Abstract: Systems for aligning and deploying side branch stents comprise a catheter having a side branch sensor at or near a distal end thereof. Methods comprises rotating and axially transitioning the catheter until the sensor is brought into alignment with an opening to the side branch vessel.

Abstract: Devices, apparatus, and methods of using a modified scalpel tool that is removable from a polyurethane mated sheath for use in carpal tunnel surgeries and the like. The modified scalpel tool has an elongated stem with a flat blade at the distal end and an elongated handle at the proximal end. The sheath has a cavity for allowing the elongated blade to be inserted therein, two slots to receive two metal studs and a handle at its proximal end. The flat blade tool-polyurethane when combined (mated) produces a stable configuration that allows motion in only one rotational plane and with an arc of 90-95 degrees.

Abstract: A method of performing a percutaneous vascular procedure includes sliding a vascular constriction crossing mechanism in a proximal to distal direction over a wire guide having a wire guide tip positioned at a proximal side of a vascular constriction, and rotating a sheath of the vascular constriction crossing mechanism about an axis of rotation relative to another sheath of the vascular constriction crossing mechanism. The method further includes advancing a constriction crossing tip by way of helically engaging the sheaths during the steps of rotating, and guiding an intraluminal treatment device into or past the vascular constriction for performing a vascular procedure within the patient. The vascular constriction crossing mechanism includes a first sheath and a second sheath, and a constriction crossing tip coupled with a distal segment of the first sheath.

Abstract: A self-expanding endoluminal device comprising a tubular filamentary member having a hollow core for receiving a guidewire, the tubular member having a straightened configuration with the guidewire in the hollow core, a shape memory configuration without the guidewire in the hollow core, and an extension, optionally severable, accessible from outside of the body. The hollow core may be adapted to contain and elute or permanently contain a substance, which may be injected through the extension. A delivery system includes the guidewire, and a deployment method includes deployment with a proximal end of the extension accessible from outside of the body.

Abstract: A variceal banding endoscope includes an elongated shaft having a distal end and a proximal end that is removably connected to a control unit. The endoscope includes a variceal banding apparatus fixedly attached to the distal end of the endoscope and capable of receiving a plurality of ligation bands. A trigger cable extends from the proximal end to the distal end of the shaft and is digitally actuated by an actuator in the control unit or handle of the scope in response to a user input device.

Abstract: A method and device for tissue removal. The device may be used to remove uterine fibroids and other abnormal gynecological tissue. According to one embodiment, the device includes a housing, an outer tube, and an inner tube. The outer tube is fixed to the housing and includes a side window proximate to its distal end. The side window may have sloped proximal and distal ends. The inner tube has a distal end positioned within the outer tube, the distal end being adapted to rotate and, at the same time, to move back and forth past the side window, with the rotational and translational movement of the inner tube being independently controllable. The distal end of the inner tube may have an external bevel. Suction is applied to the proximal end of the inner tube to draw tissue into the side window and to remove resected tissue through the inner tube.

Abstract: The present invention refers to a tubular support prostheses (stent) for vessels or intercorporeal lumina comprising at least two adjacently arranged expandable support rings connected to one another on at least one joint, said support rings being formed by a filament wound in a meander-like manner to form several arcs of curvature. The expansion behavior of such a support prosthesis is to be improved. For this purpose at least one arc of curvature of a first support ring and an arc of curvature of an adjacent second support ring overlap laterally, whereby the joint in the overlapping portion is formed.

Abstract: A medical retrieval device of an embodiment of the present disclosure includes a proximal handle, a sheath, and a retrieval assembly. The sheath extends from the handle and includes a lumen and a distal end opposite the handle. The retrieval assembly is moveable relative to the sheath to achieve a collapsed position of the retrieval assembly within the lumen and an expanded position of the retrieval assembly when extended outside the lumen. The retrieval assembly includes a plurality of legs. At least one of the legs includes a wire having an inner core at least partially surrounded by an outer layer.

Abstract: A surgical instrument for the dissection of bone and other tissue includes a spindle, a dissection tool and a coupler disposed between the spindle and the dissection tool. The coupler includes a tool collet and an attachment locking mechanism operable to permit tool collet operation and telescoping movement of an attachment tube with respect to the dissection tool. A method is also provided for convenient coupling of the dissection tool and adjustment of the attachment tube length.

Abstract: A device for delivering and deploying a radially expandable prosthesis is disclosed and comprises a proximal prosthesis release mechanism having a first resistance and a distal prosthesis release mechanism having a second resistance. The device further comprises an actuation mechanism for actuating the distal and proximal release mechanisms in a single coordinated movement and a biasing compensator for regulating the relationship between the first resistance and the second resistance. Additional aspects of the invention include devices and methods for delivering and deploying a radially expandable prosthesis.

Abstract: A delivery device for percutaneously deploying a stented prosthetic heart valve. The device includes a delivery capsule and a recapture sheath. The capsule is configured to compressively retain the prosthesis. The recapture sheath includes a funnel segment having a plurality of circumferentially spaced runners and a polymer overlay. The runners are attached to a shaft and terminate at a distal tip. The overlay surrounds the runners, and is bonded to the shaft but not to at least the tips. The funnel segment is transitionable from a normal condition to an expanded condition forming a funnel shape with a distally increasing diameter, and self-transitionable back toward the normal condition. The funnel segment facilitates sliding of the capsule over a partially deployed region of the prosthesis as part of a recapturing operation. The runners provide columnar strength, with the overlay controlling a shape of the funnel segment.

Abstract: An oral care implement with a soft tissue cleaner. The inventive oral care implement comprises different kinds of soft tissue cleaners that offer expanded in-mouth cleaning. In one aspect, the invention can be an oral care implement comprising: a handle; a head having a structural body having a front surface and a rear surface opposite the front surface; a basin formed into the rear surface of the structural body, the structural body comprising a protuberance extending upward from a recessed floor of the basin, the basin surrounding the protuberance; a first cleaner formed of a resilient material for cleansing soft oral tissue located within the basin, the protuberance of the structural body extending through a central hole of the first cleaner; and a second cleaner formed of a resilient material for cleansing soft oral tissue, the second cleaner located on the protuberance of the structural body.

Abstract: A device for percutaneously delivering a stented prosthetic heart valve. The device includes an inner shaft, a delivery sheath, stability tube, and a handle. The delivery sheath is slidably disposed over the inner shaft, and includes a capsule compressively containing the prosthesis over the inner shaft. The stability tube is coaxially received over the delivery sheath, and includes a distal region. A circumferential rigidity of the capsule is greater than a circumferential rigidity of the distal region. In transitioning from a delivery state to a deployed state, the capsule is withdrawn from the prosthetic heart valve and at least partially into the distal region to permit the prosthesis to self-deploy. The capsule forces the distal region to stretch and expand in diameter.

Abstract: An embolic protection device for removing emboli from a blood vessel in a patient's body. The device comprises a mesh element being expandable from a collapsed configuration to an expanded configuration and an elongate tubular element having a proximal opening, a distal opening, and a lumen between the proximal and distal openings. The lumen has a diameter large enough to slideably accommodate a standard guidewire. The mesh element is disposed on the elongate tubular element.

Abstract: A lancing mechanism is adapted to move between resting, cocking and puncture positions and comprises a lancet holder, a shaft, at least one spring and a mass. The shaft is attached to the lancet holder and has an enlarged end opposite the lancet holder. The spring surrounds at least a portion of the shaft and has first and second portions. The second portion of the spring is attached to the lancet holder. The spring drives the lancing mechanism between the cocking and puncture positions. The mass is located along the spring with the first and second portions of the spring extending on opposite sides of the mass. The mass is distinct from the lancet holder. The first portion dampens the lancing mechanism when moving from the puncture position to the resting position.

Abstract: An intraocular lens implanting device capable of inserting an intraocular lens surely in safety into an eyeball and having an ophthalmic hooking function capable of adjusting the position of the intraocular lens. The intraocular lens implanting device for inserting an intraocular lens into an eyeball through an incision in the eyeball tissue comprises a tubular main body, a storage part for the intraocular lens integrated with the main body or separated therefrom, and a plunger for pressing the intraocular lens placed in the containing section and discharging it into the eyeball, wherein the distal end of the plunger has a base part and a protuberance.

Abstract: A powered surgical apparatus can be used with a source of irrigation fluid and a source of suction. The powered surgical apparatus can include a cutting blade assembly and a handle. The handle can include an upper portion defining a distal section connectable to the cutting blade assembly and a lower portion extending downwardly from the upper portion. The handle can be connectable to the source of irrigation fluid and the source of suction. The system can also include a manually actuable input device that provides at least one signal relevant to at least one operation of the system, and a controller that receives the at least one input signal and provides an output signal to perform the at least one operation of the system.

Abstract: A lancet device is configured for performing a puncture by mounting a lancet including a puncture needle to the tip of a puncture body holder. The lancet device has a simple configuration that makes it possible to strengthen the retaining force for retaining the lancet when the lancet is used. In the lancet device, an insertion portion of a puncture body that is inserted into a mounting portion of the puncture body holder is retained by means of the frictional force. A fastening member provided in a main body side makes contact with the outer peripheral portion of the mounting portion of the puncture body holder and inwardly fastens the mounting portion when the fastening member is moved in the puncture direction relative to the puncture body holder.

Abstract: An ultrasonic surgical assembly includes an ultrasonic waveguide and a cordless ultrasonic-movement-generation assembly that has a selectively removable securing connector and an output couple operable to impart ultrasonic movement to the ultrasonic waveguide when the waveguide is connected thereto. The assembly also includes a removable battery and a surgical handle that has a first handle body portion defining therein an aseptically sealable battery-holding compartment selectively exposed to the environment, aseptically removably holding therein the battery and electrically connecting the battery therein to the ultrasonic-movement-generation assembly.

Abstract: A disposable ultrasonic surgical handle connectable to an ultrasonic transducer, an ultrasonic waveguide, a removable battery, and an ultrasonic-signal-generator assembly, includes a handle body with a portion defining a battery-holding compartment, the battery-holding compartment having at least two battery contacts, a waveguide attachment dock exposed to the environment and shaped to accept the waveguide therein, a transducer attachment dock exposed to the environment and shaped to place the ultrasonic transducer in coaxial alignment with the waveguide when the waveguide is disposed within the waveguide attachment dock, and an ultrasonic-signal-generator assembly dock exposed to the environment.