Abstract: A medical dispensing device which includes a catheter, an applicator tip at a distal end of the catheter, the catheter and the applicator tip defining a lumen having a longitudinal axis and a distal opening, a plunger in the lumen and movable along the longitudinal axis, and a plurality of elements in the lumen proximal to the distal opening and distal to the plunger, the plurality of elements stacked along the longitudinal axis for dispersement of one element at a time through the distal opening via a force applied by the plunger.

Abstract: Devices, systems, and methods facilitating navigation through a body passage, particularly a tortuous body passage. An expandable member is mounted with respect to an element of the device or system and is shiftable from a delivery configuration to an expanded configuration. In the expanded configuration, the expandable member facilitates navigation of the device and/or system through a tortuous section of the body passage. The expandable member may include an expandable basket-like element formed of one or more elements shiftable from a generally elongated configuration when the expandable member is in the delivery configuration to a curved or bowed configuration when the expandable member is in the expanded configuration. Additionally or alternatively, the expandable member may include an inflatable balloon. The system and method may include delivering a device such as a locator element to a target site to be identified from a remote location.

Abstract: An accessory device for an endoscope includes a cap attached to a shaft of the endoscope, the cap extending along a first axis, a first tip coupled to the cap and movable relative to the cap between a deployed configuration and a non-deployed configuration, and a first shaft defining a lumen and extending proximally from the first tip. In the deployed configuration, the first tip extends along a second axis that is offset from the first axis, and in the non-deployed configuration, the first tip extends along a third axis that is offset from the first axis.

Abstract: An implantable medical device system for coupling separate anatomical structures, such as to form an anastomosis therebetween. The system includes first and second implantable medical devices configured to be implanted with respect to anatomical structures to be coupled, and also configured to be coupled together. The implantable medical devices may be coupled together with a separate connector. The separate connector may be a stent or an elongated tether-like element. Additionally or alternatively, the implantable medical devices may be formed with interengaging elements which couple the implantable medical devices together, such as without the need for a separate connector. The implantable medical devices may be spaced apart when coupled together, with a connector bridging the gap therebetween, or may be in abutting contact with each other.

Abstract: A tissue-manipulating system including a tissue-manipulating device having shaft and a tissue grasper assembly. The tissue grasper assembly has at least one grasper arm resiliently expandable from a closed configuration, within and extending along the longitudinal axis of a shaft, to an open configuration outside the shaft with the grasper arm expanded in a direction transverse to the longitudinal axis of the shaft. In the open configuration, the at least one grasper arm may be engaged with tissue wall to manipulate or move the tissue wall, such as to move a distal tissue wall closer to a proximal tissue wall. The tissue grasper assembly may be deployable (such as by being separated from the shaft), such as to remain in place holding two tissue walls in apposition.

Abstract: A medical dispensing device which includes a catheter, an applicator tip at a distal end of the catheter, the catheter and the applicator tip defining a lumen having a longitudinal axis and a distal opening, a plunger in the lumen and movable along the longitudinal axis, and a plurality of elements in the lumen proximal to the distal opening and distal to the plunger, the plurality of elements stacked along the longitudinal axis for dispersement of one element at a time through the distal opening via a force applied by the plunger.

Abstract: An accessory device for an endoscope includes a cap attached to a shaft of the endoscope, the cap extending along a first axis, a first tip coupled to the cap and movable relative to the cap between a deployed configuration and a non-deployed configuration, and a first shaft defining a lumen and extending proximally from the first tip. In the deployed configuration, the first tip extends along a second axis that is offset from the first axis, and in the non-deployed configuration, the first tip extends along a third axis that is offset from the first axis.

Abstract: A clipping system includes an adapter, a clip and a first extending member. The clip includes first and second jaws which are movable between an insertion configuration and an initial deployed configuration. The jaws are biased toward the initial configuration. The first member is releasably coupled to the clip and movably connected to the adapter. The first member includes a distal end releasably coupled to the first jaw such that longitudinal movement of the first member relative to the adapter moves the clip between the insertion configuration, the initial configuration and a review configuration. The first member is operable to retract the clip proximally over the adapter so that the clip is forced open as the clip is retracted over the adapter. A first releasable link connects the first member to the clip and releases when the first member is subject to a force exceeding a predetermined threshold value.

Abstract: A locator system deployable at a target site in a first anatomical structure and identifiable from within a second anatomical structure. The locator system includes a signal generator and a tissue-engagement member. The tissue-engagement member engages tissue at the target site so that a delivery system may deliver the locator system and be withdrawn without disturbing the position of the locator system with the tissue-engagement member engaging tissue at the target site. The signal generator may be powered by a wireless energy source, such as a battery, or radio waves. The locator system may be deployed at a target site within a patient's intestines, and identified from within the patient's stomach to create an anastomosis between the stomach and the target site.

Abstract: A locator system deployable at a target site in a first anatomical structure and identifiable from within a second anatomical structure. The locator system includes a signal generator and a tissue-engagement member. The tissue-engagement member engages tissue at the target site so that a delivery system may deliver the locator system and be withdrawn without disturbing the position of the locator system with the tissue-engagement member engaging tissue at the target site. The locator system may be deployed at a target site within a patient's intestines, and identified from within the patient's stomach to create an anastomosis between the stomach and the target site.

Abstract: A clipping system includes a clip, a core member and a control member. The clip includes a capsule extending longitudinally from a proximal end to a distal end and including a channel extending therethrough, and clip arms. Proximal ends of the arms are slidably received within the channel to move the arms between open and closed configurations. The core member is received between and connected to the proximal ends of the arms to couple the arms to one another. The core member includes a locking feature movable between unlocked and locked configurations. The control member extends through a proximal portion of the system from a proximal end to an enlarged distal end housed within a proximal portion of the core member so that a longitudinal movement of the control member relative to the capsule moves the clip between the open and closed configurations.

Abstract: A medical dispensing device which includes a catheter, an applicator tip at a distal end of the catheter, the catheter and the applicator tip defining a lumen having a longitudinal axis and a distal opening, a plunger in the lumen and movable along the longitudinal axis, and a plurality of elements in the lumen proximal to the distal opening and distal to the plunger, the plurality of elements stacked along the longitudinal axis for dispersement of one element at a time through the distal opening via a force applied by the plunger.

Abstract: A medical dispensing device which includes a catheter, an applicator tip at a distal end of the catheter, the catheter and the applicator tip defining a lumen having a longitudinal axis and a distal opening, a plunger in the lumen and movable along the longitudinal axis, and a plurality of elements in the lumen proximal to the distal opening and distal to the plunger, the plurality of elements stacked along the longitudinal axis for dispersement of one element at a time through the distal opening via a force applied by the plunger.

Abstract: The present disclosure relates generally to positioning elongate members at a target site within a body lumen, such as for acquiring a biopsy from a peripheral airway. Some embodiments are particularly directed to an elongate member with an embedded transducer positioned at a predefined rotational angle with respect to a projected position of an instrument extended out of a distal opening of a first lumen in the elongate member. In many such embodiments, a rotational transducer may be positioned within a second lumen in the elongate member to generate a radial image including indicia of the embedded transducer. Accordingly, an operator may determine a projected position of the instrument prior to extending the instrument out of the lumen. In several embodiments, the embedded transducer may include a forward imaging transducer, such as a fiber optic.

Abstract: A device includes a housing having a first opening for receiving tissue therein and a distal head disposed at least partly within the housing. The distal head is configured to rotate about a longitudinal axis of the distal head. The device also includes a first holding member coupled to the housing and a second holding member coupled to the distal head. The first and second holding members are configured so that rotating the distal head stretches a first ligation band coupled to the first and second holding members, permitting tissue drawn into the first opening to pass through an opening of the first ligation band.

Abstract: A tissue-manipulating system including a tissue-manipulating device having shaft and a tissue grasper assembly. The tissue grasper assembly has at least one grasper arm resiliently expandable from a closed configuration, within and extending along the longitudinal axis of a shaft, to an open configuration outside the shaft with the grasper arm expanded in a direction transverse to the longitudinal axis of the shaft. In the open configuration, the at least one grasper arm may be engaged with tissue wall to manipulate or move the tissue wall, such as to move a distal tissue wall closer to a proximal tissue wall. The tissue grasper assembly may be deployable (such as by being separated from the shaft), such as to remain in place holding two tissue walls in apposition.

Abstract: A tissue-manipulating system including a tissue-manipulating device having a tissue grasper assembly with at least one grasper arm movably coupled to a shaft to move between a closed configuration and an open configuration. The at least one grasper arm may be pivotably coupled to the shaft, such as via a collar. A tissue-manipulating device controller is coupled to the tissue grasper assembly to move the at least one grasper arm between the closed and open configurations. The tissue grasper assembly is positionable to move a distal tissue wall closer to a proximal tissue wall. The tissue grasper assembly may be deployable (such as by separating from the shaft) to remain in place holding the distal tissue wall and proximal tissue wall in apposition.

Abstract: A medical device includes a longitudinal portion with one or more tubes, a distal portion with one or more arms, and one or more actuation mechanisms. The one or more arms each includes an arm lumen. Each arm lumen is connected to a respective tube, and at least one of the longitudinal portion and the distal portion is configured to be coupled to a distal end of an insertion device. The one or actuation mechanisms are movable to transition one or more arms from a closed configuration to an open configuration.