Abstract: An apparatus for addressing tissue and bone in a nasal cavity includes a rotary or oscillatory cutting member disposed in the lumen of a shaft. The shaft may have a first window region oriented in first direction and a second window region oriented in a second direction. The cutting member may have a first cutting edge configured to be cyclically moved across at least a portion of the first window region and a second cutting edge configured to be cyclically moved across at least a portion of the second window region. A shield is selectively positionable to occlude the first and to occlude the second window region.

Abstract: A surgical assembly includes a tensioner having a first end and a second end. A tension member extends from the first end of the tensioner. A mounting member is connected to the second end of the tensioner. An arm extends from the first end of the tensioner and includes a series of relatively moveable links that define an axial bore configured for disposal of the tension member. Each link defines a first mating surface and a second mating surface disposed in a configuration such that tensioning of the tension member interlocks the first mating surface with the second mating surface of an adjacent link in the series to selectively fix the links in a selected orientation.

Abstract: The present disclosure describes systems for endoluminal devices utilizing a sleeve for constraining an expandable device toward a constrained configuration suitable for endoluminal delivery to a treatment site along vasculature; and a mechanism for retracting at least a portion of the sleeve.

Abstract: A Device for producing cuts or perforations on a human or animal eye at the anterior or posterior opening of the eye lens (capsulatomy, rhexis) with a cutting element that can be inserted into the interior of the eye and a drive device which is arranged outside of the eye in order to cause movement, in particular oscillatory vibrations or rotation of the cutting element inside the interior of the eye, the drive device having a field generator for generating a magnetic or electromagnetic excitation field and the cutting element can be excited, in particular driven, by way of the excitation field generated by the field generator.

Abstract: An apparatus comprises a shaft, an expandable dilator, and at least one ventilation pathway. The shaft defines a longitudinal axis and comprises a distal and proximal ends with at least one shaft lumen. The expandable dilator comprises body with its own proximal and distal ends. The body is configured to transition between a contracted state and an expanded state. The body is configured to dilate a Eustachian tube of a patient in the expanded state. The at least one ventilation pathway is configured to provide ventilation from the distal end of the body to the proximal end of the body when the body is in the expanded state. In some examples, the ventilation pathway comprises a set of transversely oriented vent openings formed through the shaft. In some other examples, the ventilation pathway comprises a space defined between one or more radially outwardly protruding features of the expandable dilator.

Abstract: Devices, systems and methods for detecting a position of an object with a robot surgical system having an articulable, separable camera stand. The surgical robot system may include a robot having a robot base with a robot arm and an end-effector coupled to the robot arm. The end-effector, surgical instruments, the patient, other objects, or any combination thereof, may be tracked via active and/or passive tracking markers. A camera, such as an infrared camera, a bifocal camera or a stereophotogrammetric infrared camera, is mounted on a separable camera stand and is able to detect the tracking markers when in use. Using the camera, the robot determines a position of the object from the tracking markers, which may be a three-dimensional position of the object or the markers. When convenient, the camera base may be assembled into the robot base, e.g., by sliding the camera base into the robot.

Abstract: Methods and devices are provided for performing minimally invasive surgical procedures. In one embodiment, a surgical device is provided that include an elongate shaft having a distal portion configured to be movable between a first configuration in which the distal portion of the shaft is substantially straight or linear and a second configuration in which the distal portion of the shaft is articulated at a compound angle. The shaft's distal portion can include two articulation joints to facilitate formation of the compound angle.

Abstract: A device and method for reducing the volume of a tissue region, the device including a first fixation element, a second fixation element, and a tethering device, where the first and second fixation elements are slidably secured onto said tether, and the first and second fixation elements are radially self-expanding fixation elements.

Abstract: A vessel access and closure assist system is used for accessing a vessel to perform a vascular intervention. The system facilitates the delivery of a vessel closure device onto a blood vessel for closing an opening in the wall of the blood vessel. The vessel access and closure assist system includes a procedural introducer sheath that directly couples to a vessel closure device delivery sheath such that the procedural introducer sheath does not have to be exchanged with the vessel closure device delivery sheath.

Abstract: A coupling member for an ultrasonic instrument assembly has a tubular body with a first port at a first end and a second port at a second end opposite the first end. A lumen in the body member extends from the first end to the second end so that the first and the second port communicate with one another. The body member is made of a flexible resilient material such as silicone rubber and at least one reinforcement element is joined to the body member. The reinforcement element is configured so as to at least inhibit a collapse of the body member.

Abstract: All metal stent grafts and covered stents having either a single structural supporting stent member with concentrically positioned graft members on the luminal and abluminal surfaces of the stent member or a single graft member with concentrically positioned structural supporting stent members on the luminal and abluminal surfaces of the graft member are provided.

Abstract: A pacifier or a teething device comprising of a mouth-guard having a body, said body having a front-surface, a back-surface, and a thickness wherein said thickness makes an interior space; a mouth-piece having a proximal end to be placed in a mouth and a distal end connected to said front-surface of said mouth-guard; an instrument embedded in said interior space or being connected to said back-surface of said mouth-guard or being connected to the front-surface of the said teething device; and a handle connected to said back-surface of said mouth-guard or connected to said instrument.

Abstract: Provided herein are methods and systems for the removal of anatomical occlusions, and an occlusion removal device comprising a first body adapted to be mounted to a delivery wire and releasably engaged to the delivery wire, wherein while engaged the first body remains fixed on the delivery wire and upon release moves axially along the delivery wire, and a second body adapted to be mounted to the delivery wire. A first proximal body may be oriented proximally to a second distal body. The proximal body and the distal body may be adapted to expand upon exiting a delivery catheter. The proximal body may be releasably engaged by a mechanically breakable connection or an electrolytically or heat disconnectable connection, the electrolytically disconnectable connection being broken upon an application of electric current to the electrolytically disconnectable connection.

Abstract: This patent document discloses perfusion catheters and related methods for treating complications related to CTO interventions or dilating a vessel occlusion while maintaining a passage through the treated vessel segment. A perfusion catheter can include a balloon formed of an inflatable tube and an elongate shaft having a lumen for providing inflation fluid to, or withdrawing inflation fluid from, the balloon. The inflatable tube can be coiled in a helical manner around a central axis into a series of windings. Adjacent windings can be stacked against and bonded to each other, and an inner surface of the series of windings, when inflated, can define the passage. The elongate shaft can be eccentrically attached to a proximal portion of the balloon and the shaft's lumen can be in fluid communication with the interior of the balloon, specifically the inflatable tube. The inflatable tube can include two different polymer tubes, one slightly smaller than the other.

Abstract: A system for implanting a repair device onto a native valve of a natural heart to repairing the native valve of a patient during a non-open-heart procedure. The system includes a surgical delivery instrument, a valve repair device, and a gripper control mechanism. The surgical delivery instrument has at least one lumen. The valve repair device is configured to be delivered through the lumen of the surgical delivery instrument and to be attached to a native valve of a patient. The valve repair device has a pair of paddles, and first and second gripping members. The paddles are movable between an open position and a closed position. The paddles and the first and second gripping members are configured to attach to the native valve of the patient. The gripper control mechanisms each include a suture and a wire having a loop at a distal end. The suture extends from the surgical delivery instrument and through the loop of the wire. The suture is removably attached to the gripping member.

Abstract: Devices and methods for obtaining a plurality of skin tissue particles for use in skin grafting.

Abstract: A delivery system for delivering a medical device through a vasculature can include a capsule for housing the medical device during delivery and a marker band rotatably fixed to the capsule. The marker band can include a band portion and a single indicator protruding from the band portion. The indicator can allow the rotational orientation of the marker band to be determined while the medical device is in the vasculature, the rotational orientation being around a central axis of the vasculature. A delivery system for delivering a medical device through a vasculature includes a capsule for housing the medical device during delivery and a marker band attached to a proximal end of the capsule. The marker band can include a base portion and a protrusion that can be configured to extend from the base portion towards a distal end of the capsule. Related methods are also described.

Abstract: An apparatus for introducing an implant into a hollow anatomical structure. The apparatus comprises a storage unit having an exit opening and defining a chamber in communication with the exit opening; an elongate, self-expanding vascular implant having an expanded condition and stored within the chamber in the expanded condition, proximal of the exit opening; and a pushrod having a distal end aligned with and proximal of the exit opening. The pushrod is pre-assembled to a distal end of the implant. Associated methods, and other apparatus and methods, are also disclosed.

Abstract: An apparatus includes a handle assembly, a guide assembly, and a dilation catheter. The guide assembly extends distally from the handle assembly. The guide assembly includes a malleable guide member and a flexible guide member. The distal end of the flexible guide member is distal to the distal end of the malleable guide member. The flexible guide member is positioned about the malleable guide member and is slidable along the malleable guide member. The dilation catheter is slidably disposed about the flexible guide member.

Abstract: An instrument for deploying an implantable medical device into a body lumen is disclosed. The instrument comprises a base member having a base handle and a deployment extension, a first tubular member having a first tubular body and a first handle, and a second tubular member having a second tubular body and a second handle. The first tubular member fits over the deployment extension and is longitudinally slidable over the deployment extension, and the second tubular member fits over the first tubular member and is longitudinally slidable over the first tubular member. The distal ends of the deployment extension, the first tubular body, and the second tubular body are adapted to hold and deploy the implantable medical device.