Abstract: In various aspects, the invention relates to an embolic device for treating aneurysms or other vascular disorders that exhibits improved filling and/or neck blockage over conventional devices. As one example, the embolic device can include a structure that is wound into a spiral shape. In some cases, the spirally wound embolic device includes alternating narrow portions and link portions. As another example, the embolic device can be formed from a structure wound to form an infinity shape or, in some cases, multiple infinity shapes. In instances with multiple infinity shapes, the infinity shapes can be arranged either parallel or perpendicular to each other. In certain aspects, the embolic device can include two different embolic devices that are attached by an interconnect element, such that the two devices are attached but have independent freedom of motion when placed within a vascular disorder.

Abstract: A probe for use in an anatomical region of a patient. The probe can optionally include: a proximal portion; an insertion portion and a magnetizable element. The insertion portion can be coupled to the proximal portion and can extend distally thereof. The insertion portion can have an elongated extent and a longitudinal axis. The insertion portion can include a flexible section. The magnetizable element can be positioned at a distal end portion of the insertion portion and can be configured for use within the anatomical region to produce a magnetic force between the magnetizable element and an extracorporeal magnetizable element that can direct the distal end portion of the probe to a desired location within the anatomic region.

Abstract: Valve delivery catheter assemblies including components that limit trauma to the expanded prosthetic valve and body channels as the distal tip of the catheter is withdrawn through the expanded valve and thereafter from the body. Catheter assemblies according to the present invention can include a handle assembly, an introducer sheath, and a distal tip assembly. The handle assembly can include a fixed main handle and two or more rotating handles that allow a user to control the distal tip assembly of the catheter. A safety button can be included on the handle assembly to allow for precise and consistent positioning of the prosthetic valve in the body. A valve retaining mechanism can be included to assist in retaining the prosthetic valve prior to deployment.

Abstract: A prosthetic heart valve can include a stent and a leaflet assembly mounted to the stent. The stent is formed by a plurality of struts and includes an inflow end and an outflow end. The stent is deformable from a radially compressed configuration to a radially expanded configuration. The plurality of struts forms a plurality of rows of cells. The plurality of rows of cells includes a row of inflow cells at the inflow end, a row of outflow cells at the outflow end, and a row of intermediate cells that follows the row of outflow cells towards the inflow end. Each inflow cell comprises an inflow free apex. Each outflow cell comprises an outflow free apex and extends along an axial direction of the stent up to an end of said row of intermediate cells that points towards the inflow end of the stent.

Abstract: The present invention is directed to a spray applicator for spraying a tissue treatment medicant onto a tissue that has a container containing the medicant and is positioned at a proximal end of the spray applicator; a spray tip positioned at a distal end of the spray applicator; a cannula connecting the container with the spray tip; an actuatable dispensing mechanism at a proximal end of the applicator to express the medicant from the container through the cannula and through the spray tip toward the tissue; an optional pressurized gas source discharging a gas through the cannula in the vicinity of the spray tip or inside the spray tip; and a distance indicator that provides indicia of the distance between the spray tip and the tissue but does not prevent positioning the spray tip closer to the tissue than a defined distance for the distance indicator.

Abstract: A conveyor and a conveyor system are provided. The conveyor comprises a lumen assembly and a self-locking mechanism connected to the lumen assembly, wherein the lumen assembly comprises an inner core tube, a recovery sheath movably surrounding the inner core tube, and an outer sheath movably surrounding the recovery sheath; the self-locking mechanism is connected to the recovery sheath; and the outer sheath can move relative to the inner core tube in an axial direction of the conveyor. The self-locking mechanism has a self-locked state and an unlocked state, wherein when the self-locking mechanism is in the unlocked state, the recovery sheath can move relative to the inner core tube in the axial direction of the conveyor; and when the self-locking mechanism is in the self-locked state, the recovery sheath maintains stationary relative to the inner core tube.

Abstract: A surgical instrument is provided that may be used to occlude organic body parts during surgery. The surgical instrument is generally composed of an actuating device, a gripping device, and a joint system. The surgical instrument may be rotated about the joint system such that the actuating device can be pivoted out of the operating field during use. The actuating device can be used to transmit a pivoting movement and an actuating movement that operates the gripping device. The gripping device is constructed of gripping elements that can occlude organic body parts. The surgical instrument also includes a locking system that can prevent the rotation of the surgical instrument about the joint system. The locking system may also prevent the operation of the actuating device when the surgical instrument is pivoted about the joint system.

Abstract: A system includes (i) a solenoid valve, positioned between a handle of a probe, and an aspiration line coupled with the handle for aspirating fluids from the probe, the solenoid valve includes at least a solenoid coil and a plunger movable by the solenoid coil, (ii) a sensor, positioned between the handle and the aspiration line and configured to produce a signal indicative of a fluid metric in the aspiration line, and (iii) a controller, configured to identify, based on the signal, a vacuum surge in the aspiration line, and, in response to identifying the vacuum surge, to apply at least one current to the solenoid coil to selectively move the plunger between a first position and a second position, and to selectively maintain the plunger in the first position and the second position.

Abstract: In some embodiments, a fluid dynamics system includes a solenoid valve including a valve body including ports including an inlet port and an outlet port, and a valve cavity having a direction of elongation and configured to provide fluid connectivity between respective ones of the ports, a solenoid coil disposed in the valve body around valve cavity, and a plunger comprising a permanent magnet, and configured to move back-and-forth along the direction of elongation between a first position and a second position in the valve cavity selectively controlling the fluid connectivity between respective ones of the ports, and a controller configured to apply at least one current to the solenoid coil to selectively move the plunger between the first position and the second position, and to selectively maintain the plunger in the first position and the second position.

Abstract: In one embodiment, a fluid dynamics system includes a solenoid valve including a valve body including ports including an inlet and outlet port, and a valve cavity having a direction of elongation and configured to provide fluid connectivity between ones of the ports, a solenoid coil disposed around valve cavity, and a plunger including a permanent magnet, and configured to move back-and-forth along the direction of elongation between a first and a second position in the valve cavity selectively controlling the fluid connectivity between respective ones of the ports, the valve body including shock absorber(s) to soften striking of the plunger against the valve body in the direction of elongation, and a controller configured to apply at least one current to the solenoid coil to selectively move the plunger between the first and second position, and to selectively maintain the plunger in the first position and the second position.

Abstract: Specimen retrieval bags, specimen retrieval devices, specimen retrieval systems, and specimen retrieval methods that are configured to facilitate the isolated removal of a tissue specimen from an internal body cavity such as, for example, during a minimally invasive surgical procedure.

Abstract: A medical device includes an end effector at a distal end of the medical device, an actuator coupled to a proximal end of the end effector, a pivot arm pivotally coupled to the end effector distal of the proximal end of the end effector, where actuation of the actuator pivots the end effector relative to the pivot arm, and a lock on the end effector and the pivot arm, where the lock has a first state permitting the end effector to pivot relative to the pivot arm and a second state restricting the end effector from pivoting relative to the pivot arm.

Abstract: A device for intra-vascular embolic-thrombolic protection, as well as embolectomy/thrombectomy and atherectomy interventional procedures and methods. At least a portion of the working end of the device may be formed monolithically from a single hypodermic tube, or may be formed of monolithic inner and outer tubes with fixed or movable guide wire elements and imaging modalities. The device may comprise structures enabling coring, expansion within a vascular structure and vascular wall shaving, as well as filtration, stabilization and capturing of thrombotic or embolitic material during an intervention procedure.

Abstract: A one piece molded polymeric ligating clip comprises a pair of curved jaws having a hinge at a proximal end and a latch at a distal end. The inner face of each jaw includes two rows of transverse ribs, with the rows separated from one another along a longitudinal center line of each jaw. The ribs of one row are staggered with respect to the ribs of the other row of the same jaw as well as ribs of the corresponding rows of the other jaw. Each rib includes a body and a pyramid which projects away from the inner face of its jaw and toward the longitudinal center of its jaw. The pyramid tip comprises a sharp apex which projects across the longitudinal center of its respective jaw.

Abstract: Devices and methods for body conduit lengthening and anastomosis creation can be used to treat patients with a variety of health conditions. For example, among other uses, this document describes esophageal lengthening and anastomosis devices that can be used to remedy esophageal atresia in neonatal patients.

Abstract: A handle for a prosthetic heart valve delivery apparatus includes a housing, a motorized mechanism, and a holding mechanism. The housing is configured to be hand-held by a user and includes a distal opening. The motorized mechanism is disposed within the housing and is configured to be releasably coupled to a proximal end portion of a first shaft of the prosthetic heart valve delivery apparatus. When actuated, the motorized mechanism is configured to rotate the first shaft relative to the housing. The holding mechanism is disposed inside the housing and is configured to engage a proximal end portion of a second shaft of the prosthetic heart valve delivery apparatus such that the second shaft is axially and rotationally fixed relative to the housing, and the first shaft extends through the second shaft.

Abstract: A surgical tool can include a handle, an outer tube, an end effector, an inner tube, and a guide tube. The outer tube can be connected to the handle and can extend along a longitudinal axis. The end effector can be connected to the outer tube. The inner shaft can be located within the outer tube and can extend along the longitudinal axis. The inner shaft can be connected to the end effector and the outer shaft. The handle can be operable to translate the inner shaft with respect to the outer tube to operate the end effector. The guide tube can be located within the outer tube between the handle and the end effector. The guide tube can include a conduit extending therethrough.

Abstract: The present disclosure relates to a vascular closure device adapted for use in closing a puncture in a blood vessel after e.g. a percutaneous interventional procedure. The disclosure also relates to a method for vascular closure using such a vascular closure device.

Abstract: A robotic surgical tool includes an elongate shaft extendable through a handle providing a drive input, a drive cable extending along a portion of the shaft and having a proximal end anchored to the shaft proximal to the handle and a distal end anchored to the shaft distal to the handle, an actuation system housed within the handle and operatively coupled to the drive input such that actuation of the drive input operates the actuation system, and a toggle mechanism arranged at a proximal end of the shaft and actuatable to close or open opposing jaws of an end effector arranged at a distal end of the shaft. The drive cable is threaded through portions of the actuation system and the toggle mechanism such that operation of the actuation system acts on the drive cable and thereby actuates the toggle mechanism to close or open the opposing jaws.

Abstract: A system and method for intracranial access is disclosed. In particular, a drill stop is shown providing a way to control the penetration of a drill bit as an access hole into the brain is being formed. Access to a desired location is achieved using a catheter guide device. Also disclosed is a mechanism by which multiple diagnostic and treatment devices can be placed at a desired location in brain tissue without the need for more than one access hole. A drainage catheter is disclosed with a mechanism to allow both drainage and to allow intracranial pressure measurement.