Abstract: Valve prostheses and implantation devices, and methods for use are provided. The devices may be used for transcatheter delivery of an aortic valve prosthesis or transapical delivery of a mitral valve prosthesis. The implantation device utilizes movable claspers for both positioning and anchoring the valve prosthesis, reducing the extent of imaging needed during the implantation procedure.

Abstract: A medical sphincterotome and a method of its use are described. The sphincterotome has structural elements that are capable of directing a wire guide through a selected body passageway. One structural element includes a distal port and deflection member that can deflect the wire guide into the desired passageway. Another structural element includes an offset nose-shaped end that can bend towards a passageway desired to be blocked. The wire guide is prevented from entering the blocked passageway, thereby enabling the wire guide to cannulate the desired passageway. The sphincterotome also includes a cutting wire to access a patient's sphincter and perform various other medical procedures.

Abstract: A vascular implant delivery device is disclosed and can include a body and a syringe attachment formed in the body. Further, the device can include an outer sheath extending from the body. The outer sheath can include a distal end that can be configured to receive a vascular implant. The device can also include at least three implant support structures that can extend radially inward from the distal end of the outer sheath. The implant support structures can be configured to support and guide a vascular implant moving through the outer sheath. Additionally, the device can include an inner carrier catheter slidably disposed within the outer sheath.

Abstract: A surgical instrument for the dissection of bone and other tissue includes a spindle, a dissection tool and a coupler disposed between the spindle and the dissection tool. The coupler includes a tool collet and an attachment locking mechanism operable to permit tool collet operation and telescoping movement of an attachment tube with respect to the dissection tool. A method is also provided for convenient coupling of the dissection tool and adjustment of the attachment tube length.

Abstract: Several embodiments of medical ultrasound handpieces are described each including a medical ultrasound transducer assembly. An embodiment of a medical ultrasound system is described, wherein the medical ultrasound system includes a medical ultrasound handpiece having a medical ultrasound transducer assembly and includes an ultrasonically-vibratable medical-treatment instrument which is attachable to a distal end of the transducer assembly. An embodiment of a medical ultrasound system is described, wherein the medical ultrasound system has a handpiece including a medical ultrasound transducer assembly and including a housing or housing component surrounding the transducer assembly. A method for tuning a medical ultrasound handpiece includes machining at least a distal non-threaded portion of an instrument-attachment stud of the transducer assembly to match a measured fundamental frequency to a desired fundamental frequency to within a predetermined limit.

Abstract: One embodiment of the apparatus comprises a housing with a sheath portion projecting distally therefrom. The sheath portion has a sheath with a lumen, and a bearing surface in the sheath lumen or aligned with the sheath lumen, and located at or near a distal end of the sheath. The implant is at least partially positioned in the apparatus, and comprises an implant body and a tether connected to the implant body. The tether extends from the implant body distally within the sheath portion and around the bearing surface, where the tether changes direction, and extends back proximally from the bearing surface along and within the sheath portion. The apparatus is configured to move the first tether portion proximally and thereby draw the implant body distally along and within the sheath lumen.

Abstract: A puncture needle device detachably attached to an ultrasonic endoscope via a pipe sleeve including a non-circular collar, including a cylindrical connecting body into which the pipe sleeve is inserted, the cylindrical connecting body including an insertion limit portion which contacts the pipe sleeve to prevent it from being further inserted, and a non-circular collar receiving hole engaged with the collar and irrotatable relative thereto when the pipe sleeve is inserted; a sheath projecting from the cylindrical connecting body and inserted into an internal conduit of the ultrasonic endoscope; a puncture needle inserted into the sheath; and a lock member supported by the cylindrical connecting body and movable between an unlocked position allowing the pipe sleeve to insert and remove from the cylindrical connecting body, and a locked position wherein the lock member contacts the collar of the pipe sleeve to prevent it from removing from the cylindrical connecting body.

Abstract: A fastener delivery tool includes a loading chamber for receiving a fastener having a pair of tines overlapping one another to define a loop in a parent or relaxed state. A retaining member retains the fastener in the loading chamber. The fastener delivery tool also includes a tongue, pusher member, and an ejection track communicating with the loading chamber. An actuator causes the tongue to move to engage the tines of the fastener to transform the fastener from the relaxed state to a constrained state defining a U-shape. The actuator also causes the pusher member to release the retaining member and advance the fastener down the ejection track in the constrained state. The tool also includes a trigger for ejecting the fastener completely from the ejection track. The fastener may be used to secure a prosthetic heart valve or components thereof into surrounding tissue, e.g., within a tissue annulus.

Abstract: An ultrasound catheter has an elongate flexible catheter body having a lumen extending longitudinally therethrough, and an ultrasound transmission member extending longitudinally through the lumen of the catheter body. The ultrasound transmission member has a proximal end that is coupled to a separate ultrasound generating device, and a distal tip that is attached to the distal end of the ultrasound transmission member and which is located at the distal end of the catheter body. The ultrasound transmission member is directly attached to the catheter body and/or to a guidewire tube either directly or via an attachment device. The catheter has an additional radiopaque marker positioned on the distal end the catheter.

Abstract: A system for absorbing fluid material on trocar surfaces is provided. The system comprises a trocar and a cleaning instrument having at least two ends with an absorbent area at one end of the cleaning instrument. The absorbent area has a first outer diameter at a first part of the absorbent area and a second smaller outer diameter at a second part of the absorbent area, such that at least a portion of the absorbent area has an outer diameter larger than an inner diameter of the trocar. When the absorbent area is inserted inside the trocar, the absorbent area comes into contact with an inner wall of the trocar and absorbs fluid along the inner wall. Furthermore, when a part of the absorbent area is passed through a tip at the distal end of the trocar, the absorbent area absorbs fluid along an outer wall of the tip.

Abstract: A compact retrievable blood clot filter has a filter section, a releasable lock and an alignment section connected to the filter section. Alignment ribs of the alignment section have releasable upstream ends that are locked to the filter by the releasable lock. The releasable upstream ends of the alignment ribs are capable of being released from the releasable lock so that during retrieval of the filter, the alignment ribs can slide through the endothelial tissue that may have grown around the alignment ribs.

Abstract: A balloon is used for placing stents in bifurcated vessels. The balloon is for expanding a primary balloon-expandable stent, where the balloon includes a tubular balloon having a proximal end and a distal end, the balloon being capable of receiving within its tubular structure a primary guidewire for deployment of the primary stent, the balloon further comprising a side opening closer to the distal end than the proximal end through which a secondary guidewire and a secondary stent may pass.

Abstract: A device and method for applying tension to an area of skin, in particular for follicular unit removal and/or implantation in a hair transplantation procedure, is provided. The tensioning device comprises at least one body surface grabber capable of engaging the body surface, and the tensioning device is configured to be able to create tension on a body or skin surface by simply displacing the tensioning device as a whole in one general direction. The tensioning device may be secured, for example, to a patient chair.

Abstract: This invention is a device and method to occlude an aneurysm comprising: a laterally-expanding occluding member (such as a relatively-flat balloon, mesh, net, or patch) that is positioned within the parent vessel of the aneurysm and then expanded laterally; and a radially-expanding structural member (such as a stent) that is positioned within the parent vessel of the aneurysm and then expanded radially after, or concurrently with, expansion of the laterally-expanding occluding member. Expansion of the radially-expanding member presses and holds the laterally-expanding occluding member into contact with the aneurysm neck, so that the laterally-expanding occluding member at least partially covers the aneurysm neck and reduces blood flow to the aneurysm. This invention has several potential advantages over devices and methods in the prior art, especially for treatment of wide-neck and fusiform aneurysms.

Abstract: The present invention relates to a contoured scalpel handle. The contoured shape of the handle provides for increased contact area with the user's hand using a larger diameter central portion and a smaller diameter trough. The generally circular cross-section allows rotation of the angle of the blade relative to the tissue without the need to change the grip on the handle. The contoured handle can be used as an adapter sleeve in which a scalpel handle can be inserted or can include a blade mounting element on which a blade is directly mounted.

Abstract: Devices and methods for applying tension to an area of skin are provided, for example, for follicular unit removal and implant in a hair transplantation procedure. The devices may include a frame with at least two skin contact members that hold to the skin. Also disclosed are various ways to apply a force displacing the skin contact members apart, thus creating tension in the skin. The devices and methods may incorporate suction, and/or barbs or microbarbs. The frame may surround the skin area with tensile forces applied outward in multiple directions or substantially uni-directionally. Adjusting members and indicators may be provided to control and display the tensile force applied to skin. The tensioning devices and methods may be incorporated into a robotic hair transplantation system.

Abstract: A medical device and method for traversing an occlusion in a vessel includes a straightening sleeve positioned at a distal aspect of a catheter, a steering sleeve having an arcuate distal end, and a guidewire disposed through the steering sleeve. The steering sleeve has a first position in which the arcuate distal end is straightened within the straightening sleeve, and a second position in which the steering sleeve extends distally past the straightening sleeve to expose the arcuate distal end. The tip of the arcuate distal end of the steering sleeve or the guidewire can be used to pierce the occlusion. An arrangement of hub assemblies with locking mechanisms and motion limiting structures facilitates adjusting and locking the relative positions of the straightening sleeve, the steering sleeve, and the guidewire. Detent mechanisms are associated with the motion limiting structures for providing controlled incremental movement of the sleeves and the guidewire.

Abstract: An expandable surgical site access system and method for using the expandable surgical site access system to perform minimally invasive, percutaneous surgeries to access the spine or other bone structures, organs, or locations of the body is disclosed. In one embodiment, the surgical site access system includes an elongated, expandable stent that is particularly adapted to be deployed in a body during a surgical procedure to provide access to a surgical site within the body. The stent defines a working channel through the body from a point of entry to the surgical site.

Abstract: A puncture instrument includes a needle assembly, a hub passage for axially guiding a hub, a needle passage communicating with the hub passage and having a distal end opening for allowing the tip end of a needle to project instantaneously therethrough, two arms having first junctions connected to the hub and inclined rearward in a direction away from the hub in an initial state, two push rods connected to second junctions of the arms and extending rearward, a button for pushing the push rods forwardly, and fulcrum members disposed more closely to the distal end than the arms for abutment against portions of the arms when the arms are moved. When the push rods are pushed forwardly by the button, the arms push the needle assembly forwardly, thereafter have portions thereof brought into abutment against the fulcrum members, and turn to pull the needle assembly rearward.

Abstract: A cartridge for a consecutive acupuncture device includes a needle storage space in which at least one needle is stored, a charge slot serving as a passage for connecting the needle storage space with a striking position in order to allow sequentially loading of the needles at the striking position, and a catch step formed on at least part of the charge slot in order to prevent the neighboring needle from being discharged together when the needle is loaded at the striking position and then is struck and administered.