Abstract: A method of creating an anastomosis is provided using a stapling assembly including a body extending distally along a longitudinal axis and a deck member defining a deck surface. The deck surface includes a first array of staple openings comprising a herringbone pattern, and each staple opening of the first array of staple openings has a same size. The method includes positioning an anvil within a first lumen of a patient and positioning the stapling assembly within a second lumen of the patient. The method also includes releasably coupling the anvil with the stapling assembly and compressing tissue of the first and second lumens between the anvil and the deck member. The method further includes actuating a plurality of staple drivers to drive a first plurality of staples distally and parallel to the longitudinal axis from the first array of staple openings into the tissue to define the anastomosis.

Abstract: Apparatuses, systems, and methods are disclosed for a surgical clamp for Lapidus bunion surgery. A surgical clamp has handles disposed at opposing branches of a surgical clamp. A hinge is disposed at an intersection of the opposing branches about which the opposing branches pivot. A first gripper is disposed at a distal portion of the first opposing branch and is shaped to hook around and grip a neck of a first metatarsal. A second gripper is disposed at a distal portion of the second opposing branch and is shaped to hook around and grip a neck of a different metatarsal. The grippers extend at a non-zero angle away from the opposing branches. A lock extends between the opposing branches and selectively fixes a relative position of the opposing branches so that the grippers selectively hold a position of the first metatarsal relative to the different metatarsal.

Abstract: Example dispensing devices for applying a hemostatic agent or other sealant to a biological tissue.

Abstract: A multiple-firing clip device includes a hollow shaft defining a lateral opening communicating with an environment and a distal shaft portion between the lateral opening and a distal end opening. A shuttle longitudinally moves on the shaft and comprises a shuttle body defining a lumen surrounding the shaft, a snare, and a snare-extender slide defining a snare track to form a snare travel path in which the snare is disposed from the body and through the track and a portion of the body. The slide moves along a given extent defining a slide distance and a distal end and movement of the slide to the distal end shortens the snare travel path to extend the snare portion through the lateral opening, through the distal shaft portion, and distally out from a distal side of the body longer than the given extent to secure a suture with the snare.

Abstract: A tissue anchor is provided that includes a metal wire shaped so as to define a straight anchor-shaft portion and a tissue-coupling portion extending therefrom. The tissue anchor is configured such that when the tissue-coupling portion is in an unconstrained state: (a) the tissue-coupling portion crosses itself at first and second loop-end longitudinal portions along the wire, so as to define a looped portion, which generally defines a looped-portion plane, (b) the first loop-end longitudinal portion is closer to a first proximal wire end along the wire than the second loop-end longitudinal portion is to the first proximal wire end along the wire, and (c) a greatest absolute distance between the first loop-end longitudinal portion and the first proximal wire end is greater than a greatest absolute distance between the second loop-end longitudinal portion and the first proximal wire end. Other embodiments are also described.

Abstract: Disclosed embodiments include apparatuses for and methods of separating tissue with opposing jaw members having distal ends that translate toward a surface of the tissue as the jaw members are rotated outwardly to maintain engagement with the tissue. In an illustrative embodiment, an apparatus includes jaw members rotatably coupled adjacent to their proximal ends. The jaw members define opposing outwardly-facing curved channels disposed between their proximal and distal ends that slidably engage a distal pin. A bracket defines a distal socket that receives the distal pin. As the jaw members are motivated in a distal direction relative to the bracket toward the distal pin, engagement of the distal pin with the outwardly-facing curved channels causes the jaw members to rotate to cause the distal ends of the jaw members move outwardly transversely to the distal direction while the distal ends translate in the distal direction.

Abstract: The present application provides an all suture anchor, and relates to the technical field of medical devices. The all suture anchor includes a suture anchor body and a pulling suture. The suture anchor body is in a shape of cylinder, a first end port and a second end port are respectively formed at two ends of the suture anchor body in an axis direction of itself, and a first through hole is formed at a side wall of the suture anchor body close to the first end port; a fixed end of the pulling suture enters into the suture anchor body from the first end port and passes out from the first through hole, and the fixed end of the pulling suture is fixedly arranged on the suture anchor body.

Abstract: An instrument holder generally includes a carriage rotatable with respect to a carriage support, a light pipe extending axially through the carriage, and an electrical conductor extending through the carriage radially outward of the light pipe. The light pipe can transmit light energy and the electrical conductor can transmit electricity between a proximal end portion and a distal end portion of the carriage to a medical instrument. The rotatable carriage may include a sterile adapter assembly positioned at the proximal and/or distal end portions of the rotatable carriage. The sterile adapter assembly may include a roll disk rotatable with respect to the outer frame, an inner disk rotatable with respect to the roll disk, and a light pipe to transmit light energy through the roll disk. The inner disk can transfer movement of an actuator between the rotatable carriage and the instrument.

Abstract: A cannula for use in a surgical procedure includes a tubular shaft and a tether coupled to a distal end portion of the tubular shaft. The distal end portion of the tubular shaft is configured to turn inside out in response to a threshold proximally-oriented force applied to the tether. Sections of the distal end portion may break apart or separate from one another about a groove formed in the tubular shaft.

Abstract: A catheter for removing an object in a body lumen includes a rotatable drive shaft including a spiral portion having a spiral shape near a distal end of the drive shaft, an outer tube surrounding the drive shaft, a cutting member connected to the distal end of the drive shaft to be rotated by the drive shaft with respect to a rotation axis and by which the object is cut, a guide wire tube attached to a distal portion of the outer tube, extending substantially straight along a center spiral axis of the spiral portion, and having a first guide wire lumen, and a distal tip attached to a distal end of the guide wire tube and having a second guide wire lumen extending parallel to the rotation axis and communicating with the first guide wire lumen.

Abstract: An apparatus is provided for use with a tissue anchor and an anchor driver. The apparatus includes a housing, shaped to define a channel. The channel includes (i) an anchor-storage zone, and (ii) a proximal opening configured to provide access for the anchor driver to the anchor-storage zone. The channel is configured to enable sliding of the tissue anchor therewithin to be stored in the anchor-storage zone. The apparatus also includes a retaining member, shaped to define a cradle for cradling and holding the tissue anchor in the anchor-storage zone. The retaining member includes a pillar pivotable with respect to the cradle, and configured to support the tissue anchor at the cradle. Other embodiments are also described.

Abstract: Medical devices and methods of using medical devices are disclosed. An example tissue engagement device includes a first actuation member including a body coupled to a first jaw and a second jaw at a pivot point, wherein the body is designed to shift between a first configuration and a first compressed configuration and a second actuation member coupled to the first actuation member at the pivot point and at a fixation point, wherein the second actuation member is designed to shift between a second configuration and a second compressed configuration. Further, shifting the first actuation member from the first configuration to the first compressed configuration, shifting the second actuation member from the second configuration to the second compressed configuration, or both, shifts the first jaw and the second jaw between a closed configuration and an open configuration.

Abstract: The present invention discloses a robotic assisted system for ophthalmic surgery, comprising a first driving unit, a second driving unit and a third driving unit, wherein the three driving units can respectively complete the movement in three dimensions, the first driving unit is connected with the second driving unit, the second driving unit is connected with the third driving unit, and an instrument is arranged on the third driving unit; during operating, the third driving unit can drive the instrument assembly to move, the second driving unit can drive the third driving unit and instruments thereon to move, and the first driving unit can drive the second driving unit, the third driving unit on the second driving unit and the instruments on the third driving unit to move; the accurate control on the instruments can be completed by controlling the three different driving units.

Abstract: An adjustable fixation device includes a cleat portion and a suture portion, where the suture portion has a loop portion and a suture tail. Pulling on the suture tail places in tension a graft coupled to the loop portion. The suture is arranged to convey a mechanical advantage so that substantial force can be readily and controllably applied to the graft.

Abstract: A medical device, comprising a tube including at least one lumen, an absorbent located at a distal portion of the tube, the absorbent being configured to transition from a compressed state to an expanded state, and a structure fixed to the absorbent, wherein the structure is configured to flex into a compressed state and an expanded state simultaneously with the compressed state and the expanded state of the absorbent, and the structure exposes at least a portion of the absorbent.

Abstract: A puncture sealing system for sealing a vascular puncture comprises an inner member and an outer member comprising a lumen sized and shaped to allow the inner member to slide therein, an occlusion balloon at an outer member distal end, and an inflation lumen that extends from an outer member proximal end to the interior of the occlusion balloon. The occlusion balloon can be inflated by fluid flowing through the outer member inflation lumen so that the occlusion balloon can enable the occlusion of a vascular puncture and contact and apply pressure to a puncture tract extending from the vascular puncture. In one version, the inner member further comprises a vessel locator system. In one version, the puncture sealing system further comprises an obturator slidably receivable within the outer member and having a distal end adapted to at least partially cover the puncture.

Abstract: A junctional tourniquet apparatus and related methods of use. An exemplary tourniquet has an inverted cone shape, wherein a narrower end has a mushroom shaped base that is pressed against a compression target and a broader end has a plurality of pass-through slots for straps. Another exemplary tourniquet has a broad plate component and a handle component. The handle component has a mushroom shaped base on a first end and a handle on a second end. The handle component passes through the center of the plate component with threads that allow the handle component to compress a target by twisting the handle.

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.