Abstract: A medical system including an instrument. The instrument may have a rigid guide tube with a pre-formed shape and at least one change in direction between a proximal end and a distal end of the guide tube. The guide tube may include a first channel extending between the proximal end and the distal end and a second channel extending alongside the first channel. The first channel may include a first opening extending along a side of the guide tube so that the first channel is at least partially exposed. The guide tube may further include an optical device integrally formed with the body. A cross-section of a proximal portion of the guide tube may be greater than a cross-section of a distal portion of the guide tube.

Abstract: A medical system includes an insertion device having a working channel, a first medical device, and a second medical device. The first medical device includes a handle, a sheath extending from the handle and defining a lumen, a helical coil, and a loop. The helical coil is axially and rotatably movable relative to the sheath. A first portion of the loop is coupled to the sheath and a second portion of the loop extends radially away from the sheath. The second medical device is configured to be disposed within the working channel of the insertion device. The second medical device is configured to receive the second portion of the loop. The second medical device is configured to couple the second portion of the loop to a portion of a treatment site.

Abstract: A medical device may comprise a handle, wherein the handle includes a movable body and a main body; a cap configured to be coupled to a distal end of a scope; a patch, wherein the patch is moveable relative to the cap; and a petal body. The patch may be removably coupled to the petal body. The medical device may further comprise an actuator body coupling the patch to the moveable body such that movement of the moveable body extends the patch from the cap. The petal body may be configured to transition between a closed configuration in which the patch is retracted, and an open configuration in which the patch is extended radially-outward from a central longitudinal axis of the scope.

Abstract: A fluid delivery device and system configured to regulate delivery of fluid through a fluid delivery port to a target site within a patient, such as to identify, locate, dilate, etc., an opening in a tissue wall at the target site. A side port is defined in the wall of the fluid delivery device adjacent to but upstream of the fluid delivery port. If the fluid delivery port is partially or fully obstructed by contacting tissue, the side port provides a relief valve reducing the pressure of fluid from the fluid delivery port impacting the contacted tissue. The fluid flow path upstream of and adjacent to the side port may be tapered to create a Venturi effect which may cause entrainment of excess fluid at the target site into the fluid delivery device. Such entrained fluid may be recycled out the fluid delivery port.

Abstract: An example medical stent for treating a body lumen is disclosed. The example stent includes an expandable scaffold having a first end region, a second end region and an outer surface. The stent further includes a first fixation member coupled to the expandable scaffold and a biodegradable material disposed along the first fixation member at a first tissue engagement region. Further, the biodegradable material is designed to degrade from a first configuration in which the biodegradable material shields the first fixation member from a target tissue site to a second configuration in which the first fixation member is engaged with the target tissue site.

Abstract: The present disclosure relates generally to the field of medical devices. In particular, the present disclosure relates to traction systems, and methods of use thereof, for endoscopic procedures such as tissue dissection. For example, a traction system may include a filament extendable along an outer surface of an endoscope with a distal end of the filament attachable to a medical device engaged with a target tissue of a body lumen.

Abstract: Various embodiments are generally directed to a flexible elongate member (e.g., endoscopic accessory tool) positionable into and/or through selected anatomies, such as by generating images to position components of a flexible elongate member or to localize anatomic features, for instance. Some embodiments are directed to generating images with a plurality of imaging techniques to localize anatomic features and/or components of a flexible elongate member for one or more of inspection, orientation, and/or facilitating access to body passageways or lumens.

Abstract: Various systems and methods may guide, support, and/or house instruments. One exemplary system includes a guide tube having a manipulation section and mated with rails carrying instrument control members. Moving the rails with respect to the guide tube, or another point of reference, can control movement of the manipulation section.

Abstract: Methods and systems for providing a flow of fluid to an endoscope. An illustrative container and tube set arranged and configured to couple to an endoscope may comprise, a first container configured to contain a fluid, a first water supply tube including a first lumen extending therethrough and in fluid communication with the first container, a branched connector positioned in line with first water supply tube and including a first fluid inlet, a first fluid outlet, and a second fluid outlet, a second container having a second fluid inlet in selective fluid communication with the second fluid outlet of the branched connector, a second water supply tube including a second lumen extending therethrough and in selective fluid communication with the bottom portion of the second container, and a first gas supply tube in operative fluid communication with the second container.

Abstract: An example medical stent for treating a body lumen is disclosed. The example stent includes an expandable scaffold having a first end region, a second end region and an outer surface. The stent further includes a first fixation member coupled to the expandable scaffold and a biodegradable material disposed along the first fixation member at a first tissue engagement region. Further, the biodegradable material is designed to degrade from a first configuration in which the biodegradable material shields the first fixation member from a target tissue site to a second configuration in which the first fixation member is engaged with the target tissue site.

Abstract: Improved methods and devices for performing an endoscopic surgery are provided. Systems are taught for operatively treating gastrointestinal disorders endoscopically in a stable, yet dynamic operative environment, and in a minimally invasive manner. Such systems include, for example, an endoscopic surgical suite. The surgical suite can have a reversibly expandable retractor that expands to provide a stable, operative environment within a subject. The expansion can be selectively asymmetric to maximize space for a tool and an endoscope to visualize a target tissue and treat the target tissue from outside the patient in a minimally invasive manner.

Abstract: Improved methods and devices for performing an endoscopic surgery are provided. Systems are taught for operatively treating gastrointestinal disorders endoscopically in a stable, yet dynamic operative environment, and in a minimally invasive manner. Such systems include, for example, an endoscopic surgical suite. The surgical suite can have a reversibly expandable retractor that expands to provide a stable, operative environment within a subject. The expansion can be selectively asymmetric to maximize space for a tool and an endoscope to visualize a target tissue and treat the target tissue from outside the patient in a minimally invasive manner.

Abstract: A tissue traction device having a segment defined along a limited extent about the perimeter of the tissue traction device and more flexible than surrounding regions of the tissue traction device. The tissue traction device is actuatable to bend along the more flexible segment thereof, generally in a direction of a side of the tissue traction device opposite the more flexible segment thereof. The tissue traction device may be formed from one or more flexible tubular elements, with the flexible segment along a limited extent about the perimeter of the one or more tubular elements. A tissue traction system may be configured to provide actuation medium, such as an inflation medium, to the tissue traction device to control movement of the tissue traction device. The tissue traction system may include one or more flexible tubular elements, a distal end of which forms the tissue traction device.

Abstract: The present disclosure relates to compression clips, and more specifically, to compression clips delivered to a target site through an endoscope for use in tissue resection, for example, within the gastrointestinal tract. In examples, clips are configured to be actuatable in response to a compressive force to transition between an open configuration and a closed configuration. In an embodiment, a tissue clipping device may include a first member with a plurality of arms. Each of the arms may extend from a first end to a second end, and the first end of each arm may be received within the first member. The arms may be movable between the open configuration and the closed configuration. A second member may be slidably disposed with respect to the first member.

Abstract: A stent for repairing post-anastomasis (e.g., bariatric) surgery leaks is formed by an elongated tube having a proximal flare-shaped flange, an enlarged middle section, and a distal flare-shaped flange, where an exterior surface of the elongated tube is substantially covered with a polymer.

Abstract: The present disclosure relates to compression clips, and more specifically, to compression clips delivered to a target site through an endoscope for use in tissue resection, for example, within the gastrointestinal tract. In examples, clips are configured to be actuatable in response to a compressive force to transition between an open configuration and a closed configuration. In an embodiment, a tissue clipping device may include a first member with a plurality of arms. Each of the arms may extend from a first end to a second end, and the first end of each arm may be received within the first member. The arms may be movable between the open configuration and the closed configuration. A second member may be slidably disposed with respect to the first member.

Abstract: A tissue traction device having a target-tissue-engaging segment and more than one traction-tissue-engaging segment spaced apart from the target-tissue-engaging segment. The tissue traction device may have a peripheral section with at least one traction-tissue-engagement section therein, with at least one of the traction-tissue-engaging segments defined on such traction-tissue-engagement section. An additional traction-tissue-engagement segment may be defined within the peripheral section, optionally on an additional traction-tissue-engagement section, and/or within the at least one traction-tissue-engagement section. One or more traction-tissue-engagement segments within the peripheral section may be simultaneously and/or sequentially engaged with traction tissue to achieve varying force vectors of traction on the target tissue.

Abstract: A tissue traction device having more than one grasping segment by which the tissue traction device may be engaged with tissue directly, or indirectly, such as with the use of a tissue-engagement member. The tissue traction device may have a peripheral section defining grasping segments, as well as interior grasping segments defined within the perimeter of the peripheral section. Traction may be applied to a target tissue by engaging a target-tissue-engaging segment with target tissue, and engaging a traction-tissue-engaging segment with traction tissue spaced apart from the target tissue. Engagement of additional target-tissue-engaging segments with traction tissue (optionally at different locations) allows the force vector of the traction to be adjusted. A delivery system may include tissue traction device holder to maintain a desired configuration of the tissue traction device during delivery thereof to a target tissue area.

Abstract: A stent that includes a plurality of quill filaments. Each quill filament includes filament material, a surface, and a plurality of quills. Each quill has a tip, a body, and a base where the body extends from the base to the tip. The quill filaments can be interwoven to form the stent or the quill filaments can be engaged to the framework of a stent.