Abstract: The present invention provides a device that protects the tissue in the posterior part of the introitus vaginae, i.e. the commissura posterior. The origin of perineal tear starts here when the segment is stretched to double or triple its length during delivery of the head. Tears can be more extensive into the perineal body, continue into the anal sphincter and in worse cases even through the whole perineum into the anal canal. In use the device may protect against perineal tears of the posterior vaginal wall into the mucosa, perineal skin, muscles, even more profound down to the anal sphincter muscle and into the rectum and the rectal mucosa.

Abstract: A ergonomic surgical instrument is provided having a first and second trigger. The instrument comprises a shroud and at least one toggle switch located on the shroud's lateral surface for selectively engaging the first or second trigger to actuate an end-effector. The toggle fixes the position of one trigger with respect to the shroud while permitting the other trigger to actuate the end-effector.

Abstract: A surgical device. The surgical device may comprise a transducer configured to provide vibrations along a longitudinal axis and an end effector coupled to the transducer and extending from the transducer along the longitudinal axis. The surgical device also may comprise a lower jaw extending parallel to the end effector. The lower jaw may comprise a clamp face extending toward the longitudinal axis. Also, the lower jaw may be slidable relative to the end effector to bring the clamp face toward a distal end of the end effector.

Abstract: A morcellator (1) for morcellating tissue within a body cavity of a patient is provided in combination with first (17) and second (18) tissue-pulling devices, and an insert (19). The morcellator (1) comprises a handle portion (2) having a lumen (6) passing therethrough, and an aperture (10) communicating with the proximal end of the lumen. A tube (3) extends from the handle portion and has a tissue cutting device (7) located at the distal end of the tube. The handle includes first (11) and second (12) valves associated with the lumen of the handle portion, and the first and second tissue-pulling devices have shafts of a first diameter and second diameter respectively. The insert (19) comprises a stem (21) and a body portion (20), the stem being received in the aperture (10) to form a substantially gas-tight seal in combination with the first valve (11).

Abstract: The devices and methods generally relate to treatment of occluded body lumens. In particular, the present devices and method relate to removal of the occluding material from the blood vessels as well as other body lumens.

Abstract: The present invention relates to devices and methods for the treatment of diseases in the vasculature, and more specifically, devices and methods for treatment of aneurysms found in blood vessels. In a first embodiment of the present invention, a two part prostheses, where one part is an expandable sponge structure and the other part is an expandable tubular mesh structure, is provided. In the first embodiment, the expandable sponge structure is intended to fill the aneurysm cavity to prevent further dilatation of the vessel wall by creating a buffer or barrier between the pressurized pulsating blood flow and the thinning vessel wall. In the first embodiment, the expandable tubular mesh structure is placed across the aneurysm, contacting the inner wall of healthy vessel proximal and distal to the aneurysm.

Abstract: A hydraulically actuated medical instrument includes an elongated shaft having proximal and distal ends, a hydraulically actuated end effector at the distal end of the shaft and a fluid flow path extending through the shaft to the end effector. The end effector may be directly manually operated by way of a handle located at the proximal end of the shaft or remotely, for example, via robotic controller. Articulation joints may be provided along the shaft, between the shaft and end effector or handle, or elsewhere. The hydraulic actuation of the present invention permits multiple axis instrument articulation, miniaturization and simplified instrument fabrication.

Abstract: A lancing system comprising a lancet with a handle portion and a needle bearing portion, the needle bearing portion retaining a thin needle protected by a safety cap. The safety cap includes first and second chambers, where the first chamber acts as a sheath and the second chamber having a surface positioned to compromise the structure of the needle when the needle bearing portion of the lancet body is inserted into the second chamber.

Abstract: A guidewire loaded stent for delivery through a catheter is described herein. The stent delivery assembly can deliver and place a stent within tortuous regions of the body which are accessible to guidewires but inaccessible to stenting catheters. The assembly comprises a guidewire covered in part by a retractable sheath and a radially expandable stent near or at the distal end of the guidewire. The whole assembly is advanced through conventional catheters or it may be used alone. In either case, when the stent is adjacent to a treatment site within the body, the sheath is retracted proximally to expose the stent for radial expansion into contact with the vessel wall. Radio-opaque marker bands are optionally located on either side or both sides of the stent on the guidewire body to aid in visual placement. The assembly can optionally include an expandable balloon on the guidewire for different treatment modalities.

Abstract: A catheter assembly for endoluminal delivery of a device to a treatment site utilizing a single motion deployment for opening and removal of a flexible protective sleeve or constraining sleeve.

Abstract: Compressed air dissector is a surgical dissector which is used in tumor dissection and excision phases in surgical branches and especially in neurosurgery and microsurgery. The problem at this point is removal of the tumoral tissue without damaging the adjacent normal tissue and the blood vessels feeding the normal tissue. Moreover, serious difficulties may be encounter in the dissection phase of the arachnoid matter in brain surgery. The occurring adhesions can easily be opened with the aid of the air dissector. This provides great convenience in aneurism surgery. The operation principle of the compressed air dissector is direction of the controlled, sterile compressed air (gas) to the brain parenchyma and removal of the dissected particles from the location with an aspirator system. In said system, the particles in the air are cleaned with a filter system. When the compressed air is directed to the tumor tissue it easily dissects and removes the tumor.

Abstract: A system for treating a skin surface, the system comprising: a base unit comprising: a vacuum source; and a controller; and a treatment device comprising a handle; a treatment head comprising abrading structures with substantially sharp edges for abrading tissue; and a connector to direct negative pressure from the vacuum source to the treatment head.

Abstract: A device for removing hair is disclosed. The device comprises a container, filled with an impedance matching medium, and an ultrasound transducer element coupled to the container, such that ultrasound waves are generated by the transducer element in the impedance matching medium. The device further comprises a hair receiving element having at least one opening for receiving hair shafts, wherein a height of the opening is approximately an integer multiplication of half a wavelength of the ultrasound waves.

Abstract: An endoscopic stitching device including a tool assembly having a pair of juxtaposed jaws; a rotatably supported camming hub defining a groove formed in an inner surface of a central lumen thereof; and a center rod slidably and rotatably disposed within the lumen of the camming hub. The center rod is operatively engaged with the groove formed in the camming hub and engaged with the pair of jaws. The inner groove of the camming hub is configured such that, in at least one position, axial translation of the center rod relative to the camming hub results in rotation of the camming hub and at least one of opening and closing of the pair of jaws. The inner groove of the camming hub is configured such that, in at least one other position, rotation of the canter rod results in rotation of the tool assembly.

Abstract: A dermatome having a main body, a blade assembly and a blade guard, where the blade assembly has a blade edge and the blade guard has a base and a fence extending from the base toward the blade assembly so as to face the blade edge. The blade guard may include at least one blade assembly locator to facilitate the alignment of the blade guard with the blade assembly. A blade guard assembled on the blade assembly may operate so as to prevent unintended contact between the blade edge and objects.

Abstract: The present disclosure is directed to a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method may include providing an intravascular device having a distal portion and a longitudinal axis and inserting the intravascular device into the vascular lumen. The method may further include positioning the distal portion in the vascular wall, rotating the intravascular device about the longitudinal axis, and advancing the intravascular device within the vascular wall.

Abstract: An apparatus for treating a heart valve apparatus includes at least two anchoring elements designed to be anchored at the annulus and/or heart wall of the valve to be treated. Each anchoring element has a support surface. At least one linking element includes a central branch and two curved side branches, one of which is designed to be engaged on the support surface of an anchoring element, while the other is designed to be engaged on the support surface of another anchoring element, the linking element then being designed to be pivoted to a position such that the anchoring elements interconnect and in which the ends of the central branch are located in the vicinity of the support surfaces.

Abstract: The invention provides a rotational atherectomy system, device and method comprising a flexible, elongated, rotatable drive shaft with an abrasive section within a pre-curved section of the drive shaft. The device may further comprise a concentric or eccentric enlarged diameter section that is at least partially covered with abrasive material to comprise the abrasive section. The abrasive section may further comprise an abrasive crown or burr mounted to the drive shaft. The pre-curved drive shaft allows smaller diameter and/or massive abrasive regions to be used while sweeping larger diameters during high-speed rotation. The pre-curved region is substantially straightened for insertion into vasculature and placement adjacent stenosis by insertion of the guide wire. Removal of guide wire proximally from the pre-curved region allows the drive shaft to return to its pre-curved form for ablation. Reinsertion of the guide wire beyond the pre-curved region straightens the drive shaft for ease of removal.

Abstract: A snare device for capturing an object or for cutting tissue in the body of a human or animal. The device employs at least one twisted loop of memory shaped material housed in and movable relative to a hollow member such as a catheter. The device and method of employment is particularly well adapted for retrieving objects from internal body cavities and cutting tissue therein.

Abstract: The invention provides a rotational atherectomy system, device and method having, in various embodiments, a flexible, elongated, rotatable drive shaft comprising an eccentric abrading head comprising at least one eccentric abrading cylindrical segments attached to the drive shaft and in spaced proximity with proximal and a distal conical segments. Each individual abrading segment, comprises a first tissue removing surface, typically an abrasive coating on the outer surface, that is designed to abrade calcified, hard tissue and abrasive coating on the leading and trailing surfaces designed to abrade non-calcified, soft tissue. Each abrading segment, as well as the abrading head comprising the collective segments, has a center of mass spaced radially from the rotational axis of the drive shaft, facilitating the ability of the device to open the stenotic lesion to a diameter larger than the outer diameter of the enlarged abrading head when operated at high speeds.