Abstract: A surgical instrument system that includes a housing and a rotatable drive shaft, a motor operably coupled to the drive shaft, and a plurality of replaceable end effectors that can be connected to the housing. Each replaceable end effector includes a drive screw that is turned a fixed number of revolutions by the motor-driven rotatable drive shaft when the end effector is connected to the housing. Each end effector further comprises a firing member operably coupled with the drive screw of the end effector. The drive screw is configured to displace the firing member over a firing length as a result of the fixed number of revolutions. In certain embodiments, each replaceable end effector can include a drive screw with a thread pitch set to the firing length divided by the fixed number of revolutions.

Abstract: A tissue dissector includes a handle assembly including an actuator, a head portion including a blade member defining an aperture configured to receive tissue therethrough, and a lighting assembly configured to provide lighting to the aperture of the blade member. The blade member is operatively coupled with the actuator for rotation about the aperture.

Abstract: A self-expanding braided stent includes at least a distal radial expansion ring added to a distal end of the stent body to increase a radial expansion force of the self-expanding braided stent in deployment of the stent, and to facilitate advancement of the stent through a delivery sheath by a core advancement wire. A proximal radial expansion ring is optionally added to a proximal end of the stent body to allow the stent to be recaptured following partial deployment by retraction of the core advancement wire, prior to full deployment of a proximal portion of the stent body.

Abstract: Suture passer devices and methods of using the devices having one or more protective interlocks preventing or limiting operation of the suture passer when deployment of the needle may damage the apparatus or harm the patient. For example, described herein are suture passer devices that include an interlock preventing deployment of the tissue penetrator (needle) when the jaws are not clamped onto a tissue. Also described herein are interlocks preventing retraction of a jaw axially until the needle is retracted.

Abstract: An endoscopic catheter assembly including a catheter portion is disclosed. The catheter portion includes a proximal portion and a distal portion. The catheter portion includes a tube-shaped body defining a passage extending there-through.

Abstract: A prosthetic cardiac valve assembly and method of implanting the same is disclosed. In certain disclosed embodiments, the prosthetic valve assembly is an annuloplasty ring with an attached artificial valve. The prosthetic valve assembly can be secured to native heart tissue by suturing or other suitable method of the annuloplasty ring to the native heart tissue. The prosthetic valve leaflets of the prosthetic valve can also be anchored to the native heart tissue to prevent prolapse. In certain embodiments, the prosthetic valve leaflets are anchored to the native papillary muscles. In still other embodiments, the prosthetic valve assembly contains exactly the number of prosthetic valve leaflets as are in the native valve that the prosthetic valve assembly is configured to replace. With the prosthetic valve assembly properly positioned, it will replace the function of the native valve.

Abstract: Balloon catheters and methods are provided for selectively occluding blood flow into a right atrium of a patient's heart communicating with an inferior vena cava (IVC) and superior vena cava (SVC). In one embodiment, a catheter includes first and second balloons adjacent one another on a distal end of the catheter shaft. During use, the distal end is introduced into the right atrium and positioned such that the first balloon is located within the right atrium. The first balloon is expanded within the right atrium and the catheter shaft directed such that the expanded first balloon engages at least a portion of the IVC to prevent substantial inflow into the right atrium from the IVC. The second balloon is then expanded to limit inflow into the right atrium from the SVC, and a medical procedure is performed within the patient's body.

Abstract: The various robotic medical devices include robotic devices that are disposed within a body cavity and positioned using a support component disposed through an orifice or opening in the body cavity. Additional embodiments relate to devices having arms coupled to a device body wherein the device has a minimal profile such that the device can be easily inserted through smaller incisions in comparison to other devices without such a small profile. Further embodiments relate to methods of operating the above devices.

Abstract: A system for intraosseous access can include an elongated instrument that is positioned within a cannula portion of a cannula assembly. The system can include a shield that is coupled with both the elongated instrument and the cannula assembly when in an unlocked state. The shield can permit proximal movement of the elongated instrument relative thereto when in the unlocked state. The shield can automatically transition to a locked state to attach to a distal end of the elongated instrument to restrict access to a distal tip of the elongated instrument.

Abstract: A method may include positioning a first device within an internal carotid artery of a subject and impeding antegrade blood flow in the internal carotid artery. Additionally, the method may include delivering a pharmaceutical agent through an external carotid artery for passage into an ophthalmic artery of the subject.

Abstract: A trocar wound closure system includes a suture passing needle and a guide for directing the needle through the wound site. A distal portion of the needle includes a capture rod with a slot. An obturator tube with a cutout section can be axially actuated to align the cutout section with the slot, and then moved out of alignment so as to capture the suture. The guide includes at least two tracks for directing the needle through the tissue track. A suture catcher is located adjacent to the exit of each track and configured to be actuated from a radially extended configuration to a retracted configuration so as to capture the suture section inserted through each loop. Radially expandable arms at distal section are movable between an expanded configuration and a slender configuration.

Abstract: A dynamic biometric mesh (10) has a plurality of radial members (30) and a plurality of catenaries (20). Each catenary (20) extends between and is fixed to at least one pair of adjacent radial members (30). The plurality of catenaries (20) and radial members (30) form a low mass structural system arranged in an architecture configured to be structurally stable in tension and pliable for deployment and integration with biologic tissue.

Abstract: A surgical stapling instrument comprising a housing, a shaft, an end effector, a first articulation joint configured to permit the end effector to be articulated in a first plane, a second articulation joint configured to permit the end effector to be articulated in a second plane, and a staple firing drive is disclosed. The end effector comprises a distal end, a proximal end, a first jaw, a second jaw rotatable relative to the first iaw, and a staple cartridge. The staple firing drive comprises a firing member and a flexible drive tube extending through the first articulation joint and the second articulation joint. The firing member comprises a first cam, a second cam, and a round attachment aperture. The flexible drive tube comprises a longitudinal length, an outer circumference, a distal end seated in the round attachment aperture, and interlocking cuts in the outer circumference extending longitudinally and circumferentially.

Abstract: A tissue dissector includes a handle portion and a head portion. The handle portion includes an actuation assembly having an actuator. The head portion includes an annular body having a blade assembly rotatably supported in the annular body. The blade assembly includes a blade member defining an aperture configured to receive tissue therethrough. The blade member is operatively coupled with the actuator for rotation about a central axis defined by the aperture. The handle portion and the head portion define a longitudinal axis that is disposed at an angle relative to the central axis.

Abstract: An example medical device is disclosed. The example medical device includes an elongate member having proximal end region and a distal end region. The medical device also includes an end effector having a proximal end region and a distal end region. Additionally, the medical device includes a connection member coupled to the distal end region of the elongate member and the proximal end region of the end effector, the connection member having a first outer surface and a first outer diameter. The medical device also includes a first bushing positioned adjacent to the connection member, the first bushing having a second outer surface and a second outer diameter larger than the first outer diameter.

Abstract: Disclosed embodiments include apparatuses, systems, and methods for driving a needle to facilitate suturing, such as may be performed in a surgical anastomosis procedure. In an illustrative embodiment, an apparatus includes a frame. First and second rollers are rotatably mounted parallel with each other in the frame and are configured to engage therebetween a shaft of a needle formed in a helical shape. The first and second rollers are configured to counter-rotate. The needle is revolvable eccentrically around the first roller responsive to counter-rotation of the first and second rollers. A drive mechanism is secured to the frame and is configured to move the frame.

Abstract: Various embodiments are directed to surgical instruments comprising an end effector, a shaft and a jaw assembly. The end effector may comprise an ultrasonic blade extending distally substantially parallel to a longitudinal axis. The shaft may extend proximally from the end effector along the longitudinal axis. The jaw assembly may comprise first and second jaw members. The jaw assembly may be pivotable about a first axis substantially perpendicular to the longitudinal axis from a first position where the first and second jaw members are substantially parallel to the ultrasonic blade to a second position. Additionally, the first and second jaw members may be pivotable about a second axis substantially perpendicular to the first axis.

Abstract: Techniques for blockage removal is provided, which may provide immediate and effective aid to a choking victim. A blockage removal device may comprise a mouthpiece disposed on an inlet. The inlet may be coupled to a chamber configured to hold a vacuum generated by a vacuum pump. A pressure transducer may send information about the vacuum to an electronic control unit (ECU). The ECU may send the information to a solenoid valve, which may open and close at a predetermined setting, instantly exposing or blocking the vacuum.

Abstract: The invention discloses a novel vascular punch employing compressive normal force for tissue separation from a targeted vessel. This invention is particularly designed for making a large round hole without massive bleeding in vascular surgery. A clean, non-frayed hole-making guided by the normal force cutting principle is realized using a site-biting punch mechanism. The side-biting vascular punch comprises a U-shaped razor blade cutter, a backstop for receiving the cutter, and a linkage mechanism, forming an aligned line of contact for normal compression force generation and thereby severing tissue out of the targeted vessel.

Abstract: Systems and methods for minimally invasive computer-assisted telesurgery are described. For example, this disclosure describes cannula devices for use with computer-assisted teleoperated surgery systems. The cannula devices can facilitate enlargement of a minimally invasive surgical workspace by creating a tissue tent. The devices and methods described herein can be used in conjunction with computer-assisted teleoperated surgery systems that use either hardware-constrained remote centers of motion or software-constrained remote centers of motion.