Abstract: A surgical device can include a first jaw, a second jaw opposing the first jaw, a clamp lever in communication with the first jaw and the second jaw and operable to move the first jaw, the second jaw, or both from a jaw nominal position to a jaw clamped position when an external force is imparted upon the clamp lever in a first direction, and a stop bias member that stops movement of the clamp lever when the external force is removed so that the first jaw and the second jaw are in the jaw nominal position at rest.

Abstract: Implantable medical devices for connecting tissue layers, such as for connecting a gallbladder and a portion of a gastrointestinal tract to create an anastomosis, include a tubular structure having a plurality of apposition portions, a central region, and a covering material. The devices are endoscopically deployable and may include open cells or undulating edges that facilitate a secure connection between the tissue structures.

Abstract: A single-use adjustable depth trephine corneal punch device that allows a goal trephination depth of a donor cornea to be set and cut prior to a surgical procedure for cutting selected portions of an actual patient cornea. The corneal punch includes a punch block having a central well for receiving a donor cornea, a punch top mounted atop the punch block and having a central cylindrical opening coaxially aligned with the well, a punch blade mounted atop the punch top and through the opening cooperates with the top for combined limited rotation and limited axial movement from a reference or “start” point and into juxtaposed relation against the cornea and a limited axial downward movement during rotation to make a shallow cut in the cornea.

Abstract: Some systems and methods for treating heart tissue may include instruments for intermittently occluding the coronary sinus using a coronary sinus occlusion catheter device. In some embodiments, the coronary sinus occlusion catheter can be used before or during a coronary intervention procedure in which a blockage in a heart is repaired or removed.

Abstract: A method and device handle having a slide assembly are disclosed for controlling rotational speed of a catheter assembly under various rotational loads. The method includes: driving a catheter assembly at a target rotational speed in a first direction; detecting an actual rotational speed of the catheter assembly in the first direction; comparing the target rotational speed and the actual rotational speed of the catheter assembly in the first direction; and stopping the driving of the catheter assembly in the first direction before a completion of predetermined number of rotations in the first direction when the actual rotational speed decreases a predetermined value over a predetermined time frame.

Abstract: Cannula devices, systems, and methods are provided for introducing one or more instruments into a patient's body to perform a procedure. In one example, the cannula device includes first and second housings defining a throughbore, and a plurality of elongate members extending distally from the housings, the elongate members cooperatively defining a passage axially aligned with the throughbore between proximal ends and distal tips of the elongate members. The first housing is moveable in an axial direction with respect to the second housing to cause the proximal ends of the elongate members to move outwardly to increase a size of the passage and, optionally, may taper when expanded. Optionally, one or more secondary devices, e.g., an obturator with a sharpened tip, or an obturator and tubular access device may be provided that may be inserted through the throughbore into the passage before expansion of the passage.

Abstract: The present disclosure provides a device and methods for acquiring tissue within a lumen or for closure of bodily openings.

Abstract: Devices for approximating multiple tissue edges internal to a body are disclosed.

Abstract: An ultrasonic surgical instrument includes a housing, an ultrasonic transducer assembly, and a waveguide. The ultrasonic transducer assembly extends through a proximal opening into the housing and includes a horn disposed within the housing defining a first engagement member. The ultrasonic transducer assembly further includes an inner housing extending through the proximal opening and an outer knob disposed externally of the housing and slidably positioned about the inner housing in fixed rotational orientation relative thereto. The outer knob is selectively translatable relative to the inner housing from a proximal, unlocked position and a distal, locked position to rotationally lock the ultrasonic transducer relative to the housing. The waveguide defines a blade at a distal end and a second engagement member at a proximal end. The second engagement member is configured to releasably engage the first engagement member to thereby engage the waveguide with the ultrasonic transducer assembly.

Abstract: A medical knife has a flat projection shape of a cutting part formed in an approximate rhomboid shape including a front end part, a widest part with the largest width, and a side surface part formed between the front end part and the widest part. A front side bevel constituting an edge on the front side and a back side bevel constituting an edge on the back side are individually formed, having as a boundary a virtual surface including an edge formed along the periphery of the cutting part. A ratio of the angle ? between the virtual surface and the back side bevel to the angle ? between the virtual surface and the front side bevel at the front end part is greater than the ratio of the angle ? between the virtual surface and the back side bevel to the angle ? at the side surface part.

Abstract: Apparatus and method for treating or/and refreshing an ear canal of a subject, focused on cleaning the ear canal via removing cerumen therefrom. Apparatus includes a treating element formed as an elastic helically shaped coil strip, whose outer and inner surfaces may be coated (covered) by different possible combinations of outer layer, inner layer, and lubrication layer, coatings (coverings). The treating element outer and inner surfaces, as well as the outer layer, inner layer, or/and lubrication layer, are formed of, or/and include, materials exhibiting specific physicochemical properties and characteristics that facilitate particular friction and lubrication phenomena during implementation, which improve efficacy, safety, or/and tolerability of using the apparatus. Also disclosed is a method, including use of the apparatus, for treating or/and refreshing an ear canal of a subject.

Abstract: The present disclosure includes customized guidance devices in the form of guidance templates configured to fit over a given area of a patient's body and provide guidance during a tissue treatment or tissue removal procedure of that given area, which may include administration of an agent to a target tissue, target tissue biopsy, target tissue resection, or target tissue ablation. The customized guidance templates are generally constructed via an additive manufacturing process (i.e., three-dimensional (3D) printing) or subtractive manufacturing process (i.e., milling) based on a fabrication instruction file, which may include imaging data of the given area of the patient's body in which targeted tissue treatment is to be performed. The fabrication instruction file may further include additional data, such as the type of procedure to be performed (i.e., biopsy of the tissue abnormality, destruction or resection of the tissue abnormality, etc.).

Abstract: In one embodiment, a medical instrument tracking system includes a medical instrument including a handle and different interchangeable heads for insertion into the handle having a handle position-tracking transducer disposed thereon, different respective ones of the interchangeable heads having differently positioned respective head position-tracking transducers disposed thereon so as when the different respective ones of the heads are inserted into the handle, the different respective head position-tracking transducers define different respective positions relative to the handle position-tracking transducer, and processing circuitry to receive signals generated by the handle position-tracking transducer and the respective head position-tracking transducer of a respective one of the heads inserted into the handle, compute a relative position between the handle position-tracking transducer and the head position-tracking transducer of the inserted interchangeable head, and identify which interchangeable head is

Abstract: Embodiments disclosed herein are directed towards an endovascular clip comprising a proximal anchoring member and a distal self-expanding member. The proximal anchoring member and distal self-expanding member are configured to extend across opposite sides of a neck of an aneurysm.

Abstract: A balloon catheter which allows for faster preparation and more effective purging of air within the catheter, while also providing a more space efficient design, wherein the balloon catheter includes a tubular outer member and a tubular inner member disposed in the lumen of the outer member such that the outer member and inner member define an annular fluid path between them. A balloon is secured to and circumferentially surrounds an outer surface of the distal portion of the outer member. A tubular seal is disposed circumferentially around the outer surface of the distal portion of the inner member. The inner member is movable longitudinally relative to the outer member from a non-sealing position in which the annular fluid path is open, and a sealing position in which the distal portion of the outer member contacts the seal thereby sealing the annular fluid path at the seal.

Abstract: A balloon catheter which allows for faster preparation and more effective purging of air within the catheter, while also providing a more space efficient design, wherein the balloon catheter includes a tubular outer member and a tubular inner member disposed in the lumen of the outer member such that the outer member and inner member define an annular fluid path between them. A balloon is secured to and circumferentially surrounds an outer surface of the distal portion of the outer member. A tubular seal is disposed circumferentially around the inner surface of the distal portion of the outer member. The inner member is movable longitudinally relative to the outer member from a non-sealing position in which the annular fluid path is open, and a sealing position in which the distal portion of the inner member contacts the seal thereby sealing the annular fluid path at the seal.

Abstract: Systems, devices, and methods are provided for securing soft tissue to bone. One exemplary embodiment of a surgical soft tissue repair device includes a snare assembly coupled to a soft anchor in which the soft anchor has a first, unstressed configuration that can be used to insert the anchor into bone and a second, anchoring configuration that can be used to fixate the anchor in the bone. The snare assembly can be configured to actuate the anchor from the first configuration to the second configuration, and it can also be used to engage and approximate tissue by drawing the tissue closer to the anchor fixated in the bone. The snare assembly can be used in conjunction with a number of different anchor configurations, and other exemplary systems, devices, and methods for use with soft tissue repair are also provided.

Abstract: A single integrated intravascular device including a stentriever and semi-compliant balloon housed therein. After traversing a clot, the device is deployed to a self-expanded state engaging the clot therein, whereupon the device along with the embedded clot is removed. Detecting through imaging a stenosis at an original position of the captured clot, the device is reintroduced to that location and the stentriever is deployed to a self-expanded state. Inflating the semi-compliant balloon enlarges the stentriever to a hyper-expanded state greater than the self-expanded state thereby dilating the vessel while simultaneously completely detaching/releasing the stentriever from a remaining portion of the device. Then the semi-compliant balloon is collapsed and withdrawn along with the remaining portion of the device, while the detachable/releasable portion of the stentriever in the self-expanded state remains in the vessel.

Abstract: A frame for an implantable medical device, comprising: a first member, comprising a plurality of struts defining a plurality of cells, wherein the first member is annular and defines a longitudinal direction which is parallel to the axis of the first member, a radial direction, and a circumferential direction; a second member, comprising a plurality of struts and coupled to the first member at circumferentially distributed locations; wherein the second member overlaps a first end portion of the first member and extends beyond the first end portion of the first member.

Abstract: A surgical instrument is configured for coupling with an instrument drive unit that drives an actuation of the surgical instrument and operatively supports the surgical instrument. The surgical instrument includes a housing, an elongate body extending distally from the housing, an end effector extending distally from the elongate body, and a plurality of driven members rotatably fixed and longitudinally moveable relative to the elongate body. The plurality of driven members are longitudinal moveable relative to one another. Each driven member of the plurality of drive members is coupled to a respective cable that is attached to the end effector. The plurality of driven members is configured for engagement with an instrument drive unit.