Abstract: Apparatus, systems, and methods for laparoscopic abdominal surgery are disclosed. For example, a system or kit is provided for performing a procedure within a surgical space within a patient's body that includes a plurality of tool heads, and a tool head carrier including features for removably receiving one or more tool heads, the tool head carrier sized for introduction through a trocar or other port into a surgical space. The system or kit may also include a surgical tool including a tool shaft introduceable into the surgical space and including features for securing a tool head to the tool. Optionally, the tool head carrier may include a clip for securing the tool head carrier to an endoscope.

Abstract: An ultrasonic instrument comprises an ultrasonic transducer, an acoustic waveguide, and an ultrasonic blade. The blade includes a pair of obliquely extending edges. The obliquely extending edges diverge away from the longitudinal axis of the waveguide and away from each other along respective paths extending distally in relation to the waveguide. A distal portion of the blade is wider than a proximal portion of the blade along a plane. The blade further includes a curved distal edge and several laterally presented surfaces. The laterally presented surfaces may provide combinations of concave and convex curvatures. The laterally presented surfaces may be angled and/or curved along one or more orthogonal planes associated with the longitudinal axis of the waveguide.

Abstract: A fluid-swellable fiber in particular for the use as a surgical suture, the fiber comprising chitosan, the fiber's swelling ratio being less than 100%, and a fabric comprising the fiber. Moreover, a method of manufacturing from a chitosan-containing solution a fiber comprising chitosan, wherein during manufacture, the solution is brought into contact with a coagulation medium containing at least one organic solvent, a method of removing a fiber from a living organism, wherein the fiber is at least partly dissolved in a solvent applied from the outside, and a kit comprising a chitosan containing fiber and a solvent for at least partly dissolving the fiber.

Abstract: Disclosed is a tissue anchor system and a kit of parts for surgical anchor placement including a needle having a length of suture attached to a trailing end of the needle. An opposite second end of the suture is provided with a stopper. The kit of parts further includes a plurality of surgical anchors each including an anchor body having a through-going lumen extending from a first opening in a proximal end to a second opening in a distal end. Each of the anchors is provided on the length of suture between the first and the second ends of the suture. Also disclosed is a method of preparing a kit of parts and a method of attaching a surgical implant inside the body of a patient.

Abstract: An intraocular lens insertion device having a configuration in such a manner that, with the displacement of a haptic toward the convex side of an optical portion, which can be deformed in a curved shape, restricted by an engaging part provided to the tip part of a plunger, the haptic is deformed in a curved shape in the direction in which the haptic approaches the optical portion. The configuration allows, when the intraocular lens is pushed out by the plunger, the haptic to enter a gap formed on the concave side of the optical portion which has been deformed in a curved shape.

Abstract: A clip applier of handle and cartridge for applying clips in surgical procedures with handle preferably a scissors type defined by a housing of shell members containing a cam operated linear translator actuated by handle levers, an anti-backup mechanism limiting handle lever movement to full pull and release strokes while preventing partial pull or release handle strokes, and with cartridge fitted with lockout mechanism to disable applier after last clip is used in surgery, with a puller bar lock to hold puller bar position in cartridge prior to assembly with handle, a detent spring mounted in cartridge cover member as part of clip handling mechanism, and a rapid-fire pawl as part of clip handling mechanism to prevent cartridge jamming when clips are applied in rapid succession.

Abstract: A stent-graft comprises a substantially tubular graft material, and a stent coupled to the graft material. The stent has proximal and distal ends and further has compressed and deployed states. The proximal end is disposed proximally beyond a proximal edge of the graft material, and the distal end has at least one portion overlapping with the proximal edge of the graft material. In one example, the stent comprises at least one distal apex having a bifurcation extending into first and second leg regions. A distal end of the first leg region is positioned to overlap the graft material at a location circumferentially spaced apart from a location at which a distal end of the second leg region overlaps the graft material in the deployed state.

Abstract: A hemostatic device is provided to stop bleeding at a puncture site on the wrist of a patient, the device comprising a transparent flexible band to be wrapped at the site where the bleeding is to be stopped, a curved frame having an inner peripheral side and possessing a first curved portion in its first half and a second curved portion in its second half, a first balloon provided on the inner peripheral side in the first half of the curved frame and a second balloon provided on the inner peripheral side in the second half of the curved frame. The bleeding from a first artery is stopped by compressing the first artery at the puncture site using inflation of the first balloon and the blood flow in the first artery is increased by compression of a second artery using inflation of the second balloon.

Abstract: Methods for applying layers to medical devices and related devices are provided. Such devices can include stents. For example, the device can include a sidewall and a plurality of pores in the sidewall that are sized to inhibit flow of blood through the sidewall into an aneurysm to a degree sufficient to lead to thrombosis and healing of the aneurysm when the tubular member is positioned in a blood vessel and adjacent to the aneurysm. The device can have an anti-thrombogenic outer layer distributed over at least a portion of the device.

Abstract: There is provided an intraocular lens insertion device capable of appropriately regulating the motion of a rear supporting portion during a process of moving an intraocular lens, and reducing the possibility of reoperation being required after the intraocular lens is inserted into an eye. An intraocular lens insertion device 1 comprises a main body 2, and a slider 3 and a plunger 4 that are attached to the main body 2. Further, the intraocular lens insertion device 1 is of a preset type in which an intraocular lens 5 is placed inside the main body 2 in advance. The slider 3 includes a first abutting portion 21 for pushing up a supporting portion 7 (rear supporting portion 7a) arranged on a rear side of an optical part 6 with respect to a lens advancement axis A, and second abutting portions 22a, 22b abutting against an outer edge of a rear portion of the optical part 6.

Abstract: A retrieval apparatus for removing an intravascular filter from a body vessel of a patient includes an outer sheath defining an outer lumen, an inner sheath defining an inner lumen wherein the inner sheath is positioned within the outer lumen, a retrieval member positioned in the inner lumen, an ultrasound transducer positioned on the application side of the retrieval member, a guide wire cannula extending between the outer sheath and the inner sheath, the guide wire cannula including an application side end, and a dilator located at an application side end of the retrieval apparatus, said dilator being coupled to said ultrasound transducer and receiving the application side end of said guide wire cannula.

Abstract: A device for treatments of endoscopic resection/removal of tissues, includes: a hand-piece; an outer tubular element extending along a longitudinal axis having a proximal end, a distal end, and a cutting aperture at the distal end; an inner tubular element housed in rotation in the outer tubular element; the inner tubular element extending along the longitudinal axis and having a proximal end, a distal end and a cutting tip at its distal end; guiding elements including an electric motor and electric supply to rotate and/or oscillate the inner tubular element with respect to the outer tubular element; a first engagement keyed substantially at the proximal end of the inner tubular element; a second engagement keyed on the distal end of the motor's outlet shaft to axially slide thereon; and at least one spring element to push the second engagement in engagement with the first engagement.

Abstract: A delivery apparatus for introducing an intravascular filter into a body vessel of a patient includes a sheath defining a lumen, an intravascular filter positioned in the lumen, an ultrasound transducer positioned to the application side of the intravascular filter, a guide wire cannula and a tip located at an application side end of the delivery apparatus.

Abstract: A hemostatic device is provided to stop bleeding at a puncture site on the wrist of a patient, the device comprising a transparent flexible band to be wrapped at the site where the bleeding is to be stopped, a curved frame having an inner peripheral side and possessing a first curved portion in its first half and a second curved portion in its second half, a first balloon provided on the inner peripheral side in the first half of the curved frame and a second balloon provided on the inner peripheral side in the second half of the curved frame, the first balloon being larger than the second balloon. The bleeding from radial artery is stopped by compressing the radial artery at the puncture site using inflation of the first balloon and radial artery flow is increased by compression of ipsilateral ulnar artery using inflation of the second balloon.

Abstract: A tissue puncture locator device includes a temporary anchor configured for placement through a vascular puncture into a vessel. The temporary anchor includes a column member that defines a lumen. The temporary anchor is movable between an uncompressed position and a compressed position, wherein in the compressed poition a portion of the column member protrudes radially outward. The column member may include a reduced thickness portion, wherein the column member protrudes radially outward at the reduced thickness portion. The column member, when expanded radially outward within the vessel, is sized to limit retraction of the temporary anchor through the vascular puncture.

Abstract: A balloon catheter is provided that may be used to dilate hardened regions of a stenosis. The balloon catheter is provided with one or more dilation elements that extend along a surface of a balloon. Each dilation element is connected to an outer surface of the balloon by a connector. The connector is sufficiently sized and designed to undergo stress-induced plastic deformation incurred during blow molding so that a significant portion of each of the dilation elements does not become absorbed into the wall of the final blow molded balloon, thereby maintaining the structural integrity of each of the dilation elements.

Abstract: Disclosed are methods and devices for obtaining patent hemostasis of the radial artery by compressing the uninstrumented ulnar artery to increase radial artery flow. The device comprises a band having an inflatable bladder for applying blunt pressure to the ulnar artery. The method comprises applying a pressure to the homolateral ulnar artery and applying a pressure to the radial artery at the access site to obtain hemostasis at the access site.

Abstract: Implanting device for intrastromal prosthesis that introduces segment (ring) onto inside of intrastromal tunnel in a patient's cornea. Device includes a ring holder having clamp to support segment to be inserted and a cylinder base having hollow cylindrical shape and first and second cylinder ends. Rotatable impeller tip device, including an impeller tip arm and impeller tip, is joined to first cylinder end and over ring holder, a protective element arranged to protect clamp that is positionable over rotatable impeller tip device, and a block cover, arranged on second cylinder end. A rod, projecting from block cover and into cylinder base has a free end with a recess that separates a first wall configured to concurrently move clamp and impeller tip arm in a first direction and a second wall configured to move clamp relative to impeller tip arm in a second direction opposite first direction.

Abstract: A disposable automatic painless safe hemostix includes an outer casing, an inner sleeve, a needle module and a spring. The needle module is snapped in the inner sleeve and the outer casing. The needle module has a needle point protecting pole. Interlock fixing faces and protrusions are provided on the inner sleeve. Interlock guiding slopes and protrusion stoppers are provided on the inner wall of the outer casing. One end of the interlock engages the interlock fixing face, and the other end engages the interlock guiding slope.

Abstract: An ultrasonic surgical instrument is provided and includes a housing. A shaft is supported on the housing and defines a longitudinal axis therethrough. The shaft supports a jaw member at a distal end thereof. The jaw member is movable between open and clamping configurations. A probe includes proximal and distal ends. The distal end has an active blade thereon configured to effect tissue when the jaw member is in the clamping configuration. The proximal end has at least one mating feature thereon. A rotating assembly operably supported on the housing is configured to rotate the shaft. The rotating assembly includes a torque adapter that is engageable with the at least one mating feature to selectively and releasably couple the probe to the housing.