluid path; and a pressure generation section that supplies the fluid to the inlet fluid path.