Abstract: Patent foramen ovale (PFO) closure clip include two closure members, which may be heart shaped, joined by at least two spaced central connecting members. Each of the at least two spaced central connecting members is attached to each closure member at a location on the periphery of the closure member. The connecting member may be generally square shaped or include other shapes. The clips of the present invention may be formed of various materials, including metals, nonmetallic materials, bioresorbable polymers, spring steel, shape memory materials, bioresorbable shape memory polymers, or combinations thereof. The clips can take various forms depending, in part, upon the distribution of force required to close a given PFO. At least one of the closure members can include a tissue scaffold.

Abstract: Vascular prostheses and methods of use are provided, wherein the vascular prosthesis includes a plurality of bistable unit cells configured to form a helical structure. A visualization catheter also is provided for use ensuring accurate measurement of a lesion and ensuring delivery and placement of the vascular prosthesis.

Abstract: A surgical introducer for an implant, such as a gastric band. The introducer has a shaft portion with a longitudinal axis extending through proximal and distal sides. A guide bore extends longitudinally through the shaft portion to extend the shaft to slide over an elongated guide member. A band-pulling member is disposed on the distal side and is configured to retain the implant in a loaded position on the shaft and to pull the implant in this position across an incision, such as across an abdominal wall, through an implantation site.

Abstract: Method and device for cutting a blood vessel using a cutting tool from within the blood vessel. A first cut portion of the blood vessel is fused to a second blood vessel to provide a flow channel therebetween.

Abstract: The invention relates to a water-jet device. The aim of the invention is to improve the adaptation of one such water-jet device to different applications. To this end, the piston cylinder unit (2) is connected to the eccentric drive device (20) in a separable manner and is embodied as an application-specific set with the suction line (4), the pressure line (7), and the operating handpiece (3). According to the invention, the piston cylinder unit (2) is especially provided with an annular fixing region (25) in which the sealing element of the piston (17) plunges and loses tension in the drawn-out end position of the piston (17), and the membrane (26) has sufficient free space to move.

Abstract: A self-expandable shape memory alloy stent includes first and second wires made of super-elastic shape memory alloy. The first wire extends downwardly from the top to the bottom of the stent without interlocking with itself but extends upwardly from the bottom to the top of the stent while interlocking with itself to leave a multiplicity of rhombic spaces. Similarly, the second wire extends downwardly from the top to the bottom of the stent without interlocking with itself but extends upwardly from the bottom to the top of the stent while interlocking with itself, in such a manner as to divide the rhombic spaces formed by the first wire into four small rhombic spaces. The first wire and the second wire are woven with each other in such a manner that the second wire passes alternately below and above the first wire at intersection points.

Abstract: A clamping device for a motor-driven epilation apparatus. The clamping device has a first clamping element with a first contact surface, in the region of which a three-dimensional clamping structure is provided. The clamping device has a second clamping element with a second contact surface. The contact surfaces of the clamping elements are intermittently brought in mutual clamping contact during the operation of the epilation apparatus. The hardness of the second clamping element in the region of the second contact surface is lower than that of the first clamping element in the region of the first contact surface.

Abstract: A medical device delivery system comprises a catheter having a catheter shaft with a proximal region and a distal region. The catheter shaft has a pull wire lumen therein. An expandable medical device is disposed about medical device receiving region of the catheter shaft. The expandable medical device has a reduced configuration and an expanded configuration. The system further comprises a retractable retaining wire, at least a portion of which is coiled about the expandable medical device and retains the expandable medical device in the reduced configuration. One end of the retractable retaining wire terminates in a pull-wire. The pull-wire extends into the pull-wire lumen to the proximal region of the catheter shaft.

Abstract: A surgical needle which is particularly suited for use in limited space applications and a method for its use are disclosed. The surgical needle generally includes an arcuate portion having a first end and a second end. A pointed tip is disposed near the first end. There is a relatively short, straight shank near the second end of the arcuate portion which extends from the arcuate portion at a predetermined angle. The predetermined angle is defined by the intersection of the arcuate portion and the shank. This predetermined angle is within a range of about 23° to about 29°. In a particularly useful embodiment, the predetermined angle is approximately 26°. Further, an extrapolation of a longitudinal axis of the shank intersects the arcuate portion of the surgical needle.

Abstract: A stent comprising a serpentine portion extending about the circumference of the stent, the serpentine portion having a first end and a second end, the serpentine portion having a plurality of turns at the first end and a plurality of turns at the second end and struts extending therebetween, at least one of the turns at the first end, at least one of the turns at the second end, at least one of the struts therebetween, or some combination thereof having a plurality of shaped recesses thereon.

Abstract: Disclosed is an expandable percutaneous sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion to a second, enlarged cross-sectional configuration. The sheath is maintained in the first, low cross-sectional configuration by a tubular restraint. In one application, the sheath is utilized to provide access for a diagnostic or therapeutic procedure such as percutaneous nephrostomy or urinary bladder access.

Abstract: Stent designs for use in peripheral vessels, such as the carotid arteries, are disclosed. The stents consist of a plurality of radially expandable cylindrical elements generally aligned on a common longitudinal stent axis and interconnected by one or more interconnecting members placed so that the stent is flexible in a longitudinal direction. The cylindrical elements are generally serpentine wave pattern transverse to the longitudinal axis between alternating valley portion and peak portions, the valley portion including alternating double-curved portions and U-shaped portions. The interconnecting members are attached to the double-curved portions to connect a cylindrical element to an adjacent cylindrical element and interconnecting members are attached to the U-shaped portions to connect the cylindrical element to the other adjacent cylindrical element. The designs include an eight crown and six crown stent which exhibit flexibility and sufficient radial strength to support the vessel.

Abstract: An ultrasonic medical instrument having a handpiece and medical ultrasonic blade assembly including a vibration antinode, a handpiece, and a medical ultrasonic blade. The blade is threadably engaged by the handpiece proximate the vibration antinode. The blade is in ultrasound-transmitting physical contact with the handpiece proximate the vibration antinode and apart from where the medical ultrasonic blade is threadably engaged by the handpiece. A medical-instrument connection assembly for transmitting ultrasonic vibrations includes first, second, and third connecting members. The first connecting member is adapted to be ultrasonically vibrated and has a longitudinal axis. The second connecting member is capable of being positioned to be substantially coaxially aligned with the longitudinal axis and in ultrasound-transmitting physical contact with the first connecting member.

Abstract: A surgical device is provided that includes a jaw portion with a first jaw and a second jaw moveable relative to the first jaw. The surgical device also includes a shaft portion coupled to a proximal end of the jaw portion. A driver is configured to cause relative movement of the jaw portion and the shaft portion. The driver may be configured to cause the jaw portion to pivot relative to the shaft portion about a pivot axis that is perpendicular to first and second longitudinal axes defined by the jaw portion and the shaft portion, respectively. The driver may also be configured to cause at least a portion of the jaw portion to rotate relative to the shaft portion about the first longitudinal axis. Advantageously, the surgical device includes a surgical member, e.g., a cutting element and/or a stapling element, disposed within the first jaw.

Abstract: An abrasive tip is used to exfoliate skin and tissue through abrasive materials integrated in the tip. The tip also delivers fluid to the skin and vacuums the fluid and abraded tissue during treatment. Treated skin will look younger and healthier in appearance. In an implementation, the tip is replaceable and disposable.

Abstract: A method and device for the extraction of follicular units from a donor area on a patient. The method includes scoring the outer skin layers with a sharp punch, and then inserting a blunt punch into the incision to separate the hair follicle from the surrounding tissue and fatty layer. The method and device will significantly decrease the amount of follicular transection and increase the rate at which follicular units can be extracted.

Abstract: A lancet has a generally tubular body (1). A hollow insert (4) with a closed end plugs one end of the body (1), and it has a co-axial projection (5) forming a sharp tip proud of that end of the body. The body (1) and insert (4) are simultaneously formed by twin shot moulding, the body being of polyethylene and the insert being of a liquid crystal polymer which will create a sharp tip of adequate strength.

Abstract: A device transfers donor endothelial cells to the cornea of a recipient without injuring the cells or the cornea during the transfer process. The device transfers living endothelial cells from a donor to a recipient with minimal or no trauma. The device includes a handle, an irrigation tube lengthwise within the handle, a button upon the handle concentric with the irrigation tube, a tapered nose opposite the button, a forward tube extending outwardly from the nose, and a platform joined to the irrigation tube. The forward tube has an elliptical cross section and two beveled features. The platform has two wings that curl gently around donor tissue upon retracting the platform into the forward tube. The handle has a groove for a stem of a knob that surgeon presses and pulls to move the platform.

Abstract: A method for safely penetrating the tissue of a gastric wall includes deploying a tissue puncture assembly including a suction device proximate the gastric wall tissue, applying a vacuum source to the suction device to draw a portion of the gastric wall tissue thereto and extending a needle through the portion of gastric wall tissue drawn into contact with the suction device. A device for safely penetrating the tissue of a gastric wall includes a tissue puncture assembly including a suction device in the form of a cup with suction ports therein and an open end. A needle is surrounded by the cup and extends through the cup toward the open end.

Abstract: A surgical instrument is provided for cutting bone and other tissue. The instrument includes a housing. A plurality of sensors are located in the housing in a spaced apart orientation from each other. A collar is moveably mounted to the housing into a plurality of different collar orientations on the housing. A lever comprising an actuator is moveably coupled to the collar and, with the collar located in any one of the plurality of different collar orientations, the lever is operable to move the actuator relative to one of the plurality of sensors in order to vary a signal produced by that sensor.