Abstract: An apparatus is disclosed for an optimized transseptal procedure that reduces the number of devices that are used in order to minimize procedural time, complexity and cost. The apparatus comprises a hybrid dilator that comprises the combined functionality of a transseptal sheath and dilator assembly. The hybrid dilator comprises: a dilator shaft defining a lumen for receiving a crossing device therethrough, a distal tip having an outer diameter which tapers down to an outer diameter of the crossing device for providing a smooth transition and a hub coupled with a side arm coupled to the dilator shaft.

Abstract: An aortic protection device including a mesh lumen shaped and sized to extend along the aorta, from a heart-side of a brachiocephalic artery exit from the aorta to distal of a left subclavian artery exit from the aorta, wherein the mesh lumen is arranged to change a porosity of mesh pores in response to external control. Related apparatus and methods are also described.

Abstract: A three-dimensional structure is formed when layers of a material are deposited onto a substrate and scanned with a high energy beam to at least partially melt each layer of the material. Upon scanning the layers at predetermined locations at least a first segment overlapping a second segment and underlapping a third segment is formed.

Abstract: The invention relates to a Multipurpose Vaginal Occlusion and Distension Device with Distension Controller, which helps patients with Female Stress Urinary Incontinence and for Fecal Incontinence. It comprises of double layered cylindrical body (101) making inflatable annular space and with closed anterior (103) and posterior (104) wall provided with inflatable tubular silicon ribs (103a, 104a), but the posterior end is provided with gas flow tube (106) connectable to the “Distension control and release mechanism” by which the cylindrical cavity (107), annular space, tubular ribs at both the end can be inflated. But the same device can be used, if the anterior end (301) is opened for collecting menstrual blood during Menstrual Cycle as an alternative to menstrual cups and pads.

Abstract: An openable and closable clip for medical use includes a resin clip body, and a fastening ring to be fitted onto the clip body. Clip body includes a pair of opposing arm parts, and connecting part that connects base ends of respective arm parts. Each arm part includes curved part on a base end side, holding part on distal end side, and intermediate part between curved and holding parts. Curved part is curved in arc shape, and intermediate part has a thickness greater than that of curved part. Clip body closes in state where fastening ring is fitted onto clip body on side closer to connecting part than curved part, opens when fastening ring slides onto curved part from connecting part, and closes when fastening ring slides onto intermediate part from curved part. Openable and closable clip can be used in endoscope clip device and opens and closes stably.

Abstract: A device and method for closing a wound is provided. The device includes an anchoring pad having a bottom surface and an opposing top surface, such that the bottom surface is configured to adhere to a first side of the wound; a complementary pad having a bottom surface and an opposing top surface, such that the bottom surface is configured to adhere to a second side of the wound; and a pull tab having a bottom surface and an opposing top surface, such that the top surface is configured to adhere to the complementary pad and/or the second side of the wound, and the pull tab is coupled to the complementary pad by at least one connecting strap that is slidably connected to the anchoring pad.

Abstract: A medical device support system including a shaft, extension arm, and floating stop. A guide channel member is fixed to the shaft and includes an elongated cavity that defines first and second contact faces at its opposite ends. A hub of the extension arm is pivotably mounted for a range of at least 360 degrees rotation about a rotation axis of the shaft. The at least 360 degrees rotation range is based on a compound of a first rotation range and a second rotation range. The first rotation range is defined by a fixed stop of the hub configured to move between first and second contact faces of a radially outer portion of the floating stop. The second rotation range is defined by a radially inner portion of the floating stop configured to move between the first and second contact faces of the elongated cavity of the guide channel member.

Abstract: A kinematic mounting key engageable with a kinematic mounting receiver is provided. The kinematic mounting key comprises a base kinematic element, a first protrusion, and a second protrusion. Each of the first protrusion and the second protrusion defines a clearance channel and comprises a kinematic element. The clearance channels and the kinematic elements are configured so that the kinematic mounting key is engageable with the kinematic mounting receiver in a first arrangement at six points of contact and in a second arrangement at six points of contact that are at least partially different from the six points of contact of the first arrangement.

Abstract: A robotic surgical instrument includes a housing and a shaft extending distally from the housing and including proximal and distal segments and an articulating portion interconnecting the segments. An end effector assembly is coupled to the distal segment and a plurality of actuation components extends through at least a portion of the shaft to enable selective actuation of the end effector assembly. A seal configuration is operably associated with a proximal body portion of a proximal link of the articulating portion of the shaft to establish seals against an interior annular surface of the shaft, about each actuation component of the plurality of actuation components, and within a distal end portion of the proximal segment of the shaft to inhibit fluid communication proximally into the proximal segment of the shaft.

Abstract: An apparatus is provided for treating a vascular malformation. The apparatus includes an orifice section, an intra-vascular-malformation docking section, and a connecting section. The apparatus is configured such that, when unconstrained the orifice section is shaped so as to define an orifice-section curve that winds at least 2.5 turns around an orifice-section central axis at a changing distance from the orifice-section central axis, the intra-vascular-malformation docking section is shaped so as to define a docking-section curve that winds between 0.5 and 2 turns around a docking-section central axis at a changing or constant distance from the docking-section central axis, and the connecting section connects the orifice-section curve with the docking-section curve, and has an average radius of curvature that is different from an average radius of curvature of an outermost loop of the orifice-section curve. Other embodiments are also described.

Abstract: A trocar apparatus includes a trocar and a trocar shaft. The trocar has a retractable-type camera section and a seal unit. The seal unit has a dome type seal and a first mount. A step is formed on the proximal side of a puncture member at the distal end of the trocar shaft. A relationship between a puncture member length L1 of the puncture member and an interval L2 in the axial direction of the trocar from the boundary position between a pipe section and a head section to a first mount opening satisfies conditional formula (A) given below: L1>L2??(A).

Abstract: A gyroscopic stabilizer configured to stabilize a surgical instrument relative to a patient includes a frame having a central axis and a hub configured to releasably couple with the surgical instrument. A first gyroscope assembly is coupled with a first frame portion and a second gyroscope assembly is coupled with a second frame portion. Each gyroscope assembly includes a gimbal pivotably coupled with the respective frame portion about a precession axis, a motor, and a rotor rotatably coupled with the motor about a spin axis perpendicular to the respective precession axis. Each gyroscope assembly is operable generate a torque in a torque plane that contains the respective spin axis and the respective precession axis. The torques are configured to resist rotation of the gyroscopic stabilizer relative to the patient about respective device axes that are perpendicular to the central axis and to one another.

Abstract: An anchoring device including a finger-mountable work channel defining assembly defining a finger mounting axis and a work channel axis angled with respect to the finger mounting axis, the finger-mountable work channel defining assembly defining an aperture lying generally in an aperture plane angled with respect to the finger mounting axis and with respect to the work channel axis, an anchor insertion assembly arranged for limited axial displacement along the work channel axis with respect to the aperture so as to intersect the aperture plane and an anchor assembly including at least an anchoring portion and a flexible elongate portion attached thereto, the anchoring portion having a pre-anchoring operative orientation and an anchoring operative orientation.

Abstract: Devices and methods for treatment of a patient's vasculature are described. Embodiments may include a permeable implant connected to an expandable stent through a plurality of wires. The permeable shell is configured for placement in an aneurysm and the expandable stent is configured for placement in a parent vessel proximal, near, or adjacent the aneurysm.

Abstract: Systems and methods for minimally invasive computer-assisted telesurgery are described. For example, this disclosure provides surgical instruments and instrument drive systems for computer-assisted tele-operated surgery that are structured and operated to negate the effects of cable stretch within the surgical instruments.

Abstract: A needle camera adaptor includes a tube-shaped body having a proximal end, a distal end, a longitudinal axis, and a lumen that extends along the longitudinal axis. A centrally-located lateral access opening is formed in an outer wall of the tube-shaped body. A needle securing channel is formed in the outer wall and extends between the lateral access opening and the distal end of the tube-shaped body. A curved suture needle is disposed within the needle securing channel. The needle securing channel and the curved suture needle extend along an axis that defines an oblique angle with the longitudinal axis of the needle camera adaptor. A visualization device, facing distally, is positioned within the lumen at the proximal end of the tube-shaped body. The lateral access opening, the needle securing channel, and the curved suture needle are located within a field of view of the visualization device.

Abstract: An occlusion device with particular utility in occlusion of left atrial appendages is described. The occlusion device utilizes an inflatable balloon comprising a proximal portion to inflate with an inflation fluid delivered by an outer catheter body and conform to a shape of the left atrial appendage and a distal portion to fill with an adhesive delivered by an inner catheter body. The distal portion of the inflatable balloon sticks to the tissue wall of the left atrial appendage. The outer catheter body is configured to position the inner catheter body inside the outer catheter body.

Abstract: A mount assembly for use with a robotic system is provided and includes a housing for coupling to a robot arm; a coupling assembly supported by the housing and including first and second arms, the coupling assembly transitionable between open and closed configurations, wherein in the closed configuration the first and second arms are configured to secure a surgical accessory; a release assembly supported by the housing and engageable with the coupling assembly, the release assembly transitionable between a locked configuration and an unlocked configuration; and a communication assembly supported by the housing and configured for communication with the robotic system with respect to a status of the coupling assembly corresponding to the open and closed configuration thereof and a status of the release assembly corresponding to the locked and unlocked configuration thereof.

Abstract: A medical device includes a first link, a second link, and a band. A proximal end portion of the first link is coupled to a shaft. A proximal end portion of the second link is rotatably coupled to a distal end portion of first link about a first axis. The distal end portion of the second link includes a connector coupled to a tool member that is rotatable relative to the second link about a second axis that is non-parallel to the first axis. The first link defines a first guide channel and the second link defines a second guide channel. A distal end of the band is disposed within the first guide channel and the second guide channel, and is coupled to the tool member. The second link is rotatable relative to the first link about the first axis when the distal end of the band is moved.

Abstract: A surgical clip for simultaneously cutting a blood vessel and controlling bleeding, includes two legs, each including a flat surface and a cutting surface, and a curved section configured to join the two legs. An applicator for installing a surgical clip that simultaneously divides a blood vessel and controls bleeding, includes two jaws that simultaneously hold two surgical clips, and two handles that cause the two jaws to exert a deforming force on the two surgical clips.