Abstract: A suture clip includes a disc body having at least two adjacent portions joined by a hinge at one end and a latch at another end. Suture engagement surfaces are formed on a first and second portion of the disc body so that the first and second suture engagement surfaces can close sufficiently tightly to immobilize a pair of suture lengths therebetween when the two portions are closed and held together by the latch. A suture clip applier holds a plurality of such suture clips typically in a magazine, an open configuration where the suture engagement surfaces are held apart. Single suture clips are advanced by an advancement mechanism over a pair of suture ends having a midsection in tissue. A closing mechanism closes and latches the first and second portions of the disc body together to capture the pair of suture ends therebetween.

Abstract: A suture clip includes a disc body having at least two adjacent portions joined by a hinge at one end and a latch at another end. Suture engagement surfaces are formed on a first and second portion of the disc body so that the first and second suture engagement surfaces can close sufficiently tightly to immobilize a pair of suture lengths therebetween when the two portions are closed and held together by the latch. A suture clip applier holds a plurality of such suture clips typically in a magazine, an open configuration where the suture engagement surfaces are held apart. Single suture clips are advanced by an advancement mechanism over a pair of suture ends having a midsection in tissue. A closing mechanism closes and latches the first and second portions of the disc body together to capture the pair of suture ends therebetween.

Abstract: Embodiments of the present disclosure include, for example, an embolic protection system (EPS) including an inner-body having a body diameter and a distal section, and an expandable filter arranged on or adjacent at least the distal section of the inner-body. The filter is configured to include a plurality of pores, sized to allow the flow of the blood with limited interruption and capture of emboli greater than the pore size. Such embodiments may also include an expandable introducer sheath/sleeve having a sheath diameter configured to accommodate the inner-body and filter, including the distal portion, when unexpanded, as well as a tear-away (TA) sleeve having a sleeve diameter configured to accommodate the introducer sheath containing the inner-body and filter when unexpanded.

Abstract: A pericardial access device includes an outer tube, an inner tube, a pericardial interface structure, and an access needle. The inner tube is axially, slidably received in an axial passage of the outer tube. The pericardial interface structure is disposed on a distal end of the inner tube and has a plurality of tissue-engaging tines which deploy from a constrained configuration to a deployed configuration as the inner tube is advanced distally through the outer tube. The plurality of tissue-engaging tines has been adapted to engage the parietal pericardium to draw the parietal pericardium away from the visceral pericardium to enlarge a pericardial space to improve access. Alternatively the plurality of tines can be adapted to atraumatically engage the parietal pericardium to reduce the risk of advancing a cannula having a tissue-penetrating distal end. The access needle has a tissue-penetrating tip on a distal end thereof and is slidably received in an axial passage of the inner tube.

Abstract: A suture clip includes a disc body having at least two adjacent portions joined by a hinge at one end and a latch at another end. Suture engagement surfaces are formed on a first and second portion of the disc body so that the first and second suture engagement surfaces can close sufficiently tightly to immobilize a pair of suture lengths therebetween when the two portions are closed and held together by the latch. A suture clip applier holds a plurality of such suture clips typically in a magazine, an open configuration where the suture engagement surfaces are held apart. Single suture clips are advanced by an advancement mechanism over a pair of suture ends having a midsection in tissue. A closing mechanism closes and latches the first and second portions of the disc body together to capture the pair of suture ends therebetween.

Abstract: Embodiments of the present invention generally relate to epicardial heart rhythm management. In some embodiments a method is provided for managing heart rhythm by implanting a pa device within the pericardial space of a patient. In some embodiments, an implantable device is provided for pacing the epicardial surface of a patient. The device may include a first module coupled to a second module by a tether. The first and second modules may be selectively placed for bi-ventricular pacing or for dual chamber pacing in some embodiments. Optionally the modules may be separate and may wirelessly communicate with one another and may also communicate with a heart stimulation device programmer. Optionally, a plurality of devices may be implanted in the pericardial space. A delivery device for delivering the implantable device to the pericardial space is also provided. Further embodiments provide implant retrieval devices and methods.

Abstract: Embodiments of the present invention generally relate to epicardial heart rhythm management. In some embodiments a method is provided for managing heart rhythm by implanting a pacing device within the pericardial space of a patient. In some embodiments, an implantable device is provided for pacing the epicardial surface of a patient. The device may include a first module coupled to a second module by a tether. The first and second modules may be selectively placed for bi-ventricular pacing or for dual chamber pacing in some embodiments. Optionally the modules may be separate and may wirelessly communicate with one another and may also communicate with a heart stimulation device programmer. Optionally, a plurality of devices may be implanted in the pericardial space. A delivery device for delivering the implantable device to the pericardial space is also provided. Further embodiments provide implant retrieval devices and methods.