Abstract: A tissue clip application fitting set or retrofitting set includes a cap attachment for placement on the distal head of a medical endoscope, which has a placement section and a tissue clip holding section. The cap attachment is notched at least at two angular positions forming at least two notches/slots/grooves. A working channel leads into the hollow chamber and exits the hollow chamber radially in a region distal to the placement section and proximal to the radially supported tissue clip. A first guiding or leading element is arranged after the working channel belonging to the retrofitting set, as seen in the distal direction. A corresponding second guiding or leading element is arranged within the hollow chamber at an angular distance from the first guiding or leading element so as to be oriented in extension to a working channel belonging to the endoscope.

Abstract: An endoscopic capsule system comprising: an endoscopic capsule having magnetic characteristics; an extracorporeal guiding and moving apparatus having a moveable multi-hinged cantilever arm which is pivotably mounted at a support stand at one end and at an effector having magnetic characteristics at the other end to move the endoscopic capsule in accordance with movement of the effector; a controller device to define the position and orientation of the endoscopic capsule relative to the effector, and a force and/or moment generation device or a braking device to generate counter forces and/or counter moments or braking forces against moving and/or guiding forces that are manually applied to the cantilever arm and/or effector in accordance with the actually defined position and/or orientation of the endoscopic capsule relative to the effector.

Abstract: The present invention is directed to an endoscopic implant cutting and/or fragmenting apparatus of the bipolar type, operating on direct current, comprising an endoscope instrument having at least two opposing electrodes at its distal instrument head forming a cutting gap inbetween for receiving an electrically conductive implant or implant section to generate punctiform physical contact with the implant, and a DC-impulse generator connected to a control device adapted to generate a direct current in a pulsed way such that in a first phase of physical contact, the current pulse is adjusted to induce electric energy into the implant material being sufficient to melt the implant material exclusively in the area of the contact portion and in a second phase of physical noncontact, the current pulse is adjusted to generate an electric arc between at least one electrode and the melted implant material being sufficient to cut the melted implant material.

Abstract: A partly resorbable tissue clip for stapling tissue includes at least one gripping tooth that grips the tissue, at least one force deflecting element that is equipped with at least one gripping tooth, and at least one spring element that is connected to the at least one force deflecting element. The at least one gripping tooth or a portion of the at least one force deflecting element or of at least one of the force deflecting elements is made of bioresorbable material.

Abstract: A tissue clip application fitting set or retrofitting set includes a cap attachment for placement on the distal head of a medical endoscope, which has a placement section and a tissue clip holding section. The cap attachment is notched at least at two angular positions forming at least two notches/slots/grooves. A working channel leads into the hollow chamber and exits the hollow chamber radially in a region distal to the placement section and proximal to the radially supported tissue clip. A first guiding or leading element is arranged after the working channel belonging to the retrofitting set, as seen in the distal direction. A corresponding second guiding or leading element is arranged within the hollow chamber at an angular distance from the first guiding or leading element so as to be oriented in extension to a working channel belonging to the endoscope.

Abstract: The present invention is directed to an endoscopic implant cutting and/or fragmenting apparatus of the bipolar type, operating on direct current, comprising an endoscope instrument having at least two opposing electrodes at its distal instrument head forming a cutting gap inbetween for receiving an electrically conductive implant or implant section to generate punctiform physical contact with the implant, and a DC-impulse generator having or connected to a control device adapted to generate a direct current in a pulsed way being controlled by the control device such that in a first phase of physical contact, the current pulse is adjusted preferably by controlling the current value at the electrodes to induce electric energy into the implant material being sufficient to melt the implant material exclusively in the area of the contact portion and in a second phase of physical noncontact, the current pulse is adjusted preferably by controlling the voltage value at the electrodes to generate an electric arc betwe

Abstract: The invention relates to a partly resorbable tissue clip for stapling tissue, comprising at least one gripping tooth that grips the tissue, at least one force deflecting element that is equipped with at least one gripping tooth, and at least one spring element that is connected to the at least one force deflecting element; the at least one gripping tooth or a portion of the at least one force deflecting element or of at least one of the force deflecting elements is made of bioresorbable material.

Abstract: Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers, a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.

Abstract: Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers, a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.

Abstract: An implantable medical electrode device, in particular a cardiovascular cardiac pacemaker or defibrillator electrode device, comprises an elongate, tubular electrode body (2), a fixing zone (4) in front of the distal end (3) of the electrode body (2), in which the externally closed peripheral envelope (8) of the electrode body (2) is reversibly expandable into a body lumen (27) for detachable fixing of the electrode device (1), and an expansion apparatus, situated in the fixing zone (4), for controlling the expansion and contraction in the fixing zone (4).

Abstract: A device for stimulating a living being having proximal end having an electrical connection to an implantable medical device; having an oblong medial section having a first external diameter, which has at least one first dielectric outer envelope, at least one electrical conductor, at least one electrical stimulation and/or measurement means on the distal end; having distal section having a second outer diameter, which has at least one second dielectric outer envelope and at least one electrical conductor; having distal end having at least one electrical stimulation and/or measurement means; and having a lumen running in the longitudinal direction at least through the proximal end and the medial section. The first external diameter is isodiametric to the second external diameter, the first dielectric outer envelope has the same material properties as the second dielectric outer envelope, and the medial section has a lesser flexibility than the distal section.

Abstract: An electrode device for physiological use, in particular in cardiology, that has an electrically insulating, elastic electrode body which, between internal and external layers (1, 2), has an intermediate layer (3) tailored to their physical properties.

Abstract: An insertion aid for medical instruments includes a shaft having a proximal end, a distal end, and a bending part, and a tension element for actuating the bending part. The bending part includes structures which allow a bending in at least one desired direction different from an extension direction of the shaft. The shaft further comprises an outer tube element and an inner tube element supported in the outer tube element so as to be axially movable. The tension element is hinged to one of the inner and outer tube elements and the bending part is provided at a distal end of the other of the inner and outer tube elements.

Abstract: An implantable medical electrode device, in particular a cardiovascular cardiac pacemaker or defibrillator electrode device, comprises an elongate, tubular electrode body (2), a fixing zone (4) in front of the distal end (3) of the electrode body (2), in which the externally closed peripheral envelope (8) of the electrode body (2) is reversibly expandable into a body lumen (27) for detachable fixing of the electrode device (1), and expansion means, situated in the fixing zone (4), for controlling the expansion and contraction in the fixing zone (4).

Abstract: A device for stimulating a living being having a proximal end having means for the electrical connection to an implantable medical device; having an oblong medial section having a first external diameter, which has at least one first dielectric outer envelope, at least one electrical conductor, and at least one electrical stimulation and/or measurement means on the distal end; having a distal section having a second outer diameter, which has at least one second dielectric outer envelope and at least one electrical conductor; having a distal end having at least one electrical stimulation and/or measurement means; and having a lumen running in the longitudinal direction at least through the proximal end and the medial section. The first external diameter is isodiametric to the second external diameter, the first dielectric outer envelope has the same material properties as the second dielectric outer envelope, and the medial section has a lesser flexibility than the distal section.

Abstract: The present invention relates to a medical device for changing the shape of hollow organs in the human body, comprising at least one issue clamp, clip or anchor, which can be fixed to the organ tissue by means of a clamping or hooking-in action in order to provide a fixation point or a point of transmission of force in the organ. The clip or anchor has a receiving-element portion or hooking-in device for a flexible band, wire or tube, by means of which a force causing the change in shape can be applied to the organ at least partially via the clip.

Abstract: Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers, a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.

Abstract: Describeed is a full-thickness resection system which includes a control unit coupled to a proximal end of a flexible endoscope. The control unit remains outside of a body when the stapling head is in an operative position within a body lumen. The control unit includes (i) an anvil actuator coupled to an anvil in the stapling head, actuation of the anvil actuator moves the anvil axially relative to a stapling mechanism in the stapling head to compress a folded full-thickness portion of lumenal tissue between the anvil and the stapling mechanism. In addition, the control unit includes (ii) a stapler actuator coupled to the stapling mechanism in the stapling head, actuation of the stapler actuator causing the stapling mechanism to drive staples through the folded lumenal tissue against the anvil.

Abstract: The present invention describes a medical implant for treating pathological obesity, which is adapted to modify and, as an alternative, to bypass the natural food passage in the digestive tract. In contrast to purely surgical methods of food bypassing, the properties of the present implant permit an adjustable bypassing of food into the small intestine and/or into the stomach (natural digestive path). Since the ratio of this bypass is adjustable in the course of the treatment by the physician, e.g. with the aid of an endoscope, for the first time a balance between the therapeutic effect and the side-effects can be adapted individually to each patient by the use of the implant. The present invention is a hollow body 1 comprising a first and a second tubular end portion 2, 3 and at least one third lateral opening having a hose-like extension 8. It is provided that individual, at least partly closable hose-like extensions 8 differ in their ability to allow the passage of food into the stomach 11.

Abstract: The ability of a person to grasp an object and at the same time to feel, as well as to determine mechanical and geometric parameters of the comprehended object, makes him or her irreplaceable for many tasks, i.e. in production or in surgery. The translation of this ability into a technological system has often failed up to now due to lack of special adjusted sensors. The object of this invention is a sensory device, which fulfills the requirements for a tactile sensor system and at the same time affords a cost-effective and simple manufacturing alternative to other sensor principles. The layer structure of the sensor element is so constructed that by effect of an external force of the current by a resistive layer a path is disposed to narrowing or enlargement. The voltage drop over this resistive layer is dependent upon the acting external force and serves as signal sensor.