Abstract: A delivery tool includes a tubular distal tip fixed to a distal end of a delivery tube. A retention portion of an implant wire of an implant is removably disposed within the tubular distal tip. A pull wire has a distal end portion that is shaped so as to define a pull-wire loop and is removably disposed partially within the delivery tube. A safety wire is removably disposed partially within the tubular distal tip, with a distal portion of the safety wire passing through a tip distal opening. The safety wire has a proximal end portion that is shaped so as to define a safety-wire hook hooked on the pull-wire loop. Proximal pulling on the pull wire proximally retracts the safety wire from the tip distal opening, thereby allowing the retention portion to pass through the tubular distal tip. Other embodiments are also described.

Abstract: A medical system that includes a medical device having an imaging device configured to capture images of a target site. A location of the target site is determined based on the images. The medical device includes a light source configured to direct light onto the location of the target site, and a processor and non-transitory computer readable medium storing instructions that, when executed by the processor, causes the processor to move a sensor of a medical instrument toward the location of the target site based on the sensor detecting the light at the target site.

Abstract: An example cutting balloon is disclosed. The example cutting balloon includes an expandable member having an outer surface and longitudinal axis, a first cutting member disposed along the outer surface of the expandable member and a covering encapsulating the expandable member and the first cutting member.

Abstract: In some embodiments, endoscopy systems and/or methods of using endoscopy systems are described. In some embodiments, an endoscopy system comprises one or more of piezoelectric elements or hooked blades. In some embodiments, stylets for use with an endoscopy system are described. In some embodiments, the endoscopy systems are useful for orthopedic procedures. In some embodiments, the endoscopy systems are useful for arthroscopic procedures.

Abstract: Numerous delivery devices for delivery of a stented prosthesis, such as a stented prosthetic heart valve. Various delivery devices include a capsule that is advanced proximally to retain the stented prosthesis, which is secured over an inner shaft assembly of the delivery device. The delivery device further includes a bumper or bumper assembly to provide a smooth transition of the capsule over the stented prosthesis. In some alternate disclosed embodiments, the bumper further serves to connect various elements of the inner shaft assembly. Additional embodiments include a bumper assembly arranged and configured to longitudinally expand and contract to substantially fill any open space as the capsule is retracted from the stented prosthesis, which prevents kinking in the capsule. Additional embodiments include proximal and/or distal bumpers for temporarily covering and smoothing the ends of the stented prosthesis as part of a delivery device that does not include a capsule.

Abstract: An endoscope system includes a processor configured to generate a clock at predetermined timing, a light source apparatus configured to irradiate white light and excitation light in a time division manner in synchronization with the clock, and an endoscope configured to perform image pickup based on irradiation timing of the light source apparatus. The processor generates a first white light image at a first clock, generates a first fluorescent image at a second clock, generates a second white light image at a third clock, and generates a third white light image at a fourth clock and superimposes the second white light image and the first fluorescent image at the fourth clock and superimposes the third white light image and the first fluorescent image at a fifth clock.

Abstract: A robotic surgical tool includes an elongate shaft, an end effector arranged at a distal end of the shaft and including opposing first and second jaws, and an articulable wrist that interposes the end effector and the distal end, the wrist including a linkage providing one or more lateral arms receivable within a corresponding one or more grooves defined in the first and second jaws, wherein mounting the linkage to the first and second jaws at the corresponding one or more groove generates a jaw pivot where the first and second jaws pivot between open and closed positions.

Abstract: An endoscope system includes: an illumination portion including an emitter and being configured to radiate illumination light beam onto an imaging subject, the beam having intensity distribution in which light and dark portions are spatially repeated; a controller configured to cause widths of the dark portions to change; an imager configured to acquire a plurality of illumination images of the subject being illuminated with beams in which the widths of the dark portions are different from each other; and at least one processor including hardware, the processor being configured to: create first and second images from each of the illumination images, the first images containing a greater quantity of information about a deep layer of the subject than the second images do; and calculate information about depths of a feature portion in the subject on the basis of changes among the first images and changes among the second images.

Abstract: Provided is a technique for further reducing the scale of an endoscope system. An optical distribution connector according to the present disclosure discloses an optical distribution connector (additional connector) which includes an optical connector portion that is configured to be attachable to and detachable from a processor and realizes an optical connection with the processor, a plurality of medical device mounting portions, each of which is attachable to and detachable from a medical device, and at least one optical element that distributes light emitted from a light source included in the processor in each direction of the plurality of medical device mounting portions. In this optical distribution connector, at least one optical element has a spectral distribution wavelength characteristic defined by the light transmittance and the light reflectance for each of the plurality of wavelength bands of light (see FIG. 5).

Abstract: Disclosed is a delivery device, kit, system, method, etc. for localized fusion of leaflets of a tissue valve, for example, a native heart valve, using an adhesive. The delivery device can have one or more capture features for capturing separate leaflets, for example, the anterior and posterior mitral leaflets. An applicator can be configured to apply a biocompatible adhesive between the captured leaflets, and one or more curing elements can be configured to cure the applied biocompatible adhesive. The kit can have the aforementioned delivery device, and the biocompatible adhesive used therewith. The method can include positioning the aforementioned delivery device adjacent the anterior and posterior mitral leaflets, capturing the mitral leaflets between the paddles of the delivery device, applying a biocompatible adhesive between the captured mitral leaflets via the applicator, and curing the applied biocompatible adhesive via the energy elements to locally fuse the mitral leaflets.

Abstract: A stereo endoscope for capturing a first image which is provided to be observed by a first eye and a second image which is provided to be observed by a second eye, including a shaft with a distal end region, a first image sensor in the distal end region of the shaft, for capturing the first image, and a second image sensor in the distal end region of the shaft, for capturing the second image. The first image sensor and the second image sensor are arranged offset relative to one another in a direction which is parallel to at least either a light-sensitive layer of the first image sensor or a light-sensitive layer of the second image sensor and which is orthogonal to a longitudinal axis the distal end region of the shaft. The first image sensor and the second image sensor are oriented in opposite directions.

Abstract: An endoscopic imaging system for use in a light deficient environment includes an imaging device having a tube, one or more image sensors, and a lens assembly including at least one optical elements that corresponds to the one or more image sensors. The endoscopic system includes a display for a user to visualize a scene and an image signal processing controller. The endoscopic system includes a light engine having an illumination source generating one or more pulses of electromagnetic radiation and a lumen transmitting one or more pulses of electromagnetic radiation to a distal tip of an endoscope.

Abstract: The invention discloses a plague removal device, comprising, a push catheter, a plaque scraping stent, a support tube, an elastic filter membrane, a guide catheter, and a handle, wherein the plaque scraping stent is a mesh structure sleeved outside the support tube, a distal end of the plaque scraping stent is fixed on a distal end of the support tube, a proximal end of the plaque scraping stent is fixed on a distal end of the push catheter, the support tube is sleeved inside the push catheter; a distance between the distal end of the push catheter and the distal end of the support tube is adjusted by the handle, so that an outer diameter of the plaque scraping stent is varied. The unique structure design of “tapered structure” in the present invention can ensure good compliance during the entry and withdrawal of the stent.

Abstract: A medical instrument includes two jaw members, at least one of which creates conditions of frustrated total internal reflection at a tissue-contacting surface when tissue is grasped between the two jaw members. The first jaw member may include an optical element having a tissue-contacting surface. The medical instrument also includes a light source that provides a light beam for sealing tissue. The light source is positioned so that the light beam is totally internally reflected from an interface between the tissue-contacting surface and air when tissue is not grasped by the jaw members. When tissue is grasped by the jaw members, at least a portion of the light beam is transmitted through that portion of the tissue-contacting surface that is in contact with the tissue. The light source may be movably coupled to a jaw member to scan the light beam and/or to change the incident angle based on optical properties of the tissue.

Abstract: A medical instrument includes two jaw members, at least one of which creates conditions of frustrated total internal reflection at a tissue-contacting surface when tissue is grasped between the two jaw members. The first jaw member may include an optical element having a tissue-contacting surface. The medical instrument also includes a light source that provides a light beam for sealing tissue. The light source is positioned so that the light beam is totally internally reflected from an interface between the tissue-contacting surface and air when tissue is not grasped by the jaw members. When tissue is grasped by the jaw members, at least a portion of the light beam is transmitted through that portion of the tissue-contacting surface that is in contact with the tissue. The light source may be movably coupled to a jaw member to scan the light beam and/or to change the incident angle based on optical properties of the tissue.

Abstract: The present invention discloses a new phacoemulsification tip which can be used during cataract surgery. Particularly, the phacoemulsification tip of the invention physically separates the aspiration function from the ultrasonic energy release point, where the distal region of the tip is blind, and the aspiration port is at a suitable distance from the distal end of the tip of the invention.

Abstract: A cannula system and method for accessing a blood mass in the brain. The system comprises a cannula with a camera mounted on the proximal end of the cannula with a view into the cannula lumen and the surgical field below the lumen. A prism, reflector or other suitable optical element is oriented between the camera and the lumen of the cannula to afford the camera a view into the cannula while minimizing obstruction of the lumen. The system may also include an obturator with a small diameter shaft and a large diameter tip which is optically transmissive, so that a surgeon inserting or manipulating the assembly can easily see that the obturator tip is near brain tissue (which is white) or blood (which is red).

Abstract: A medical probe includes a shaft, a camera, a hollow cutting tool, and an inflatable balloon. The shaft is configured for insertion through a cut in a body of a patient, whereas the shaft includes a working vacuum channel running therethrough. The camera is fitted at a distal end of the shaft and is configured to provide images of a target tissue site in the body. The hollow cutting tool is for insertion over a guidewire in the working vacuum channel of the shaft, whereas the hollow cutting tool is configured to pierce the target tissue site under guidance of images taken by the camera. The inflatable balloon is configured to stabilize the distal end of the shaft, whereas the inflatable balloon is located proximally to the camera so as not to obstruct the images of the target tissue site.

Abstract: An operation system, a surgical system, a control device, a distortion generating body, a surgical instrument and the like for detecting a force acting on an end effector are provided. The surgical system includes an arm including one or more links, an end effector arranged at a tip end of the arm, a first distortion detecting unit that detects distortion generated in the end effector, a second distortion detecting unit that detects distortion generated in the link, and a processing unit that calculates a force acting on the end effector in a living body on the basis of detection results of the first distortion detecting unit and the second distortion detecting unit.

Abstract: A method of controlling movement of the tip of a surgical endoscope from a first position (E) to an intermediate position (E?), the field of view from the tip of the endoscope being at an angle (?) relative to a longitudinal shaft of the endoscope, the method comprising: receiving a command to move from the first position in a first direction; identifying a nominal view point (N) from the tip of the endoscope in the first position; calculating a tip movement path from the first position based on the received command, the identified nominal view point and the angle (?); determining the intermediate position; and moving the tip to the intermediate position, the intermediate position being such that the nominal view point remains within the field of view from the tip.