Abstract: Featured is a surgical instrument including a rotating cutting implement and a heat transfer mechanism configured to absorb heat energy during the use of such a rotating cutting implement. The heat transfer mechanism is configured so the absorbed heat energy is communicated to an external heat sink. Such a heat transfer mechanism includes a heat pipe, e.g., a scintered or wick type heat pipe. The heat energy is absorbed at one end of the heat pipe to minimize the potential for damage to the tissue and the like at and/or about the surgical site. Also featured are a surgical apparatus embodying such a surgical instrument and surgical or medical methods or procedures for manipulating, rotatably cutting, grinding, abrading or debriding tissue, bone or other structures or components of a mammalian body using such surgical instruments or surgical apparatus.

Abstract: A tissue clipping apparatus comprises a clip including a proximal end received within a capsule. The clip includes a clip locking member biased to engage a first locking structure of the capsule to lock the clip in the capsule in a closed configuration. The apparatus also comprises a tension member releasably coupling the clip to a proximal end of the device which, during use, remains accessible to a user. The tension member is coupled to the clip by a joint designed to release when subject to a predetermined load to separate the clip from the device, release of the joint releasing the locking member to engage the first locking structure.

Abstract: A device for fixing a first and a second tissue part or a tissue part and an implant part to each other is provided, providing a fastener including a thermoplastic material and a fastening instrument. The fastening instrument includes a first instrument component with a first contact surface facing toward a distal side and a second instrument component has a foot with a second contact surface distally of the first contact surface and facing toward a proximal side. The first instrument component and the second instrument component are displaceable with respect to each other, so that the fastener is compressible between the first and second contact surfaces by application of a relative force between the components. The instrument also includes an energy source for coupling mechanical energy into one of the instrument components to soften and/or melt an end portion of the fastener.

Abstract: Disclosed is a skin dilator, comprising an expander (11), a pipe network provided on the skin-side surface wall (111) of the expander (11) composed of longitudinal tube (22) and horizontal tube (21) having a reticular structure and communicating with each other, and a guide tube (24) communicating with the pipe network. The skin dilator further comprises several burrs (25) distributed on the skin-side surface wall (111) of the expander (11), and several small apertures (23) communicating the inner cavity of the tube with the outside are provided on both of the longitudinal tube (22) and horizontal tube(21). The tissue expander can be infused biological agents by the filling port to the skin expanding site through the small apertures (23), which may accelerate the expansion growth of skin, prevent skin complications, such as necrosis.

Abstract: A surgical instrument includes cartridge receiving assembly, a shaft assembly, and an interface assembly. The cartridge receiving assembly is operable to receive a needle driving cartridge. The shaft assembly includes a first actuation member that is operable to actuate the cartridge receiving assembly to thereby drive a needle from a needle driving cartridge received in the cartridge receiving assembly. The interface assembly includes a base and a plurality of drive shafts extending upwardly from the base. The drive shafts extend along respective axes that are perpendicular to the longitudinal axis of the shaft assembly. The drive shafts are rotatable independently relative to each other. A first drive shaft of the plurality of drive shafts is operable to drive the first actuation member. The interface assembly is configured to couple with a robotic control system.

Abstract: A method is provided for loading and delivering a self-expanding stent. The stent is compressed from its expanded diameter to a smaller delivery diameter. While compressed, the stent is pushed from the proximal end through the proximal end opening of a restraining sheath. The restraining sheath retains the stent in the delivery diameter. In order to deliver the stent, the proximal end of the stent is pushed and the restraining sheath is withdrawn proximally from the stent. As a result, the stent is released from the distal end opening of the restraining sheath.

Abstract: An anti-necrosis tourniquet device utilizes an air compressor, programmable through a microprocessor, to enable a user to set periodic cycles of increased and decreased pressure in a pressure cuff as a temporary measure to address a severely hemorrhaging wound on an extremity. When a situation arises to employ a tourniquet, the cuff is applied to a proximal region of the wound. The device is activated to increase pressure in the cuff to occlude the flow of blood to the wound for a programmed period of time after which the program decreases pressure in the cuff to supply blood to the wounded extremity for another selected time period to obviate necrosis of the tissue. This modulated cycle is repeated until a patient receives full medical treatment.

Abstract: The apparatus includes a ureter occlusion apparatus, which comprises, in combination: at least one longitudinally extending plug body (26) of flexible, physiologically acceptable material which obstructs the passage of all particulate matter great than 5 microns in diameter, is laterally compressible to a compressed diameter of not more that 2 millimeters and is laterally expandable in the presence of liquid to an external diameter of at least 1.

Abstract: A ligator system for applying an expanded ligator ring to an anatomical region of a living being to be ligatured by the ring in its relaxed state, which comprises a ligator with a holding tube, which receives inside it the anatomical region to be ligatured in each case and with its outer surface keeps a number of ligator rings arranged one behind the other expanded, wherein the ligator system comprises at least one intermediate ring, which is arranged on the holding tube between two ligator rings and keeps the two ligator rings at a distance from one another in the direction of the longitudinal axis of the holding tube.

Abstract: An endoscopic treatment instrument includes a pressing tube with an insertion lumen; a clip main body that has a first arm being inserted into the insertion lumen; a second arm fixed to the pressing tube; and an operation wire connected to the clip main body to move it with respect to the pressing tube, wherein the first arm approaches the second arm while being moved to a proximal end side of the pressing tube, in an initial state before the clip main body is pulled by the operation wire, a position of a distal end of the first arm is more distal than a position of a distal end of the second arm, and the distal end of the first arm is approaches the distal end portion of the second arm when the clip main body is pulled to the proximal end side of the pressing tube.

Abstract: A pre-fabricated tourniquet that is easy to apply, that ensures consistent and even circumferential pressure, that is light weight, that provides standard life saving operation, and that can be utilized in any setting or situation, and related methods are provided. Mechanically constricting tourniquet apparatus and related methods are provided that are comprised of a tourniquet body, a carriage, a torsion bar, a receiver and a slider. The tourniquet is long enough to encircle a human limb, for example, an arm or leg.

Abstract: In a stent kit in which a stent tube has an arc-shaped part at one or both ends, an inner catheter includes an arc-shaped part fitting in, and conforming to, each arc-shaped part of the stent tube. Because of the conforming shapes, the stent tube is not deformed by the inner catheter even if the inner catheter remains within the stent tube over a long time. Consequently, the arcuate shape of the arc-shaped part or parts of the stent tube are reliably restored when the inner catheter is pulled out.

Abstract: A tattooing device is designed for ingraining a design on the skin. The tattooing device includes an electric drive motor with a rotatable motor pin. The motor pin defines an axis of rotation. A rotatable actuator cam is operatively connected to the motor pin, and comprises a cam post axially offset from the motor pin and the axis of rotation. An elongated drive shaft is operatively connected to the cam post, such that rotation of the actuator cam effects simultaneous substantially linear reciprocating movement of the drive shaft. A needle assembly is operatively connected to the drive shaft, and adapted for carrying a pointed tattooing needle for penetrating the skin.

Abstract: A collapsible device, such as an annuloplasty ring or prosthetic heart valve, is configured to be collapsed prior to being introduced into a patient via minimally-invasive access points such as port holes or intercostal incisions. A holder is configured to hold the collapsible device, and to selectively collapse the device for introduction into the patient and then re-enlarge the device at the desired deployment site. Collapsible devices include devices that can hingedly fold about hinge lines, and devices that can elongate to form substantially spiral forms with reduced diameters.

Abstract: An implant delivery system including a catheter having a delivery lumen; a pusher member slidably disposed in the catheter delivery lumen; a retaining member coupled to a distal end portion of the pusher member, the retaining member configured to retain an expandable implant in a collapsed configuration on the pusher member for delivery of the implant through the catheter delivery lumen; and an expandable actuator coupled to the distal end portion of the pusher member and operatively associated with the retaining member, wherein expansion of the actuator causes the retaining member to disengage from an implant carried on the pusher member, to thereby allow the implant to expand from the collapsed configuration.

Abstract: A medical device for safely and effectively removing a clip or a suture from a heart valve is operable in association with a guidewire for positioning the device in proximity to the heart valve. The apparatus may include a blade for cutting a tissue bridge including the clip and an arrangement for removing the tissue bridge from the heart valve. The apparatus may include two arms that secure the clip. The blade may be deployed to core out a central portion of a tissue bridge, including the clip or the suture, from the heart valve. The blade may be activated by an actuator. A retrieval member may be configured to capture the tissue bridge and the clip or suture after excision by the blade.

Abstract: A tendon stripper includes a stripping device and a rod. The stripping device includes a stripping member and at least one coupling member coupling to the stripping member. The stripping member has a blade portion and a separating portion separating the stripping member into several parts. The rod has a handle end and a coupling end opposite to the handle end. The coupling end couples to the coupling member of the stripping device. The separating portion allows the stripping member to be divided into first and second parts, and the first and second parts can be combined to each other to jointly receive the tendon. This avoids the generation of the incisions during the tendon transplantation. In addition, since the tendon stripper does not require any instrument for retaining the free end of the tendon, a convenient surgical procedure is provided.

Abstract: A surgical instrument having an anchor and a plug is capable of anchoring a suture. The suture anchor has an anchor body having a top surface, a bottom surface distal to the top surface, a transverse bore and a well, the well having an outer surface, an inner surface, and an inner bottom surface. The plug has a post, a head, and a bottom face. The anchor body and the anchor plus form a suture anchor. The suture anchor may be used during surgical procedures and can be used in the re-tensioning of a suture.

Abstract: One embodiment is directed to a system for closing a wound created at least partially across a tissue structure wall, comprising: a helical needle; a suture member coupled to the helical needle and configured to be pulled along a helical pattern with helical movement of the helical needle; an outer delivery member rotatably coupled to the helical needle; a drive shaft axially movably coupled to the outer delivery member; and a plurality of suture guide struts projecting distally from the outer delivery member; wherein upon helical insertion of the helical needle relative to the outer delivery member, the helical needle is advanced such that it becomes disposed around the guide struts, such that the guide struts prevent radial migration of the suture as it is helically wound into the tissue structure.

Abstract: A one-time/single use safety lancet system includes a body; a spring coupled to the body; a keeper having a deformable member; and a core for supporting a lancet and having an end coupled to the spring. The core further has a first latch for engaging the deformable member when the lancet system is in an armed state. The deformable member of the keeper is fractured after one use of the lancet system which prevents any subsequent arming of the lancet system. The keeper may be made part of the lancet body. The core may include a second latch, wherein the second latch permanently deforms or fractures the deformable member of the keeper after the single, one-time arming of the safety lancet system.