Abstract: Minimally invasive, multi-functional robotic surgical tool devices for use as lavaging, material aspiration or delivery surgical forceps, scissors or clamp or other device, consisting of a monolithic work element and open central lumen with various functional tips. Such devices may in use follow a central lumen of another device or over a wire in a longitudinal direction upon introduction to a body. Flush and vacuum transport mechanisms, imaging mechanisms or energy source mechanisms may be incorporated. Inner and outer sheaths which may be co-axially disposed relative to a work element may be configured to actuate a beak or beaks and provisions for simultaneous beak closing under rotation may be incorporated.

Abstract: A delivery catheter system includes a guide catheter, an anchor catheter, a collapsible and expandable anchor, a balloon formed from a portion of the positioning catheter, and a needle. The anchor may be for anchoring a prosthetic heart valve in a native heart valve. The anchor may be configured to be received within the anchor catheter. The balloon may be inflated or deflated and provide mechanical support to enable the needle to pierce a ventricle wall. A metallic guide wire can simultaneously be inserted through the aorta to outline the heart when viewed through fluoroscopic imaging.

Abstract: An adjustable heart valve repair system includes a suture implanting apparatus and a suture locker. The suture implanting apparatus is operable to implant a suture into at least one leaflet of a heart valve. The suture locker is operable to fix the suture. The suture locker includes an adjusting device to adjust tensioning or loosening of the suture.

Abstract: The present disclosure relates to delivery devices for transcatheter stented prosthesis loading, delivery and implantation. The delivery devices provide a loaded delivery state in which the stented prosthesis is loaded and compressed over the delivery device. The compression of the stented prosthesis can be adjusted with one or more elongate tension members, which extend around the stented prosthesis and proximately to an actuation and release assembly that can be provided as part of a handle assembly. The delivery device can be manipulated to adjust tension in the tension members to permit the stented prosthesis to compress, self-expand, and ultimately release from the shaft assembly. In some embodiments, the tension in one or more tension members is adjusted with one or more actuation and release assemblies.

Abstract: Embodiments of a robotic medical system comprise a steerable instrument that includes a bendable body and a connector assembly configured to detachably connect the bendable body to an actuation unit. A controller is configured to control the actuation unit. The connector assembly comprises a connection receptor coupled to the actuation unit and a connecting shaft coupled to the bendable body. The connecting shaft includes a plurality of driving rods that are attached in a one-to-one correspondence to a plurality of driving wires and that detachably attach to the connection receptor. In a connected state where the bendable body is connected to the actuation unit via the connector assembly, the controller causes the actuation unit to transmit an actuating force from an actuator to a driving rod, and the driving rod actuates or moves a driving wire in a same direction as the actuating force applied by the actuator.

Abstract: A medical instrument includes a hollow shaft (2) with a proximal end (3) connected to a handle (4) and a distal end (5) with a tool (6) arranged with one jaw part (8) pivotable relative to another jaw part (7). A distal end region of the shaft as a tool tip (10) deflects relative to a longitudinal axis (9) via an axially displaceable first actuation element (11) connected to the handle. The pivotable jaw part is adjustable via a second actuation element (13) mounted axially displaceably in the hollow shaft and connected to the handle. The first actuation element and the second actuation element are parallel to each other in the longitudinal axis direction of the shaft and mounted to be guided on each other. One of the two actuation elements is mounted on the inner side. The mutual axial mounting is effected via a pin-and-slot control (19).

Abstract: The present invention provides a two-part robotic device for positioning of a hand tool, comprising: a. a fixed base unit constantly fix to its position; b. a detachable body unit reversibly coupled to said fixed base unit, coupled to said current medical instrument; wherein said fixed base unit is adapted to provide independent movement to said hand tool, said independent movement selected from the group consisting of rotation and translation, and further wherein said detachable body unit is removable and replaceable from said fixed base unit such that upon exchange of said hand tool for a second hand tool, said second hand tool is placed in substantially the same location as the location of said hand tool prior to said exchange.

Abstract: An implant delivery system comprises an elongate tubular member having a lumen, a tubular implant coaxially disposed within the lumen of the elongate tubular member, and a delivery assembly having a distal portion coaxially disposed within tubular implant. The delivery assembly comprises a delivery wire, an engaging bumper fixedly coupled to the delivery wire, a stopper bumper fixedly coupled to the delivery wire, and a floating element slidably coupled around the delivery wire and disposed between the bumpers, thereby limiting linear translation of the floating element therebetween. The floating element has an engaging portion configured to engage the engaging bumper when the delivery wire is axially translated relative to the elongate member in a first direction. The floating element is configured to radially expand outward to frictionally engage the implant when the engaging portion of the floating element engages the engaging bumper.

Abstract: A stent, a stent delivery system, and a method of delivering a stent are described that allow the porosity of the stent to be changed dynamically during a delivery procedure. Unlike prior stents and procedures that are configured to deploy with a predetermined porosity, the physician can create a region of high stent porosity over certain vessel features, a low stent porosity over other vessel features, and can create these porosity changes with at least one stent or stent layer.

Abstract: Various aspects of the present disclosure are directed toward medical devices, systems, and methods. The medical devices may include a portion having a radially expansive force greater than a radially expansive force other portions of the device. In addition, the medical device may include one or more constraining mechanisms for deployment of the medical devices.

Abstract: A clip for immobilizing leaflets of a cardiac or venous valve includes a hub having a pair of tangle resistant spring-biased outer arms coupled to an inferior end of the hub and a pair of tangle resistant spring-biased inner arms adjacent to the outer arms and coupled to a superior end of the hub. A delivery catheter may be used to position the valve clip adjacent a target valve while the outer and inner arms are biased in an opened position relative to each other. After the valve leaflets are located between the opened outer and inner arms, the biasing forces may be released to allow the clip to self-close the clip over the valve leaflets.

Abstract: An automatic tourniquet apparatus comprises a tourniquet cuff, a pressure transducer, a user interface, a patient hazard shield and a pressure regulator. The pressure transducer produces a cuff pressure signal. The user interface produces a reference pressure signal. The patient hazard shield is responsive to the cuff pressure signal and the reference pressure signal, and operable during a regulation time period to produce a patient hazard signal if, in one implementation, a current level of pressure in the tourniquet cuff is greater than the reference level of pressure by at least a predetermined overpressure limit. The pressure regulator is responsive to the patient hazard signal, and has a pressurizing element for increasing pressure in the cuff and a depressurizing element for decreasing pressure in the cuff. The pressurizing element is configured to be non-responsive if the patient hazard signal is produced.

Abstract: An ear nose and throat (ENT) imaging and analysis system includes an endoscope usable to capture images of the nasal canal and other aspects of patient anatomy. Endoscopic images may be presented to a user via a touchscreen display, and the software may provide different imaging modes that aid in identifying particular anatomical structures or areas within the nasal canal. In one mode, the system uses an object recognition process to identify the nasal valve opening within the images at a relaxed state, and during forceful inhalation, and then calculates the difference between the two states, which may be suggestive of nasal valve collapse. In other modes, the system is configured to identify abnormalities of the inferior turbinate, septum, or other anatomy, as well as empty spaces within the nasal canal, as well as areas and volumes of empty space and user defined boundaries.

Abstract: A removable and replaceable sheath may be coupled to a medical instrument used during a procedure, and may enable one or more functional features of the medical instrument while maintaining a sterile barrier between the instrument itself and the treatment site. The sheath may be replaced prior to a subsequent use, and sterilization of the medical instrument is not required due to the sterile barrier. Sheaths may include an embedded memory that stores procedure configurations and procedure results, longitudinal channels for delivering power or irrigation, optical elements for providing procedure specific endoscopic views, and other features. One sheath may be fitted to an endoscope for imaging and tissue ablation. Another sheath includes a balloon usable during sinuplasty procedures. Yet another sheath may be fitted to a sonic ablation instrument to provide improved transmission of sonic power to tissue.

Abstract: A medical instrument includes a first hand lever which has a manually actuated grip portion at its proximal end, a work portion for gripping, clamping or cutting an object at its distal end, and, lying between these, a bearing portion on which a bearing element engages in order to permit pivotability about a rotation axis between the first hand lever and a second hand lever, wherein the second hand lever has a grip portion at its proximal end, a work portion at its distal end, and, lying between these, a guide portion on which the bearing element engages, wherein the guide portion of the second hand lever has on one side a recess for receiving the bearing portion of the first hand lever such that two guide protrusions located distally and proximally of the recess at least partially cover the bearing portion in an operating position.

Abstract: A device includes an elongated hollow member having an open distal end for receiving tissue therein and at least one exterior groove for loading at least one ligation band thereon. The device also includes a band deployment sleeve slidable over the exterior of the hollow member and configured to move from a radially expanded position to a radially contracted position in which, when the band deployment sleeve slides longitudinally over the hollow member, the distal portion engages the at least one ligation band. A closing sleeve slidable over the exterior of the band deployment sleeve is configured to constrain the distal portion from the radially expanded position into the radially contracted position. Retracting the closing sleeve proximally over the distal portion of the band deployment sleeve releases the distal portion from the radially contracted position into the radially expanded position.

Abstract: The invention relates to a method for forming a mesh having a barbed suture attached thereto, comprising the following steps: a) producing a knitted structure on a knitting machine comprising at least one needle-bed with three guide bars, on a length corresponding to N stitches ranging from 1 to N, wherein i) a first knit portion is produced along stitches ranging from 1 to x, where 1<x<N, ii) a second knit portion is produced for stitches ranging from (x+1) to N, in which the knitting pattern produces at least one weft stitched chain stitch, b) cutting the second knit portion on both sides of the weft stitched chain stitch and along an edge separating the second knit portion from the first knit portion, while maintaining the weft stitched chain stitch attached to the first knit portion. The invention also relates to the mesh obtained by this method.

Abstract: The present disclosure relates to a cap for protecting an imaging instrument from damage caused by impact or poor handling. Exemplary devices can include a rigid outer shell and soft inner lining surrounding a distal tip of the instrument, to be applied between instrument use, and during instrument transport, disinfection, sterilization, and storage.

Abstract: A surgical instrument that includes a surgical end effector that is articulatable relative to a proximal shaft segment of the surgical instrument. The surgical end effector is attached to the proximal shaft segment by an articulation joint that comprises a plurality of movably interconnected links that interface with a centrally disposed drive member to apply articulation motions thereto and which serve to provide improved lateral stability to the articulation joint.

Abstract: An endoscope (1) including a handle (2) arranged at a proximal end and an insertion tube (3) extending from said handle (2) towards a distal end, a bending section (7) arranged at the distal end and controllable by and operator via control input means (8) arranged at the handle (2); and at least one insertion tube part with at least one lumen, wherein the bending section (7) is displaceable in said lumen so as to be movable relative to the insertion tube (3) from a retracted position within said lumen to an extended position at least partially outside said lumen.