Abstract: A method and apparatus for coupling a soft tissue implant into a locking cavity formed within a bone is disclosed. The apparatus includes a member to pull the soft tissue implant into a femoral tunnel. The member includes a suture having first and second ends which are passed through first and second openings associated with the longitudinal passage to form a pair of loops. Portions of the suture lay parallel to each other within the suture. Application of tension onto the suture construction causes retraction of the soft tissue implant into the femoral tunnel.

Abstract: A guide wire may include a core shaft and an external coil body covering a distal portion of the core shaft. The external coil body includes a first coil portion and a second coil portion that is distal to the first coil portion. An outside diameter of the second coil portion is smaller than an outside diameter of the first coil portion. Similarly, the guide wire may include a core shaft, a first external coil body, and a second external coil body. An outside diameter of the second external coil body is smaller than an outside diameter of the first external coil body. The external coil body or first and second external coil bodies enable the performance of a pushing-out operation and a drawing-in operation of the stent; yet, the flexibility of the guide wire is maintained.

Abstract: Minimally invasive instrument for robotic surgery including a functional element, a force, torque and/or pressure transmission device for transmitting force, torque and/or pressure from a drive to the functional element, a coupling device for coupling the instrument to a medical robot such that the functional element can be actuated by the drive, wherein an operating element for manually operating the functional element in a state in which the instrument is uncoupled from the medical robot.

Abstract: A packaging for a surgical needle comprises a cartridge. The cartridge comprises a surgical needle and a needle driver configured to engage and move the needle relative to the cartridge. The packaging further comprises a spool comprising a helical channel and a length of suture connected to the needle. At least a portion of the length of suture is wound around the spool. At least a portion of the length of suture is positioned within the helical channel. The suture may include a plurality of barbs.

Abstract: A medical manipulator is provided with a brake release mechanism. The brake release mechanism is provided with a release button which is provided on a tilt wheel, and a lever mechanism which has at least one portion arranged on the inside of the tilt wheel and which is pressed when the release button moves inwards. By the action of the lever mechanism when the release button is operated, braking by a brake mechanism is released.

Abstract: An apparatus for remotely and subcutaneously positioning a tethering strand in tissue includes a housing, an actuator coupled with the housing for longitudinal reciprocation relative to the housing, and a nested pair of needles including a first needle coupled with the housing and a second needle coupled with the actuator. One of the needles has a sharpened tip and another one of the needles has a blunted tip. The first needle has a first length and the second needle has a second length, and the first length and the second length are selected so that advancement of the second needle using the actuator causes the sharpened tip to project beyond the blunted tip, and so that retraction of the second needle using the actuator causes the blunted tip to project beyond the sharpened tip.

Abstract: A coiled anchor for docking a mitral valve prosthesis at a native mitral valve of a heart has a first end, a second end, and a central axis extending between the first and second ends, and defines an inner space coaxial with the central axis. The coiled anchor includes a coiled core including a bio-compatible metal or metal alloy and having a plurality of turns extending around the central axis in a first position, and a cover layer around the core, the cover layer including a bio-compatible material that is less rigid than the metal or metal alloy of the coiled core.

Abstract: Devices and methods are provided herein that generally involve suture anchors having one or more anti-backup features configured to resist or prevent backward movement of a suture that is pulled through the suture anchor. In some embodiments, the suture anchor can be configured to permit a suture to slide freely in one direction but resist or prevent suture movement in the opposite direction. For example, cleats can be rotatably mounted within the suture anchor, can project radially outward from an exterior sidewall of the suture anchor, or can project circumferentially from sidewalls of one or more channels formed in the suture anchor's exterior surface.

Abstract: An exemplary ocular implant insertion system includes a case and a preloaded ocular implant insertion apparatus. The apparatus includes first and second movable structures that move the ocular implant in a predetermined sequence. The respective configurations of the case and the ocular implant insertion apparatus are such that the ocular implant insertion apparatus is not removable from the case when the ocular implant insertion apparatus is in the pre-use state and is removable after the first movable structure has moved at least a portion of the optical implant.

Abstract: An intraluminal occlusion device includes a frame and an attached covering. The frame includes longitudinal struts having concave and convex portions. The intraluminal occlusion devices can be implanted at an opening to a body vessel, such as a blind passage, to block the entry of fluid into the vessel. Methods of blocking the entry of fluid into bodily passages are also described.

Abstract: An ultrasonic tongue cleaner applying high intensity non-attenuated ultrasound pressure waves to the tongue concurrently with the mechanical scraping action is disclosed. The ultrasound component is operative to damage and deactivate odor causing bacterial chains on the surface and in the folds of the tongue. A silver based antimicrobial attachment further enhances the performance of the tongue cleaner. Various configurations are disclosed, including user removable and replaceable tongue cleaner heads with and without antimicrobial silver. A motorized version featuring sonic frequency orbital vibration of the tongue cleaner head is described.

Abstract: An orthopedic ligation assembly includes a bone anchor having an eyelet and a suture line formed in a continuous loop and loaded onto the bone anchor, the suture line passing through the eyelet of the bone anchor to form a first looped portion on a first side of the bone anchor and a second looped portion on a second side of the bone anchor. The suture line can be pre-loaded onto the bone anchor prior to implantation of the bone anchor in a configuration that prevents unloading of the suture line from the anchor. The suture line can include a plurality of differentiable sections providing a surgeon with the ability to differentiate separate portions of the suture line during an orthopedic procedure.

Abstract: A method of removing material from a blood flow lumen generally includes providing a device having a cutting element and an opening, advancing the device through the blood flow lumen to a site where material is to be removed, forcing the opening toward a wall of the site where material is to be removed, and moving the cutting element and the opening so that material in the blood flow lumen is cut by the cutting element and directed into the opening for removal as the cutting element and opening are moved through the blood flow lumen. In some embodiments, the device may be deflected or bent to force the opening toward a wall to remove material. The cutting element may be rotatable and may have an axis that is movable, that is not parallel to the longitudinal axis of the device, or both.

Abstract: The present disclosure provides medical devices possessing reactants thereon, which further promote adherence of the device to tissue in vivo and/or release of bioactive agents from the device.

Abstract: IOL (intraocular lens) injector (1) for introducing an IOL (100) into the eye, comprising: an injector body (2); a cavity (4) for holding the IOL (100) comprising a leading haptic (100b) and a trailing haptic (100c); a cartridge (5) ending at a distal end (5c) in an injection nozzle (5a); the injector body (2), the cavity (4) and the cartridge (5) having a channel (6) extending in axial direction (P); and an axially movable pushing plunger (7) being placed in the channel (6) of the injector body (2) for pushing the IOL (100) in axial direction (P) out of the cavity (4) and into the cartridge (5) and the injection nozzle (5a), wherein a folding plunger (8) is arranged in the channel (6) and is extending in axial direction (P), parallel to the pushing plunger (7); and wherein the cavity (4) comprises a trailing haptic rest (4c) for defining the direction of the trailing haptic (100c) of an IOL (100) arrange in the cavity (4), such that the folding plunger (8) when moved in axial direction (P) hits the trailing

Abstract: An apparatus comprises a body, an ultrasonic transducer assembly, a shaft assembly, and a coupling assembly. The shaft assembly comprises an acoustic waveguide that is operable to selectively couple with the ultrasonic transducer assembly. The coupling assembly is operable to selectively transition between a first mode and a second mode. The acoustic waveguide is configured to rotate with the transducer assembly relative to the body when the coupling assembly is in the first mode. The acoustic waveguide is configured to rotate relative to the transducer assembly and relative to the body when the coupling assembly is in the second mode. The coupling assembly is further configured to prevent the transducer assembly from rotating relative to the body when the coupling assembly is in the second mode. The shaft assembly and the end effector are also together configured to transition between an operational mode and a cleaning mode.

Abstract: A suture construction and method for forming a suture construction is disclosed. The construction utilizes a suture having an enlarged central body portion defining a longitudinal passage. First and second ends of the suture are passed through first and second apertures associated with the longitudinal passage to form a pair of loops. Portions of the suture lay parallel to each other within the suture. Application of tension onto the suture construction causes constriction of the longitudinal passage, thus preventing relative motions of the captured portions of the suture.

Abstract: Described herein are suture passers that may be used for repair of the meniscus of the knee. These suture passers typically include an elongate body having a pair of arms. One or more of the arms may be radiused at the distal end region relative to the long axis of the device, to better fit between a target tissue and a body non-target tissue (e.g., the curvature of the femoral condyle). The arms may form a distal-facing opening that is configured to fit the target tissue. One arm may be movable in the axial direction (e.g., the direction of the long axis of the device), while the other arm may be bendable. A tissue penetrator may be housed within one of the arms to extend across the distal opening between the arms. Thus, a suture may be passed from a first side of the tissue to a second side.

Abstract: Devices, systems and methods are described herein a prosthesis for implantation within a lumen or body cavity and delivery devices for delivering the prosthesis to a location for implantation. A delivery system can include a plurality of components which are moveable relative to each other. The delivery system can include a nose cone which can cover at least a first end of the prosthesis, an outer elongate member which can cover at least a second end of the prosthesis, and a tether which can at least partially restrain the prosthesis from deployment.

Abstract: A surgical instrument includes a body, a user input feature, an elongate shaft extending from the body along a longitudinal axis, and a needle applier coupled to the elongate shaft. The needle applier further includes a needle and a drive assembly coupled to the needle. The drive assembly is configured to rotate the needle about a rotation axis that is transverse to the longitudinal axis, in response to an actuation of the user input feature. The needle applier further includes a housing containing the needle and the drive assembly. The housing presents at least one indicator. The least one indicator is positioned to indicate at least one of a position of the needle relative to the housing, and a direction of rotation of the needle relative to the housing.