Abstract: An anastomotic coupler is provided. A ring can include a receiving portion. A fixation device includes a cartridge. The cartridge includes a plurality of fasteners. Upon actuation of the fixation device, the fasteners puncture the tubular structure. The fasteners are received by the receiving portions such that the tubular structure is coupled with the ring.

Abstract: A laparoscopic surgical instrument is provided with a manual gripping portion provided with three gripping members, one of them being fixed (non-movable) and the other two gripping members being movable and hinged such that each can perform an angular movement, facilitating the use of the tool during surgery.

Abstract: A laparoscopic suture passer comprises an elongated shaft, and a jaw assembly coupled to a distal end of the elongated shaft. The jaw assembly comprises first and second jaw members hingedly associated with each other. The jaw members are configured for being alternately displaced relative to each other between an open position and a closed position. The laparoscopic suture passer further comprises a hollow needle comprising a slotted bore extending along the entire length thereof. The hollow needle has a blunt end and a sharp end opposite the blunt end. The blunt end of the hollow needle is hingedly coupled to the first jaw member for being alternately hinged between a retracted position, wherein the hollow needle is stowed in the first jaw member, and a deployed position, wherein the hollow needle extends away from the first jaw member.

Abstract: An instrument cart configured to position an instrument controller at a desired location and attitude pitch with respect to an incision location of a patient includes a base, a lift member moveable with respect to the base, a first planar translation member connected to the lift member and arcuately moveable with respect thereto, a second planar translation member connected to the first planar translation member and arcuately moveable with respect thereto, a third planar translation member connected to the second planar translation member and arcuately moveable with respect thereto, an arcuate slide base connected to the third planar translation member and moveable with respect thereto and an arcuate slide coupled to the arcuate slide base, and moveable with respect thereto; and an instrument controller coupling connected to the arcuate slide member, the instrument controller connected thereto and movable with respect thereto.

Abstract: An adhesion device incorporates element block assemblies partially disposed within an element support body having an engagement surface. Each element block assembly may include an element activation sheet, an element deployment sheet, a plurality of engagement elements, and an element transition mechanism operatively coupled to the engagement elements. The element transition mechanism is reversible to transition from a neutral configuration wherein the element activation sheet is substantially adjacent to the element deployment sheet, and an expanded configuration wherein the element activation sheet and the element deployment sheet are separated by a transition gap. The element support body, while each element transition mechanism is disposed in the neutral configuration, constrains each engagement element in a deployment state with a substantially straightened configuration perpendicular to the engagement surface and suitable for insertion into (or removal from) a target material.

Abstract: An example cutting apparatus includes a scalpel and a housing defining a scalpel guide. A handle is coupled to a proximal end of the scalpel. A blade holder at a distal end of the scalpel. The scalpel has a length longer than a length of the housing. The scalpel guide constrains the movement path of the scalpel.

Abstract: Disclosed is a system for inserting an adapter including a docking station and an adapter inserter. The docking station can include a handle block, a push assembly, and a linkage connecting knob push handle to an engagement tube pull block. The engagement tube pull block can extend from the linkage through a portion of the handle block. The adapter inserter can include a handle body, an engagement assembly, and a clamp. The handle body can be sized to fit in a first recess defined by the handle block body. The engagement assembly can extend from a second end of the handle body and can be configured to engage the adapter at a tip of the engagement assembly. The clamp can be located within and proximate a second end of the handle body so as to engage a portion of the engagement assembly.

Abstract: A device for expanding tissue comprises at least one fluid delivery tube and at least one fluid delivery element in fluid communication with the at least one fluid delivery tube. The at least one fluid delivery tube comprises a proximal end, a distal end, and a lumen therebetween. The device is constructed and arranged to perform a near full circumferential expansion of luminal wall tissue. Systems and methods are also provided, including a system for expanding tissue layers and treating tissue proximate to the expanded tissue layers.

Abstract: A method for improving leaflet prolapse and/or valve regurgitation associated with a heart valve involves introducing a chordae tendineae capturing device into a ventricle of a heart, the chordae tendineae capturing device comprising a central hub component and a plurality of spokes, extending the plurality of spokes outward from the central hub component, rotating the chordae tendineae capturing device in a first direction to bring at least one of the plurality of spokes into physical contact with one or more cords of chordae tendineae disposed in the ventricle, further rotating the chordae tendineae capturing device in the first direction to bring the one or more cords inward towards the central hub component, and closing the plurality of spokes at least partially over the one or more cords to secure the one or more cords.

Abstract: An apparatus includes a plurality of beads and a linking assembly joining the beads together. The beads include a housing defining a first opening, a second opening, and a chamber extending between the first opening and the second opening. A magnet is contained within the housing. The beads and the linking assembly are arranged in an annular arrangement and sized to form a loop around an anatomical structure in a patient. The loop may move between a contracted and expanded configuration. The loop is magnetically biased toward the contracted configuration by a magnetic bias of the beads. The linking assembly includes a first link element having an elongate body extending in the chamber of the first bead and a sealing element attached to the elongate body housed within the first opening of the first bead to thereby form a hermetic seal.

Abstract: The present invention discloses a wound closure device and a connecting unit, which belongs to the field of medical products, aiming at solving the problems of high cost, long period and difficult mass production of existing wound closure devices manufactured according to the shape and size of a wound. The connecting unit of the present invention is structured as an independent connecting unit which can be mass produced, when a wound with a specific shape and size is to be treated, a wound closure device structure suitable for the wound can be formed simply by selecting corresponding size and number of connecting units, and assembling the same correspondingly, therefore, the present invention can effectively reduce the production cost by means of mass production not depending on specific shape and size of a wound.

Abstract: A pneumatic tourniquet has a constricting device that comprises a rocker, such that when the rocker is angularly displaced by contact with a wounded limb, a clamping force is applied by a rocker surface and a clamping edge onto a sealing element to prevent flow of the pressurized gas from an interposed inflated strap to a free end, causing the strap free end to be considerably thinner than the main strap section. In one embodiment, a gas flow control assembly comprises a casing containing a force transmitting element and a gas cartridge; and a pivotable activation handle, wherein, upon pivoted displacement of the activation handle, pressurized gas is caused to be discharged from the gas cartridge and flow to an interior of the strap. In other embodiments, the pneumatic tourniquet comprises one or more of a flow control unit, a manual pressure release initiator, and a puncture mitigating connection section.

Abstract: A surgical tool includes a driven portion, a cord-shaped element, and a rotor. To the driven portion, a driving force is transmitted from an external portion. The cord-shaped element transmits a movement of the driven portion. The rotor has a circumferential surface around which the cord-shaped element extending from the driven portion is wound. The circumferential surface includes two or more grooves arranged side by side in a direction of a central axis of the rotor so that the cord-shaped element is windable therearound, and at least one cut-out portion connecting adjacent grooves among the two or more grooves so that the cord-shaped element is placeable through the adjacent grooves.

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.