Abstract: A packaging insert configured to engage a portion of a surgical drape for locating the drape on a surgical robot arm, the drape comprising a drive transfer element for transferring drive between the robot arm and a surgical instrument, the packaging insert comprising a body and a retention portion engageable with the drive transfer element for retaining the drive transfer element in a desired position.

Abstract: The present invention relates a tourniquet, where tightening of the tourniquet is performed by linear motion by pulling a pull-cord. The tourniquet comprises a tensioning device and a strap. The first end of the strap is coupled to the tensioning device. The second end of the strap is wrapped around a limb and fixed to the tensioning device. The tightening of the tourniquet is achieved by pulling a pull-cord. Linear motion by the pull-cord is translated into winding up the strap inside the tensioning device, and thereby achieving a time-effective tightening of the tourniquet without the need of high forces.

Abstract: An example occlusive implant is disclosed. The example occlusive implant includes an expandable framework including a height and a plurality of support members defining a proximal end region of the expandable framework and a central hub member attached to the plurality of support members. Additionally, the expandable framework is configured to shift between a first configuration and a second configuration, wherein the height of the expandable framework remains substantially the same in both the first configuration and the second configuration. Further, the central hub member is configured to shift relative to the proximal end region while the expandable framework shifts between the first configuration and the second configuration.

Abstract: Apparatuses and methods for use in surgical vascular anastomotic procedures. Apparatus includes a blood vessel inner wall (BVIW) sealing and hole forming device, and a hole forming actuator. BVIW sealing and hole forming device includes a hole sealing device, and an anastomotic hole generating device. Hole sealing device includes a sheath that fully encloses and holds a self-expanding hole sealing assembly, a manual hole sealing controller assembly, and a flexible control wire enclosed within a flexible tube. Anastomotic hole generating device includes outer and inner assemblies, with a conically shaped anastomotic hole generating member. Hole forming actuator includes outer and inner assemblies. Also disclosed are procedures for performing surgical vascular anastomosis using the disclosed apparatuses and methods. Particularly applicable for use in clampless types of (end-to-side) surgical vascular anastomotic procedures, for performing coronary artery bypass grafting (CABG).

Abstract: A device and method for performing anastomosis is described. In one embodiment according to the present invention, the device comprises a ring that has a plurality of pins extending from various locations on the ring. During a procedure, the pins are passed through portions of tissue and the ring is everted or radially flipped inside out to connect the tissues together.

Abstract: The invention relates to a surgical device for minimally invasive surgery, comprising a shaft and a surgical module mounted to the distal end thereof. The shaft includes a tube and a pair of sliders driven by the tube via a rotary to linear linkage such that a rotation of the tube around the longitudinal axis induces a movement of the sliders along the longitudinal axis, in mutually opposite directions. The surgical device further includes wires that are each connected to a corresponding slider and to the surgical module such that a movement of the sliders, in mutually opposite directions, induces a movement of the surgical module in a first degree of freedom. The tube is also axially moveable towards the proximal end of the shaft inducing a movement of both sliders away from the surgical module, thereby inducing a movement of the surgical module in a second degree of freedom.

Abstract: A handle assembly includes a drive wire coupled to an expandable end effector, the wire having a diameter of no more than 3 French and a handle cannula receiving the wire therethrough, rotation of the handle cannula transferring torque to rotate the wire. The assembly also includes a shaft receiving the handle cannula, rotation of the shaft transferring torque to rotate the handle cannula. The assembly further includes an actuation assembly receiving the shaft, the actuation assembly coupled to a sheath sized to receive the wire and end effector therethrough, the actuation assembly moveable between a proximal configuration in which the sheath is moved proximally to expand the end effector and a distal configuration in which the sheath is moved distally to retract the end effector, the actuation assembly including a rotation mechanism transferring torque to the shaft to rotate the shaft.

Abstract: An occlusive implant for bifurcation aneurysms (A), with the implant (1) being in an expanded state in which it is implanted in the blood vessel and in a contracted state in which it is movable through the blood vessel, with the implant (1) having a proximal fixing section (3) by means of which the implant (1) can be secured to the wall of a blood vessel, a distal section (5) where the implant (1) in expanded state is radially widened relative to the fixing section (3) and which is intended for placement in or in front of the aneurysm (A), and having a transition section (4) located between the fixing section (3) and the distal section (5), wherein fixing section (3) is attached to an delivery wire (2) in a detachable manner and wherein the transition section (4) has a second detachment point (7) which enables the distal section (5) to be detached.

Abstract: A device comprising: a flexible tube comprising a first collapsible end portion; a first actuating element segment secured to the first collapsible end portion and extending along the first collapsible end portion, wherein, when the first collapsible end portion is threaded through a first aperture and the first actuating element segment is pulled proximally, the first collapsible end portion collapses proximally and forms a bulge larger than the first aperture, thereby anchoring the flexible tube against a rim of the first aperture.

Abstract: A uterine manipulator includes a shaft defining a proximal end portion and a distal end portion, a handle operably coupled to the proximal end portion of the shaft, and a distal assembly operably coupled to the distal end portion of the shaft. The distal assembly includes a colpotomy cup and an elongated tip extending distally from the colpotomy cup. At least a portion of the distal assembly is releasable from the distal end portion of the shaft and configured to engage tissue and to operably couple to a surgical tool to enable the surgical tool to perform at least one surgical task on tissue engaged by the at least a portion of the distal assembly.

Abstract: Vascular filters and deflectors and methods for filtering bodily fluids. A blood filtering assembly can capture embolic material dislodged or generated during an endovascular procedure to inhibit or prevent the material from entering the cerebral vasculature. A blood deflecting assembly can deflect embolic material dislodged or generated during an endovascular procedure to inhibit or prevent the material from entering the cerebral vasculature.

Abstract: A closure device 100 that closes a wound on a skin includes a pair of sheet members 41a, 41b that have an axial direction da and a width direction db orthogonal to the axial direction da and face each other with a space 41s provided in the width direction db, and a plurality of closure elements 2a, 2b that are attached to the pair of sheet members 41a, 41b across the space 41s and arranged in the axial direction da. The closure element 2a, 2b respectively include bases 10a, 10b and adjusters 30a, 30b that are arranged on the pair of sheet members 41a, 41b to face each other across the space 41s, and drawstrings 20a, 20b that extend from the bases 10a, 10b and engage with the adjusters 30a, 30b. The pair of sheet members 41a, 41b include a plurality of slits 51, 52 provided in a plurality of areas, each of the plurality of areas being provided between pairs of the closure elements 2a, 2b adjacent to each other.

Abstract: A teleoperated manipulator system includes a manipulator assembly and a tool actuation assembly coupled to the manipulator assembly. The tool actuation assembly inserts a tool, such as a surgical instrument, along an insertion axis and also rotates the tool around the insertion axis. The manipulator assembly includes an arm that rotates with reference to amounting base to rotate the tool around a yaw axis that intersects the insertion axis. A distal portion of the arm defines an arcuate pitch arc, and a center of the pitch arc is coincident with the intersection of the insertion axis and the yaw axis. The tool actuation assembly is driven along the pitch arc to pitch the tool. The manipulator system is optionally a telesurgical system, and the tool is optionally a therapeutic, diagnostic, or imaging surgical instrument.

Abstract: Implant deployment systems can generally can include a braided implant that can be detachably attached to a delivery tube by an expansion ring that can be positioned within a notch on an outer surface of the delivery tube near a distal end of the delivery tube. The implant can be positioned within a lumen of the delivery tube and remain attached to the delivery tube as the assembly is fed through a microcatheter to a treatment site. Once the braided implant is implanted, the expansion ring can move from a collapsed configuration that is engaged with the notch of the delivery tube to a deployed configuration that releases the delivery tube, thereby releasing the braided implant from the delivery tube.

Abstract: A surgical treatment instrument includes a holdable housing, a shaft, an end effector configured to perform a bending movement with respect to the shaft, a rotor configured to rotate about a rotation axis in response to an operation input performed through an operation member, and a transmission member configured to transmit a driving force for causing the end effector to perform the bending movement to the end effector. The operation member and the transmission member are configured to rotate together with the shaft and the end effector in response to the operation input, and the rotor is configured to not rotate together with the shaft and the end effector when the operation input is performed.

Abstract: A system includes an access cannula, a deployment cannula having a plurality of engagement arms, and a containment bag. The deployment cannula is slidable within the access cannula between an initial condition, wherein the engagement arms are retained in a contracted configuration, and a deployed condition, wherein the engagement arms are disposed in an expanded configuration. The containment bag includes an open end portion configured to receive the first elongated tubular member and the second elongated tubular member. In the initial condition, a portion of the containment bag towards the open end portion is positioned adjacent at least one of the first elongated tubular member or the second elongated tubular member. In the deployed condition, the portion of the containment bag is expanded such that the portion of the containment bag is spaced-apart from the at least one of the first elongated tubular member or the second elongated tubular member.

Abstract: An elongated deployment shaft carrying a needle deployment assembly with needles carrying sutures and a stabilizer. A catcher tube over the shaft having a catcher assembly at a distal end may retain a portion of the needles when passed through the tissue into engagement with catcher assembly. The catcher and needle deployment assemblies are configured to asynchronously engage the plurality of needles when moved distally beyond the catcher assembly. A sheath over the catcher tube may sandwich the tissue against the stabilizer when expanded. A first actuator may move catcher tube distally to decrease distance between proximal and distal ends of the stabilizer expand it and may move the sheath distally to sandwich the tissue. A second actuator may deflect the needles outward to move proximally through the tissue and engage the catcher and return a portion of each not retained by the catcher to a distal position.

Abstract: A cannula assembly includes a housing supporting a seal assembly, a cannula shaft extending from the housing, and a sleeve positioned about the cannula shaft including an inner fixation device that is supported on a distal end of the cannula shaft. The inner fixation device includes an anchor member that is deployable within a body cavity to obstruct withdrawal of the cannula assembly from within the body cavity. The anchor member is formed of a material that will deactivate or allow removal of the catheter assembly from the body cavity when the anchor member is deployed and an excessive force is applied to the cannula assembly to prevent ripping or tearing of tissue.

Abstract: Disclosed is a peripheral nerve fixing apparatus, which includes: a suction unit configured to provide a negative pressure to a peripheral nerve at an end portion thereof to fix the peripheral nerve; and a negative pressure generating unit having a vacuum pump for generating a negative pressure and connected to the suction unit so that the negative pressure is provided to the suction unit, wherein at one surface of the end portion of the suction unit, the suction unit includes: a fixing unit provided to contact the peripheral nerve to keep a stable fixed state; and a suction hole formed in the fixing unit so that the negative pressure is provided to the peripheral nerve therethrough.

Abstract: An occlusive medical device system may include an elongate shaft having a lumen extending longitudinally through a tubular body portion and a plurality of retaining arms extending distally from the tubular body portion. An occlusive medical device may include a proximal tubular mounting portion fixed to an expandable occlusive element. A release wire may be axially translatable between a distal engagement position and a proximal released position, the release wire having a distal engagement portion and a distal retention portion distal of the distal engagement portion. The distal engagement portion may be configured to engage the plurality of retaining arms in the distal engagement position, thereby urging the plurality of retaining arms into releasable engagement with the proximal tubular mounting portion, wherein when the release wire is in the proximal released position, the plurality of retaining arms is deflectable radially inward to disengage from the proximal tubular mounting portion.