Abstract: Cardiac annuloplasty methods and devices, based on delivery of tissue-ablating energy to a heart valve annulus, thereby inducing reduction of the valve annulus perimeter. In some embodiments, the reduction is induced by shrinkage of tissue in response to ablation, potentially analogous to tissue shrinkage responsible for pulmonary vein stenosis induced by cardiac ablation to treat atrial fibrillation. In some embodiments, annulus tissue is deformed before ablation energy is applied. This potentially results in plastic deformation apart from tissue shrinkage. Deformation is optionally performed using electrodes that also operate as sharp-tipped jaws of a pliers. They are inserted to tissue in a wider-spaced configuration, reduced in distance to a narrower-spaced tissue-squeezing configuration, and operated to ablate the squeezed tissue. Upon removal of the electrodes, the squeezed tissue retains a new shape as a result of ablation-induced plastic deformation.

Abstract: A hair anchor prepared by a process whereby a plurality of hair anchors are formed from a single elongated metal tube according to some embodiments of the present disclosure may include forming at least two slits in an elongated direction of the elongated metal tube, each slit spanning prospective end portions of at least two hair anchors; and severing the elongated metal tube at an intermediate location along the at least two slits such that a first portion of each of the at least two slits is contained in one of the at least two hair anchors and a second portion of each of the at least two slits remains attached to the elongated metal tube for inclusion in a subsequent hair anchor to be later severed from the elongated metal tube.

Abstract: A hair anchor prepared by a process whereby a plurality of hair anchors are formed from a single elongated metal tube according to some embodiments of the present disclosure may include forming at least two slits in an elongated direction of the elongated metal tube, each slit spanning prospective end portions of at least two hair anchors; and severing the elongated metal tube at an intermediate location along the at least two slits such that a first portion of each of the at least two slits is contained in one of the at least two hair anchors and a second portion of each of the at least two slits remains attached to the elongated metal tube for inclusion in a subsequent hair anchor to be later severed from the elongated metal tube.

Abstract: A hair implant anchor usable with a hair implant anchor deployment device for inserting one or more hairs into a tissue portion is provided. The hair implant anchor includes a holder configured to grip one or more hairs and one or more selectably deployable leaves formed with the holder. When the anchor is in its first configuration prior to implantation of the hairs, the leaves are constrained by the deployment device in a position generally parallel to an insertion axis, and in a second configuration, subsequent to implantation of the hair, the leaves adopt a position extended away from the insertion axis, thereby securing the holder and hair gripped thereby within the tissue portion. The invention also provides a method for use of the anchor, a hair implantation system, a multi-hair implantation system and a hair implantation assembly.

Abstract: A hair implant anchor usable with a hair implant anchor deployment device for inserting one or more hairs into a tissue portion is provided. The hair implant anchor includes a holder configured to grip one or more hairs and one or more selectably deployable leaves formed with the holder. When the anchor is in its first configuration prior to implantation of the hairs, the leaves are constrained by the deployment device in a position generally parallel to an insertion axis, and in a second configuration, subsequent to implantation of the hair, the leaves adopt a position extended away from the insertion axis, thereby securing the holder and hair gripped thereby within the tissue portion. The invention also provides a method for use of the anchor, a hair implantation system, a multi-hair implantation system and a hair implantation assembly.

Abstract: A compression assembly for use in compressing tissue comprising a first portion which includes a first compression element and a second portion which comprises a second compression element, at least one support element, and at least one spring element. Typically the spring element is formed of a shape-memory material. The at least one spring element is in compressive force contact with the second compression element and the tissue to be joined is positioned between the first and second compression elements. A plurality of needles on one of the support elements is operative to pierce the tissue and the first portion of the assembly, holding the first compression element to the second portion of the assembly. The invention is appropriate for joining severed tissue in anastomosis procedures or closing natural or surgically produced tissue perforations.

Abstract: A surgical clip assembly which includes a pair of generally linear compression elements for securing tissue between them and for applying to the secured tissue a compression force. The clip assembly has an initial, open position in which the linear compression elements may be positioned about tissue to be secured between them. The assembly also has a final, closed position where the compression elements are substantially parallel to each other, applying a compressive force to the secured tissue. The clip assembly also includes a force means disposed between the pair of compression elements and operative to transmit operational forces between them.

Abstract: A multi-lumen sleeve for use with an endoscope shaft and at least one working surgical instrument. The shaft and surgical instruments have an end portion. The sleeve comprises a primary lumen having a free end and one or more secondary lumens which are joined to the primary lumen. Some or all of the lumens have free ends for connection to the end portion of a selected one of the shaft and the one or more working surgical instrument. Each of the free ends of the primary and secondary lumens is adapted to fit about and support the end portion of the shaft or the one or more working surgical instrument. This facilitates concerted motion and coupled articulation between the shaft and the one or more working surgical instrument. Systems employing this multi-lumen sleeve are described.

Abstract: A compression clip assembly for compressing tissue and operable by means of a user-operated applier. The assembly comprises a compression clip and a lock element. The clip includes a pair of normally spaced apart elongate members each having an outward-facing surface, and having respective inward-facing opposing surfaces for compressing tissue; a hinge formed at least partly of a superelastic material and in operative mechanical connection with the elongate members; and a lock region formed on the outer surface of each of the elongate members adjacent to the hinge, each lock region being delimited by a first stop element proximal to the hinge and a second stop element distal from the hinge. The lock element is constructed for lockably engaging the lock regions so as to lock the clip in its closed position. The invention also encompasses a system and method for using the compression clip assembly.

Abstract: A surgical clip assembly which includes a pair of generally linear compression elements for securing tissue between them and for applying to the secured tissue a compression force. The clip assembly has an initial, open position in which the linear compression elements may be positioned about tissue to be secured between them. The assembly also has a final, closed position where the compression elements are substantially parallel to each other, applying a compressive force to the secured tissue. The clip assembly also includes a force means disposed between the pair of compression elements and operative to transmit operational forces between them.

Abstract: A compression clip system where compression is used to close a tissue opening, reduce the volume of an organ, ligate dilated blood vessels or compress tissue adjacent to various other types of lesions to induce healing. Compression prevents bleeding and the leakage of body fluids into a body cavity. The opening may be surgery induced as in gastrectomies or formed naturally such as peptic ulcers and hemorrhoids. The system may include a compression clip, a suitable clip applier, a grasper assembly and an endoscope all brought to the compression site via a multi-lumen sleeve.

Abstract: A system including surgical compression clips is described and used for endoscopic full thickness resection. Similarly, methods for endoscopic full thickness resection using the described system are also discussed. Surgical compression clips using shape-memory elements are discussed. These clips are advanceable to the site of suspect tissue to be resected through a lumen of a multi-lumen sleeve encasing an endoscope. At the site of the tissue, the compression clip is opened and operated to circumscribe the suspect tissue. Grasper assemblies, advanceable through an endoscope, are also described. These latter grasp and bring the suspect tissue to the open clip. The clip is then closed and the tissue resected. The clip effects necrosis and healing at the resected site.

Abstract: A compression assembly for use in compressing tissue comprising a first portion which includes a first compression element and a second portion which comprises a second compression element, at least one support element, and at least one spring element. Typically the spring element is formed of a shape-memory material. The at least one spring element is in compressive force contact with the second compression element and the tissue to be joined is positioned between the first and second compression elements. A plurality of needles on one of the support elements is operative to pierce the tissue and the first portion of the assembly, holding the first compression element to the second portion of the assembly. The invention is appropriate for joining severed tissue in anastomosis procedures or closing natural or surgically produced tissue perforations.

Abstract: An expandable spacer, comprising: an axial tube having a surface, a proximal end and a distal end and a length, wherein, said surface defines a plurality of slits, said plurality of slits defining at least two axially displaced extensions, such that when said tube is axially compressed, said extensions extend out of said surface and define a geometry of an expanded spacer. Preferably the spacer is adapted to be inserted between two spinal vertebrae of a human.

Abstract: A surgical clip assembly which includes a pair of generally linear compression elements for securing tissue between them and for applying to the secured tissue a compression force. The clip assembly has an initial, open position in which the linear compression elements may be positioned about tissue to be secured between them. The assembly also has a final, closed position where the compression elements are substantially parallel to each other, applying a compressive force to the secured tissue. The clip assembly also includes a force means disposed between the pair of compression elements and operative to transmit operational forces between them.

Abstract: A system including surgical compression clips is described and used for endoscopic full thickness resection. Similarly, methods for endoscopic full thickness resection using the described system are also discussed. Surgical compression clips using shape-memory elements are discussed. These clips are advanceable to the site of suspect tissue to be resected through a lumen of a multi-lumen sleeve encasing an endoscope. At the site of the tissue, the compression clip is opened and operated to circumscribe the suspect tissue. Grasper assemblies, advanceable through an endoscope, are also described. These latter grasp and bring the suspect tissue to the open clip. The clip is then closed and the tissue resected. The clip effects necrosis and healing at the resected site.

Abstract: Apparatus for controlling the deformation of an implant during deployment thereof, comprising: a force application mechanism for applying deformation force to the implant, by motion of a force applicator against the implant; and a restraint element positioning mechanism that positions a restraining element such that the deformation of the implant is controlled by restraint of the restraining element on allowable deformation; and a synchronizer that synchronizes the motion of the restraining element and the force applicator, to achieve a desired deformation of the implanted.

Abstract: An expandable spacer, comprising: an axial tube having a surface, a proximal end and a distal end and a length, wherein, said surface defines a plurality of slits, said plurality of slits defining at least two axially displaced extensions, such that when said tube is axially compressed, said extensions extend out of said surface and define a geometry of an expanded spacer. Preferably the spacer is adapted to be inserted between two spinal vertebrae of a human.