Abstract: An apparatus includes a handle assembly, a guide tube, and a dilation catheter. The guide tube extends distally from the handle assembly. At least a distal portion of the guide tube is malleable. The dilation catheter is slidably positioned in the guide tube. The dilation catheter includes a distal end, a dilator, and a position sensor. The position sensor is configured to generate a signal indicating a position of the position sensor in three-dimensional space. The dilation catheter is configured to translate relative to the guide tube.

Abstract: Devices and methods for tissue and graft procedures are provided that are designed to fail under a certain amount of force, providing sensory feedback that a particular activity may be providing too much stress on a surgical implant. For example, a surgical implant can include a sacrificial element in the form of a filament designed to break when a certain threshold value of force is met or exceeded, while a second filament that has the ability to withstand higher values of force, is able to maintain the repair after the first filament fails. In other embodiments, the sacrificial element includes a filament engagement mechanism associated with a suture anchor configured to fail at a threshold value of force, and a second filament engagement mechanism of the anchor can maintain the repair after the first one fails. Many implants configurations are provided, as are various surgical methods incorporating sacrificial elements.

Abstract: A robotic surgical tool includes a drive housing having a first end, a second end, and a lead screw extending between the first and second ends, a carriage movably mounted to the lead screw, and an activating mechanism coupled to the carriage. The activating mechanism includes a motor mounted to the carriage and operable to rotate a drive gear, and a driven gear engageable with the drive gear such that rotation of the drive gear causes the driven gear to rotate and thereby actuate the activating mechanism.

Abstract: An ancillary system for surgery is provided. The ancillary system includes a trocar, a scalpel device and an exhaust device. The scalpel device includes a blade portion and a connecting arm. The exhaust device encapsulates at least a portion of the connecting arm of the scalpel device. The exhaust device is detachable from the scalpel device, and is configured to remove smoke, body fluids or biological tissues generated during a surgery to effectively improve the surgical process.

Abstract: A prosthetic heart valve for replacing a native valve includes a stent having a plurality of struts, an inflow end, an outflow end, a collapsed condition and an expanded condition. A valve assembly is disposed within the stent. A first cuff is annularly disposed adjacent the stent, and a second cuff is annularly disposed about the stent radially outward of the first cuff and radially outward of the stent. The second cuff is at least partly radiopaque and may assist in determining the relative position between the second cuff and a patient's anatomy using fluoroscopy during an implantation procedure.

Abstract: A device for destroying the blood vessels forming telangiectasias includes: a single blade; and a device body, the body having firstly a gripping part and secondly a support for the blade; and a stop situated at a distance of between 0.1 and 1 cm from a distal end of the blade limiting the penetration of the blade, in the thickness of the skin, to a depth of less than 1 cm.

Abstract: Medical systems, devices and methods for creation of autologous tissue valves within a mammalian body are disclosed. One example of a device for creating a valve flap from a vessel wall includes an elongate tubular structure having a proximal portion and a distal portion and a longitudinal axis; a first lumen having a first exit port located on the distal portion of the elongate tubular structure; a second lumen having a second exit port located on the distal portion of the elongate tubular structure; a recessed distal surface on the distal portion of the elongate tubular structure, wherein the recessed distal surface is located distally to the first exit port; and an open trough on the recessed distal surface extending longitudinally from the first exit port.

Abstract: The wax warmer with automated stirring combines the heating element and wax temperature control with a rotating wax reservoir. The rotating wax reservoir causes the associated stored wax to rotate with respect to the body of the device. To interrupt the flow of the wax within the rotating reservoir, and cause mixing and stirring, a stationary stir stick is placed in the path of rotation. As the moving wax contacts the stationary stir stick, turbulence is caused, resulting in mixing. The mixing helps to maintain a consistent temperature of wax within the reservoir. The stir stick is preferably held in position by a slot within the lid, removal of the lid causing removal of the stir stick, removing the stir stick as an obstacle to the user accessing the wax within the vessel.

Abstract: A device for treatment of a vascular defect within a patient's vasculature includes a self-expanding permeable shell having a proximal end, a distal end, and a longitudinal axis, the shell comprising a plurality of elongate resilient filaments having a braided structure, wherein the filaments are secured at at least one of the proximal end or the distal end of the permeable shell, wherein the permeable shell has a radially constrained elongated state configured for delivery within a microcatheter and has an expanded state with an axially shortened configuration relative to the radially constrained state, the permeable shell having a plurality of openings formed between the braided filaments, wherein the permeable shell in its expanded state comprises a plurality of circumferentially-arrayed lobes.

Abstract: Devices and methods for anchoring soft tissue, tissue grafts, and the like to a bone are provided. In one example, an assembly includes a suture anchor, suture, and inserter. In another example, a method provides for reattaching soft tissue to a bone.

Abstract: A method of suturing includes: (1) wrapping a first segment of a suture through a traction loop; (2) pulling the traction loop and the first segment through an opening in a suture lock; (3) continuing to pull the traction loop such that a second segment of the suture extends through the opening, wherein the second segment has a greater denier than the first segment such that the second segment more nearly fills an entire dimension of the opening than the first segment; and (4) locking the suture in place with the second segment in the opening.

Abstract: Various embodiments of a stereotactic coordinate adjuster system and associated method for positional adjustment of components of a stereotactic system are disclosed herein. The system provides fine adjustment to the stereotactic system by providing form-fitting components that encapsulate components of the stereotactic system and allow for fine positional adjustment of an arc support member and a slide portion of the stereotactic system.

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

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

Abstract: A system of a combined climbing harness and medical tourniquet, and a method for using the system. A looped thigh strap portion of a climbing harness is detachable from the harness belt for separate alternative use as an emergency tourniquet for the user or a patient. The looped thigh strap is provided with features and components to facilitate its use as a functional tourniquet for either an arm or a leg, while nevertheless in ordinary use allowing it to serve as a component of a climbing harness.

Abstract: Systems and methods for operating deep brain stimulation are disclosed. In certain embodiments, the systems and methods encompass an adapter a body portion, a shank portion; and a cam system. The cam system is comprised of a camshaft and an eyebolt that secures a latch. The body portion of the adapter is coupled to a hand knob of a microdriver and the shank portion is coupled to a drill. When the drill is activated, the adapter transmits rotational energy from the drill to the hand knob of the microdriver, which automates the raising and lowering of its needle.

Abstract: A method for deploying a medical device such as a heart valve to a desired location in a blood vessel comprising first deploying a tubular filter adjacent to at least one tributary vessel location with a filter deployment member, disengaging said deployment member and removing it, inserting an expandable sheath into the blood vessel, passing a medical device through said sheath to deploy its removing said sheath and removing said filter.

Abstract: An endoscopic device, includes a clip assembly and a driving assembly. The clip assembly includes a first jaw, a second jaw, a pivot, a housing having an internal channel, and a release portion connecting to the first and second jaws. At least a portion of the first and second jaws is disposed within the internal channel, the first and second jaws selectively move along with the internal channel. The driving assembly includes an outer sheath, an inner tube, movably disposed within the outer sheath, and a driver, movably disposed within the inner tube, and removably received within the release portion. The driver is unbrokenly released from the release portion by a predetermined pull force. The housing and the outer sheath form a releasable handshake engagement. The inner tube extending into the housing prevents the handshake engagement from disengaging.

Abstract: Particular embodiments disclosed herein provide a membrane delamination device for delaminating a membrane from a retina of an eye. The membrane delamination device comprises a blade, a first lever coupled to the blade, and a second lever coupled to the blade. The first lever and the second lever are at least partially housed by a first shaft of a hand-piece. The first lever is fixedly coupled to the first shaft. The second lever is fixedly coupled to the hand-piece. The blade at least partially extends beyond a distal end of the first shaft. The membrane delamination device is configured to be actuated as a result of longitudinal movement of the second lever within and in relation to the first shaft. The second lever moves longitudinally within and in relation to the first shaft due to an application of force to the second lever through the hand-piece.

Abstract: A suture assembly, including a button having two apertures and a suture defining a lumen and forming a double loop, formed by a double trap formed in the suture, opposed to the button, and in which a first portion of the suture is threaded through the lumen of the double trap and a second portion of the suture is also threaded through the lumen of the double trap, so that two portions of suture are positioned together in the double trap. The first portion of the suture, after emerging from the double trap, is threaded through the lumen again, thereby forming a second trap, increasing resistance of the double loop to expansion, the double loop being threaded through the apertures of the button, the suture having two suture ends that are threaded through the button apertures and accessible on a side of the button opposed to the double loop.