Abstract: A stop-movement device is configured to be mounted to a first elongated medical assembly and a second elongated medical assembly. The stop-movement device has a body configured to stop, at least in part, relative movement between the second elongated medical assembly and the first elongated medical assembly.

Abstract: A percutaneous device for closing blood vessels has a main body in which a distal clip and a proximal clip connected to each other by a tie rod are accommodated, an abutment element, and a handle for maneuvering the distal and proximal clips, the abutment element and the tie rod. The distal clip has a proximal housing, and the proximal clip has a distal housing and a proximal housing. The tie rod is positioned inside the housings when the distal and proximal clips are inserted inside the main body, so as to not interfere with correct sliding thereof.

Abstract: A clip device for gripping biological tissue of a patient includes a clip having a first arm and second arm closeable by operation of a wire that is reciprocally moveable in a longitudinal channel of a sheath; and a bendable member at a distal end region of the sheath. The bendable member can be an integral portion of the sheath or a separate structure. The bendable member is configured to allow a distal end of a clip to rotate or swing toward a proximal end region of the sheath of the device, which orients the clip relative to the sheath to facilitate grasping of tissue even when the approach of the clip is tangential to the tissue, e.g., at an angle (?) less than 90. The bendable member can be configured to allow a distal end of a clip to rotate or swing toward a proximal end region of a sheath and form an angle of up to at least about 45 degrees, such up to about 60 degrees or up to about 90 degrees, or higher.

Abstract: A laparoscopic instrument includes a handgrip and an articulated lever. A shank is attached to the handgrip at its closer end, and tissue acting actuators are installed at the further end of the shank. A string moves the actuators. A further end of the string is connected to the actuators, and a closer end is connected to the lever. The movement of the lever is coupled with movement of the actuators. The instrument has an integrated latching mechanism, which includes a toothed bar and a latch, holding the actuators in the operating position, and a locking and releasing mechanism equipped with a switching lever for holding and disengaging the latching mechanism. The switching lever is rotatably mounted on the handgrip and has a pushback element which, in the release position of the switching lever, disengages the latching mechanism move the toothed bar away from the latch.

Abstract: A tubular, folding flow diverter is provided. The flow diverter includes a plurality of sections, including a first section, a second section, and a third section. The flow diverter is shapeable to an elongated cylindrical shape and is movable to an implanted configuration. In the implanted configuration, the second section and at least a portion of the first and third sections overlap to form a three-layer shape. This three-layer shape can be positioned proximate an aneurysm neck when implanted in a patient. The overall porosity of the implant can be higher than legacy implants, because the overlapping portion of the three sections can decrease the porosity proximate the aneurysm neck.

Abstract: An expandable sheath for transcatheter delivery system is disclosed, including a tube having opposing distal and proximal ends in its axial direction. The distal end is provided with a plurality of support rods arranged at intervals in a circumferential direction of the tube, and the support rods extending axially and having relative converged and flared configurations. More than two connecting strips are provided in the axial direction between two adjacent support rods. The connecting strip extends in a curved path and undulates in the circumferential direction, and undulation degrees of the connecting strips increase sequentially from the proximal end to the distal end. The connecting strip has a first connecting portion and a second connecting portion respectively connected with two adjacent support rods in the circumferential direction, and the first connecting portion and the second connecting portion are located at different axial levels of the tube.

Abstract: The present application discloses an implant loading apparatus comprising a guider and a guide base. The guider is sleeved on the exterior of the guide base. The guide base comprises a guide column, a connecting section, and a base connected in the axial direction. Fixing sections are provided on either end of the connecting section. The guide base is removably connected to the guider via the fixing sections. The guide base is provided with the two fixing sections that fit the guider to implement twice removable fixing, thus favoring a coaxial operation. A valve stent is neither twisted nor tilted during a compression process, thus increasing loading efficiency, greatly reducing the operation difficulty of a surgery, and allowing the implementation of a single person operation.

Abstract: Transcatheter delivery system for a self-expandable heart valve prosthesis (29) comprising a handle (17, 17?), a hollow shaft (6) a distal tip (1, 1?, 1??) and an actuation mechanism for moving a valve prosthesis (29) towards said distal tip (1, 1?, 1??) or said handle (17, 17?), said hollow shaft (6) being adapted to slidingly receive a compressed valve prosthesis (29); the system being characterized by the fact that it includes a valve prosthesis crimping tool that comprises a hollow conical element (21), a detachable transfer tube (24) and a pulling device (26); said conical element (21) being adapted to let a valve prosthesis (29) in an expanded state enter the conical element (21) through its basis and enter said transfer tube (24) in a compressed state, said valve prosthesis (29) being pulled by said pulling device (26) when crossing said conical element (21) and entering said transfer tube (24), said transferring tube (24) being adapted to be temporarily connected to said conical element (21).

Abstract: Methods of using a soft tissue cutting device are disclosed. The methods include providing the soft tissue cutting device, positioning the soft tissue cutting device in a priming slot of a tray configured for receiving and holding the soft tissue cutting device, attaching a priming syringe to the soft tissue cutting device, priming a balloon disposed on a distal end of the soft tissue cutting device by equalizing a first pressure inside the balloon to a second pressure inside the priming syringe, removing the soft tissue cutting device from the priming slot, and positioning the distal end of the soft tissue cutting device on a safety slot included in the tray to determine whether the tissue cutting device has been properly primed.

Abstract: Example medical devices are disclosed. An example medical device includes a handle having a distal end region, a proximal end region and an inner chamber. The medical device also includes a guidewire brake including an actuation member coupled to a first gripping member and a second gripping member. The first gripping member and a second gripping member are disposed within the inner chamber of the handle and at least a portion of the actuation member is positioned along an outer surface of the handle. Further, the first gripping member and the second gripping member are configured to shift between an unclamped configuration and a clamped configuration.

Abstract: Devices, systems and methods are described herein to provide improved steerability for delivering a prosthesis to a body location, for example, for delivering a replacement mitral valve to a native mitral valve location. The steerable delivery system can contain a steerable rail configured for multi-plane bending to direct a distal end of the delivery system.

Abstract: A device includes an access cannula, a puncturing element, a handle. The access cannula includes a lumen extending therethrough. The access cannula is sized and shaped to extend through an endoscopic shaft to a target tissue within a living body. The puncturing element is sized and shaped to extend through the lumen of the access cannula and distally out a distal end of the access cannula. The handle includes a handle body and a mechanism for advancing the access cannula from a proximal position relative to the puncturing element, where a puncturing tip of the puncturing element is exposed distal to a distal end of the access cannula, to a distal position relative to the puncturing element, where the distal end of the access cannula covers the puncturing tip of the puncturing element.

Abstract: An occlusion device includes an elongate shaft; a lower jaw extending from a distal end of the elongate shaft; an upper jaw pivotably mounted relative to the lower jaw; and a control member at a proximal end of the elongate shaft, the control member being operatively associated with the upper jaw to cause pivot of the upper jaw relative to the lower jaw. A method is also disclosed.

Abstract: A surgical forceps can include a first shaft, a cam feature, a first jaw, a second jaw, an actuator arm, and a second shaft. The cam feature can be connected to the first shaft. The first jaw can define a cam interface and an actuator track. The cam interface can be engaged with the cam feature, and the first jaw can be movable between an open position and a closed position. The first jaw can be movable relative to the second jaw. The actuator arm can include a distal portion configured to apply a closing force on the first jaw when the first jaw is moved out of the open position. The second shaft can move the cam interface along the cam feature to move the first jaw between the open position and the closed position.

Abstract: Proposed is a banana clip for removing hemorrhoids, and a surgical tool set including the banana clip. The banana clip includes a clip main-body having a first clip arm and a second clip arm, connected to each other by a flexible bending portion in a manner that maintains a predetermined bend angle with respect with each other, which are closed with an outside force in a state where the hemorrhoids to be removed are interposed therebetween and thus are tied tightly around the hemorrhoids; and a holding guide, guiding relative motions of the first clip arm and the second clip arm when the clip main-body is bent inward.

Abstract: A surgical access device includes a cannula and a seal housing. The cannula has a cannula housing and a tubular member that extends from the cannula housing. The seal housing is coupled to the cannula housing. The seal housing has a base and a cover with an instrument seal located between the base and the cover. The cover has an upper cover portion and a lower cover portion with a port extending from the upper cover portion. The port is connectable to a source of vacuum. A chamber with projections and windows is defined in the upper cover portion and is configured to direct fluid towards the port.

Abstract: Extra-urethral implants and methods of use are disclosed. Implants can treat disorders or diseases of the prostate by, for example, enlarging the lumen of the prostatic urethra.

Abstract: The present invention discloses a hemostatic clip, including an inner sleeve, a transitional inner sleeve, steel micro balls, a clip holder, a ball head pull rod, and clamps. The ball head pull rod is accommodated in the transitional inner sleeve, the transitional inner sleeve is accommodated in the inner sleeve, the inner sleeve is limited between the transitional inner sleeve and the clip holder, the steel micro balls are clamped between the clip holder and the transitional inner sleeve, and the steel micro balls are fixed to the clip holder. By pulling the ball head pull rod, the transitional inner sleeve is driven to move backward, so that a front end of the transitional inner sleeve is elastically deformed, to separate the transitional inner sleeve from the steel micro balls and the clip holder.

Abstract: Systems and methods for soft tissue to bone repairs employing tensionable knotless anchors, without knot tying. The tensionable knotless anchors may be used by themselves or in combination with additional constructs (which may have a similar or different configuration, i.e., modified according to the specific repair) to achieve novel remplissage and soft tissue repairs.

Abstract: A three-prong grasper for laparoscopic procedures includes an elongate body having a sleeve with a distal portion, and an end effector supported on the distal portion. The end effector includes a first prong assembly with a first base member and a first prong member pivotally secured to the first base member, a second prong assembly with a second base member and a second prong member pivotally secured to the second base member, and a third prong assembly with a third base member and a third prong member pivotally secured to the third base member. The first, second, and third prong members move between an open configuration and a closed configuration. A method of grasping tissue also includes pivoting first, second, and/or third prong members relative to respective first, second, and third base members to cause the grasping of tissue.