Abstract: Hand-operated suction and irrigation medical devices are provided. An example medical device comprises a housing having a proximal end and a distal end. The housing defines first and second inlet paths and an outlet path. A first tubular member is partially disposed within the first inlet path and a second tubular member is partially disposed within the second inlet path. Each of the first and second tubular members extends from the proximal end of the housing. A third tubular member is partially disposed within the outlet path and extends from the distal end of the housing. A control member is slidably disposed on the housing and is movable between a first, proximal position and a second, distal position. A passageway provides fluid communication between the first inlet path and an opening to an environment external to the housing such that covering the opening provides control over the flow of fluid through the first inlet path and the first tubular member.

Abstract: Tissue fixation systems, delivery tools, kits that include a tissue fixation system, and methods of treatment that use a tissue fixation system are described herein. An example embodiment of a tissue fixation system includes an anchor, a set screw, and a tissue manipulator. The anchor has a shaft and a head attached to the shaft. The set screw is partially disposed within a passageway defined by the anchor and is moveable between a first position and a second position. The tissue manipulator is partially disposed within the passageway defined by the anchor and is removable from the anchor when the set screw is in the first position and is releasably attached to the anchor when the set screw is in the second position.

Abstract: Tissue fixation systems and associated methods and kits are described herein. An example embodiment of a tissue fixation system includes a locking screw and a tissue manipulator. The locking screw has a locking screw lengthwise axis and a locking screw main body that defines a locking screw exterior thread that extends in a first direction around the locking screw lengthwise axis and a locking screw interior thread that extends in a second direction around the locking screw lengthwise axis that is the same as the first direction. The tissue manipulator has a tissue manipulator lengthwise axis, a shaft, and a coil. The shaft has a shaft main body that defines a shaft exterior thread that extends in a third direction around the tissue manipulator lengthwise axis that is the same as the first direction. The coil extends from the shaft in a fourth direction around the tissue manipulator lengthwise axis that is different than the first direction.

Abstract: Tissue fixation systems and tissue manipulators are described herein. In addition, methods of using a tissue fixation system and a tissue manipulator, methods of manufacturing a tissue manipulator, and kits that include a tissue fixation system and a tissue manipulator are described herein. An example embodiment of a tissue fixation system includes a mounting plate, a mounting jaw releasably attached to the mounting plate, a mounting clamp releasably attached to the mounting plate, and a plurality of fasteners.

Abstract: Hand-operated suction and irrigation medical devices are provided. An example medical device comprises a housing having a proximal end and a distal end. The housing defines first and second inlet paths and an outlet path. A first tubular member is partially disposed within the first inlet path and a second tubular member is partially disposed within the second inlet path. Each of the first and second tubular members extends from the proximal end of the housing. A third tubular member is partially disposed within the outlet path and extends from the distal end of the housing. A control member is slidably disposed on the housing and is movable between a first, proximal position and a second, distal position. A passageway provides fluid communication between the first inlet path and an opening to an environment external to the housing such that covering the opening provides control over the flow of fluid through the first inlet path and the first tubular member.

Abstract: Valve devices for selectively controlling fluid flow through multiple converging paths are described. An example valve device comprises a housing defining first and second inlet paths, an outlet path, a junction in fluid communication with the first and second inlet paths and the outlet path, and first and second plunger cavities. A first movable plunger is disposed in the first plunger cavity and a second movable plunger is disposed in the second plunger cavity. A control member is slidably attached to the housing and is movable between a first, proximal position with the first plunger in a first position to impede fluid flow through the first inlet path and the second plunger is in a second position, and a second, distal position with the first plunger in a second position and the second plunger in a first position to impede fluid flow through the second inlet path.

Abstract: Valve devices for selectively controlling fluid flow through multiple converging paths are described. An example valve device comprises a housing defining first and second inlet paths, an outlet path, a junction in fluid communication with the first and second inlet paths and the outlet path, and first and second plunger cavities. A first movable plunger is disposed in the first plunger cavity and a second movable plunger is disposed in the second plunger cavity. A control member is slidably attached to the housing and is movable between a first, proximal position with the first plunger in a first position to impede fluid flow through the first inlet path and the second plunger is in a second position, and a second, distal position with the first plunger in a second position and the second plunger in a first position to impede fluid flow through the second inlet path.

Abstract: Valve devices for selectively controlling fluid flow through multiple converging paths are described. An example valve device comprises a housing defining first and second inlet paths, an outlet path, a junction in fluid communication with the first and second inlet paths and the outlet path, and first and second plunger cavities. A first movable plunger is disposed in the first plunger cavity and a second movable plunger is disposed in the second plunger cavity. A control member is slidably attached to the housing and is movable between a first, proximal position with the first plunger in a first position to impede fluid flow through the first inlet path and the second plunger is in a second position, and a second, distal position with the first plunger in a second position and the second plunger in a first position to impede fluid flow through the second inlet path.

Abstract: A stent arrangement (12) and a stent graft (2) for curved lumens of the body. The stent graft has a tubular body (4) of a graft material, at least a portion of which may be arcuate to define an inner curved side (4b) and an outer curved side (4a) at least when deployed into the curved vessel. The stent graft has a plurality of self expanding stents (10, 12, 13) affixed thereto with a greater distance (11a) between the stents on the outer curved side than on the inner curved side. The stents can be normal, tapered on one or both ends or skewed. When mounted onto a deployment device a twist (152, 154) may be provided in the graft material between adjacent stents to nest the stents.

Abstract: A wire guide includes at least one body portion and a threaded hermaphroditic connector at an end of the at least one body portion adapted to threadably engage a second substantially identical threaded hermaphroditic connector.

Abstract: A coupling wire guide structured to be slidably coupled to a previously introduced wire guide. The coupling wire guide includes a main body and a coupling tip, the coupling tip having first and second sections. The first section is connected to the main body, while the second section defines an axial passageway having a distal opening and a proximal opening. The axial passageway is sized to receive the previously introduced wire guide therein. Both a distal portion of the main body and the first section are constructed of nitinol, the distal portion and the first section being welded together using the native nitinol material of the distal portion and first section.

Abstract: An endovascular device tip assembly and method of making the same, incorporating a radiopaque marker usable with catheters and other suitable endovascular devices is provided. The tip assembly incorporates a radiopaque marker device by providing a counterbore within a primary bore of a tubular tip of an endovascular device. The marker device is fitted securely within the counterbore and the tubular tip is further deformed distally of the marker in order to secure the marker within the device.

Abstract: An intraluminal medical device including at least one radiopaque marker is described. The radiopaque marker includes an eyelet having a thickness and an opening extending through the thickness from a first side to a second side. The opening is defined by at least an inclined surface generally facing toward the first side and a recessed region generally facing toward the second side. The recessed region is disposed about only a portion of a perimeter of the opening. A radiopaque rivet is disposed within the opening. The radiopaque rivet includes a first portion engaging the inclined surface and a second portion engaging the recessed region.

Abstract: An implant retrieval frame for advancement of a retrieval device to snare an implant is disclosed. The frame comprises a first arm and a second arm. The first arm has a first handle end and a first pivot end. The second arm has a second handle end and a second pivot end. The second pivot end is connected to the first pivot end to define a pivot axis about which the first and second arm pivotally move. The frame further comprises a connector to which the retrieval device is attached. The connector is configured to cooperate with the first and second arms to translate pivotal movement of one of the first and second arms to linear movement of the retrieval device relative to the pivot point.

Abstract: A coupling wire guide for intracorporeal procedures that may be coupled to a previously introduced wire guide, thereby permitting introduction of the coupling wire guide separately and identically in a manner that is both reliable as well as traceable. One embodiment of the wire guide includes a main body having a distal end and a tip portion connected to the distal end of the main body. The tip portion defines an axial passageway having a distal opening and a proximal opening, the passageway being sized to receive a second wire guide therein. The tip portion includes a linking member connected to the distal end of the main body to provide a secure connection between the distal end of the main body and the tip portion.

Abstract: A coupling wire guide structured to be slidably coupled to a previously introduced wire guide. The coupling wire guide generally includes a main body having a distal end and a coupling tip connection to the distal end. The coupling tip includes a coupling portion defining a coupling passageway having a proximal port and a distal port. A slot is formed in the coupling tip and is in communication with the coupling passageway. The slot extends from the proximal port to the distal port, thereby permitting the coupling wire guide to be “clipped-on” to the mid-section of the previously introduced wire guide or any location having the most efficacy.

Abstract: A coupling wire guide is structured to be slidably coupled to a previously introduced wire guide, and is also well suited for stand-alone use. The coupling wire guide generally includes a main body having a distal end and a coupling tip connection to the distal end. The coupling tip includes a coupling portion and a tip portion. The coupling portion defines a coupling passageway having a proximal port and distal port for receiving a previously introduced wire guide. The tip portion includes a distal end surface having an atraumatic shape.

Abstract: A coupling wire guide structured to be slidably coupled to a previously introduced wire guide. The coupling wire guide includes a main body having a distal section. The distal section includes an outer wire disposed over a safety wire. A loop wire is connected to the safety wire at two axially spaced points. At least a portion of the loop wire is positioned outside of the outer wire to define a loop area sized to receive the previously introduced wire guide.

Abstract: A wire guide includes identification features for distinguishing between other introduced wire guides. The wire guide includes a main body having a proximal portion. An identification section is formed at the proximal portion and includes a marker for identifying the wire guide. Preferably, the marker is a surface that can be identified visually, tactilely or visually and tactilely.

Abstract: A coupling wire guide generally includes a main body defined by a first wire wound around a safety wire. A first loop is defined by an enlarged revolution of the first wire within a distal portion of the main body. The first loop is sized to receive a previously introduced wire guide for coupling the two wire guides.