Abstract: An aneurysm implant support device for treating an aneurysm at a bifurcation can include a body having a tubular lattice extending from an upper body section, through a mid body section, and to a lower body section. The upper body section can be sized, shaped, and otherwise configured for implantation in an aneurysm sac. The upper body section can include support elements positioned at the aneurysm neck which inhibit the embolic implants from exiting the aneurysm. The mid body section can have two large cell openings substantially larger than the cell openings over a majority of the tubular lattice. The two large cell openings can be placed across passageways from a stem blood vessel to branch blood vessels of the bifurcation. The lower body section can be sized, shaped, and otherwise configured to anchor within the stem blood vessel.

Abstract: A surgical clamp is disclosed. The surgical clamp comprises a two-piece body comprising atop jaw housing that inter-fits with a bottom jaw housing; the top jaw housing comprising a top jaw; the bottom jaw housing comprising a bottom jaw; the inter-fitting top jaw housing and bottom jaw housing disposed for movement relative to one another; a bias to the top jaw housing and bottom jaw housing apart; and a lever moveable between a lock position and an open position and the lever disposed to prevent opening movement of the top jaw housing relative to the bottom jaw housing and to allow graduated relative closing movement of the top jaw housing relative to the bottom jaw housing in the lock position and to allow opening and closing movement of the top jaw housing relative to the bottom jaw housing in the open position.

Abstract: A medical device is disclosed, the medical device includes an outer tubular member made from one or more rigid materials having a first bend element including a distal end portion of the outer tubular member and a second bend element proximal to the first bend element in a natural state; and a treatment member on the distal end portion configured to grind a substance inside a body lumen, and wherein an outer diameter of the treatment member is larger than an outer diameter of the outer tubular member, and a difference between the outer diameter of the treatment member and the outer diameter of the outer tubular member is less than a thickness of a blood vessel wall.

Abstract: An occlusion device includes a sealing disc, and a fixing frame connected to the sealing disc and located on one side of the sealing disc. The fixing frame includes a connecting portion connected to the sealing disc and at least one supporting body. The at least one supporting body radiates from the connecting portion and extends towards a proximal end to form a plurality of supporting sections. The supporting section is provided with at least one first restraint portion. The fixing frame is provided with at least one second restraint portion. The occlusion device further includes at least one restraint member. The restraint member is connected to the first and second restraint portion so a portion of the restraint member between the first and second restraint portion generates a restraint force that restrains movement of at least the supporting section.

Abstract: Braided occluding devices having an access passage and methods including the same are described herein. The occluding device includes a braided frame which includes. The braided frame includes an annular distal disc portion, a waist member, and an annular proximal disc portion defining a passageway through the braided frame. The braided frame is formed with a closed end braid.

Abstract: A radial compression band is configured to provide hemostatic compression to an arterial access site on the arm of a wearer. The radial compression band includes an elongated arm band that presents an arm opening sized to receive the arm. The arm band presents proximal and distal margins, with the arm opening being defined between the margins.

Abstract: An artificial chordae tendineae implantation system, including a clamping device, puncture device, a pushing device, and a clamp assistance device. The pushing device includes a pushing catheter. The puncture device and the clamping device respectively are movably insertedly mounted within the pushing catheter. An artificial chordae tendineae is accommodated in the clamping device. The clamp assistance device includes a clamp assistance arm movably insertedly mounted within the pushing catheter and a clamp assistance member provided at the distal end of the clamp assistance arm. The clamp assistant member is made of a flexible and/or soft material. The clamp assistance member and the clamp assistance arm are accommodated together in the pushing catheter. The clamp assistance arm pushes the clamp assistance member to pass out from the distal end of the pushing catheter or the distal end of the clamping device.

Abstract: Medical devices, systems and methods for occluding a left atrial appendage of a heart are provided. In one embodiment, the medical device includes an occluder portion and an anchor portion that are pivotably coupled to each other with hinge components. The hinge components each include a base with arms extending from the base such that the arms of each one of the hinge components extend through and capture a first eyelet of the occluder portion and a second eyelet of the anchor portion to facilitate pivotably coupling the anchor portion to the occluder portion.

Abstract: Provided herein is an occlusion device comprising: (a) continuous mesh structure comprising a medial pinch point; (b) a resilient mesh disc-shaped body extending distally and outward from the medial pinch point; and (c) a compressible mesh carriage extending distally from the medial pinch point on an opposing side of the resilient mesh body of (b), wherein the compressible mesh carriage comprises a pinch point on each end of the carriage, wherein one of the pinch points is the medial pinch point of (a); wherein the continuous mesh structure has a first delivery shape and a second expandable deployed shape, and wherein the length (x) of the resilient mesh body is greater than the length (y) of the compressible mesh carriage in free air and in the deployed shape. Also provided herein is a kit comprising the occlusion device disclosed herein and a means for delivery thereof. Methods of manufacture and use of the occlusion device disclosed herein are also disclosed.

Abstract: A suction catheter system is described with a suction nozzle that can extend from a guide catheter of the like. The suction nozzle can be positioned by tracking the suction nozzle through a vessel while moving a proximal portion of the suction extension within the lumen of the guide catheter. A suction lumen extends from the proximal end of the guide catheter through at least part of the guide catheter central lumen and through the suction tip. Desirable suction flow can be established using the guide lumen to facilitate the suction. Also, a delivery catheter is described with an elastic tip that can track closely over a guidewire. The elastic tip of the delivery catheter can be expanded to provide for the delivery of medical devices past the tip.

Abstract: A knot pusher device for surgical port closure includes a head portion having at least one suture guide inlet and at least one suture retainer, the head portion being configured to contact a suture knot inside an incision to close a portion of a surgical port made by the incision, and a coupling member operatively connected to the head portion, the coupling member enabling releasable connection of the knot pusher device to a suturing device.

Abstract: A device is described herein for performing capsulotomies that improves suction uniformity and produces rolled capsulotomy edges. The device includes a suction cup that forms a tapered circumferential suction chamber which enables suction to be applied to a tissue in a first direction. The tapered circumferential suction chamber decreases in cross-sectional area from a proximal end of the device towards a distal end of the device. The device further includes a stem coupled to the suction cup to provide suction to the suction cup. The stem forms a neck that enables fluid flow to the suction cup in a direction substantially perpendicular to the first direction. The device further includes a cutting element configured to excise the tissue.

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 tourniquet assembly is provided comprising an external band and an internal band with a first and second semi-permanent adhesive members. The external band has a first connecting member affixed thereto and a second connecting member removably connected thereto. The internal band is designed to form a loop having a circumference around a limb for constricting blood flow in the limb when the external band forms a loop when the first connecting member is attached to the second connecting member. The tourniquet assembly further comprises a tensioning member connected to the internal band and configured to apply direct tension to the internal band without applying direct tension to the external band. Herein, the circumference formed by the internal band is reduced when the tensioning member is actuated, thereby compressing the limb when the tourniquet assembly is placed around the limb, and thereby reducing blood flow to the limb.

Abstract: An apparatus for laparoscopic intracorporeal knot tying includes a needle grasper including a needle holder shaft and a needle holder jaw located at a distal end of the needle holder shaft, and a knot loop grasper including a knot loop holder shaft, which is slidable on the needle holder shaft, and a knot loop holder jaw located at a distal end of the knot loop holder shaft. In an inactive state of the apparatus, the knot loop holder is located proximal to the needle holder jaw. In an active state of the apparatus at a time of a knot tying, the knot loop holder jaw slides on the needle holder shaft toward the distal end of the needle holder shaft and beyond the needle holder jaw to carry components of a knot over a standing end of a suture held by the needle holder jaw.

Abstract: A suturing device comprising an elongated member including a cavity formed in a surface thereof, a needle passage, and a vacuum port. When the elongated member is inserted into a body including tissue and a vacuum is applied to the cavity, the tissue is captured by the cavity. A needle pusher is operable to move a needle having a sutured attached thereto through the tissue until a first end of the needle is captured by a needle capturing assembly. A clamp coupled to the elongated member is used to extract the needle from the needle capturing assembly and reposition the needle with suture attached to be re-engaged by the needle pusher. The cavity may include a plurality of cavity portions for capturing multiple contiguous portions of the tissue such that a single pass of the needle and the suture results in the suturing of the multiple portions of the tissue.

Abstract: Disclosed herein are systems and methods for insertion tools for implanting electrode leads. In one embodiment, an insertion tool comprises a shaft having an outer cannula and an inner cannula. An actuator may be configured to transition the insertion tool between at least three configurations. In a first configuration, the inner cannula and the outer cannula are configured to receive the lead in the shaft. In a second configuration, the inner cannula and the outer cannula are configured to secure the lead in the shaft. In a third configuration, the inner cannula and the outer cannula are configured to cause the lead to separate from the insertion tool and implant in adjacent tissue.

Abstract: A tubular graft for use in a stent graft. The tubular graft may include a first woven layer that forms a first side of the tubular graft, where the first woven layer has a set of first warp ends. A second woven layer may forma a second side of the tubular graft, where the second woven layer has a set of second warp ends, and where the second warp ends are distinct from the first warp ends. A woven pocket flap may extend from the first woven layer, where a pocket opening is defined between the woven pocket flap and the first woven layer, and where the woven pocket flap includes at least one common weft yarn with the first woven layer.

Abstract: System for inserting a self-expandable occluder (12) into a patient and for releasing the occluder (12) in the left atrial appendage (10) of the patient, the system including an insertion unit (100) which has a drive unit (102) and an insertion catheter including an outer tube and an inner tube extending through the outer tube, wherein a proximal end region of the occluder is movement-coupled to the outer tube, and wherein a distal end region of the occluder, is movement-coupled to the inner tube, wherein, in order to release the occluder, the drive unit interacts with the inner tube and the outer tube such that, when actuated, the inner tube can be moved in a distal or proximal direction and the outer tube can be moved in the proximal direction or distal direction, so that the distal end and the proximal end of the occluder can be moved away from or toward one another.

Abstract: Devices and methods of endolumenal formation of gastric sleeves are described. Some embodiments allow templating of a gastric sleeve by a gastric bougie, exposing a selected amount of tissue for suturing access, while maintaining sufficient internal working space for suturing within the template lumen.