Abstract: Disclosed is a hemodynamic monitoring system, and method and associated harness device. The method and system are configured to allow a user that has received a permanent sensing implant within their vasculature to place a reader device in a hands free manner in communication with the implant through the chest of the user to measure at least one hemodynamic parameter such as pulmonary artery pressure. The reader device may be worn by the patient with a harness device to be configured to wirelessly communicate with said implant when the patient is in a specific patient state, such as resting, exercising, recovering, seated, or supine. The reader may be configured to take measurements from the implant when the patient is in the specific patient state, in order to acquire data from said implant related to said parameter and to upload said data to an external device.

Abstract: The present disclosure relates to various anchoring assemblies, systems, and methods for a catheter delivered device or otherwise implantable biomedical sensors. In one instance the anchoring systems of the present disclosure are designed to be used in connection with a biomedical sensor configured to be placed in the various locations within the anatomy of a patient including: a junction of a renal vein and an inferior vena cava, a junction of a jugular vein branch and a subclavian vein branch, a junction of a brachiocephalic vein branch and a superior vena cava, or a junction of an iliac vein branch and an inferior vena cava. In one embodiment, an biomedical sensor and anchoring system can be implanted in an organ of a patient or in an organ to be transplanted within a patient.

Abstract: A rongeur includes a device body having a first arm and a second arm slidably coupled to the first arm. A handle operatively coupled to the first arm and the second arm is configured to move the second arm along a length of the first arm in a first direction and an opposing second direction. A tip assembly is removably coupled to a distal end of the device body. The tip assembly includes a first tip and a second tip slidably coupled to the first tip. A locking mechanism is configured to removably couple the first tip to the first arm and removably couple the second tip to the second arm. The second tip is movable with respect to the first tip from an open position toward a closed position as the second arm moves in the first direction.

Abstract: An adjustable retractor blade and retractor system are disclosed. The retractor blade includes a fixed portion, extendible portion, and means for adjusting the length of the retractor blade. The means for adjusting may include a threaded rod engaging the fixed portion with the extendible portion. In one aspect, the extendible portion includes a plurality of stackable members, with the length of the adjustable blade adjusted by attaching stackable members. In one aspect, the fixed portion includes a plurality of holes, and the extendible portion includes at least one post, the plurality of holes configured to receive the at least one post, with the length of the adjustable blade adjusted by slidably displacing the extendible portion until the at least one post engages with at least one of the plurality of holes. Methods are provided for adjusting the length of a retractor blade.

Abstract: An adjustable length laparoscopic instrument is provided. The instrument includes a shaft with a shaft distal end and a shaft proximal end. The instrument further includes an actuation rod with an actuation rode distal end and an actuation rod proximal end. The actuation rod is receivable by the shaft such that the actuation rod can translate longitudinally relative to the shaft to actuate an end effector. The instrument further includes a handle configured to hold the shaft and the actuation rod. The handle is configured to cause the actuation rod to translate longitudinally relative to the shaft to actuate the end effector. The instrument further includes a length adjustment mechanism configured to adjust a shaft length. The shaft length is defined between the handle and the shaft distal end.

Abstract: A trocar assembly includes a cannula having a proximal portion and an opposing distal portion. The distal portion is configured to extend into a patient body. The cannula defines an access channel between the proximal portion and the distal portion, wherein the access channel is configured to receive a scope such that the scope can be maneuvered through the access channel to a location within the patient body. A cleaning element at the distal portion is configured to contact at least a distal end of the scope.

Abstract: A trocar assembly with an integrated scope-cleaning structure may have a proximal portion configured for accessibility by a user and a cannula extending distally from the proximal portion and configured to extend distally into a patient body, where the cannula is further configured to receive a distal end of a scope such that the scope can be maneuvered through the cannula to a location within the patient body. A cleaning element may be included, where the proximal portion includes a housing, where the cleaning element is substantially located within the housing.

Abstract: Provided are various embodiments of improvements made to methods, systems and assemblies of implant delivery systems and the associated implants. In one embodiment, provided is an implant delivery system comprising an implant, a first sheath and a second sheath each extending from a proximal end of said implant delivery system, the first sheath is translatable relative to said second sheath wherein said implant is connected to an exterior surface of said first sheath, and wherein said first sheath and said second sheath are movable with respect to one another to deploy said implant to a target site in an anatomy. Said delivery system may be configured to be partially inserted into a blood vessel of a human body such that said proximal end remains external to said body and said distal end is internal to said body.

Abstract: A catheter configured for partial implantation into a patient and drainage of a body cavity may be provided with microtextured surface on one or more inner diameter surfaces and/or outer diameter surfaces of the tubular catheter body. The microtexturing may include surface features dimensioned to inhibit colonization and/or migration of microbes. The microtexturing may also include channels or other recesses containing an antimicrobial agent such as chlorhexidine gluconate or any other effective antimicrobial agent.

Abstract: The present disclosure relates to a trocar assembly with an integrated scope-cleaning structure. The trocar assembly may include a housing defining boundaries of a chamber with (a) a proximal opening configured to receive a distal end of a scope, and (b) a distal opening in fluid and mechanical communication with a trocar cannula. The trocar assembly may further include a cleaning element located at least partially between the proximal opening and the distal opening, where the cleaning element is movable with respect to the housing from at least a first setting where a first portion of the cleaning element may be in a first location and may form a first cleaning surface within the chamber, the first cleaning surface configured to remove debris from a distal end of the scope when the distal end of the scope contacts the first portion of the cleaning element.

Abstract: The present disclosure relates to a trocar assembly with an integrated scope-cleaning structure. The trocar assembly may include a housing defining boundaries of a chamber with (a) a proximal opening configured to receive a distal end of a scope, and (b) a distal opening in fluid and mechanical communication with a trocar cannula. The trocar assembly may further include a cleaning element located at least partially between the proximal opening and the distal opening, where the cleaning element is movable with respect to the housing from at least a first setting where a first portion of the cleaning element may be in a first location and may form a first cleaning surface within the chamber, the first cleaning surface configured to remove debris from a distal end of the scope when the distal end of the scope contacts the first portion of the cleaning element.

Abstract: The present disclosure relates to a housing for a laparoscopic trocar assembly with an integrated scope-cleaning structure. The housing may include a shell forming a wall portion of a chamber and a cleaning element forming at least a portion of an internal surface of the chamber, the cleaning element configured to remove debris from a distal end of a scope upon contact between the cleaning element and the distal end of the scope. The cleaning element may be movable with respect to the shell of the housing in response to an input force upon the shell that moves a portion of the shell and a portion of the cleaning element between a default state and a displaced state.

Abstract: An adjustable length laparoscopic instrument is provided. The instrument includes a shaft with a shaft distal end and a shaft proximal end. The instrument further includes an actuation rod with an actuation rode distal end and an actuation rod proximal end. The actuation rod is receivable by the shaft such that the actuation rod can translate longitudinally relative to the shaft to actuate an end effector. The instrument further includes a handle configured to hold the shaft and the actuation rod. The handle is configured to cause the actuation rod to translate longitudinally relative to the shaft to actuate the end effector. The instrument further includes a length adjustment mechanism configured to adjust a shaft length. The shaft length is defined between the handle and the shaft distal end.

Abstract: The present disclosure relates to a trocar assembly with an integrated scope-cleaning structure. The trocar assembly may include a chamber with a proximal opening configured to receive a distal end of a scope. A cannula extend distally from the chamber and may be configured to extend distally into a patient body. The cannula may be further configured to receive the distal end of the scope such that the scope can be maneuvered through the cannula to a location within the patient body. The trocar assembly may include a cleaning element forming a surface within the chamber, where the surface of the cleaning element is configured to remove debris from at least one non-longitudinal, end-facing surface of the scope.

Abstract: An adjustable retractor blade and retractor system are disclosed. The retractor blade includes a fixed portion, extendible portion, and means for adjusting the length of the retractor blade. The means for adjusting may include a threaded rod engaging the fixed portion with the extendible portion. In one aspect, the extendible portion includes a plurality of stackable members, with the length of the adjustable blade adjusted by attaching stackable members. In one aspect, the fixed portion includes a plurality of holes, and the extendible portion includes at least one post, the plurality of holes configured to receive the at least one post, with the length of the adjustable blade adjusted by slidably displacing the extendible portion until the at least one post engages with at least one of the plurality of holes. Methods are provided for adjusting the length of a retractor blade.

Abstract: A rongeur includes a device body having a first arm and a second arm slidably coupled to the first arm. A handle operatively coupled to the first arm and the second arm is configured to move the second arm along a length of the first arm in a first direction and an opposing second direction. A tip assembly is removably coupled to a distal end of the device body. The tip assembly includes a first tip and a second tip slidably coupled to the first tip. A locking mechanism is configured to removably couple the first tip to the first arm and removably couple the second tip to the second arm. The second tip is movable with respect to the first tip from an open position toward a closed position as the second arm moves in the first direction.

Abstract: A trocar assembly with an integrated scope-cleaning structure may have a proximal portion configured for accessibility by a user and a cannula extending distally from the proximal portion and configured to extend distally into a patient body, where the cannula is further configured to receive a distal end of a scope such that the scope can be maneuvered through the cannula to a location within the patient body. A cleaning element may be included, where the proximal portion includes a housing, where the cleaning element is substantially located within the housing.

Abstract: A trocar assembly includes a cannula having a proximal portion and an opposing distal portion. The distal portion is configured to extend into a patient body. The cannula defines an access channel between the proximal portion and the distal portion, wherein the access channel is configured to receive a scope such that the scope can be maneuvered through the access channel to a location within the patient body. A cleaning element at the distal portion is configured to contact at least a distal end of the scope.

Abstract: A scope includes a housing having a distal portion with a distal end. A lens is at the distal end. A cleaning element is operatively coupled to the distal portion of the housing, wherein the cleaning element is movable between a first position and a second position contacting the distal end.

Abstract: The present disclosure relates to a trocar assembly with an integrated scope-cleaning structure. The trocar assembly may include a chamber with a proximal opening configured to receive a distal end of a scope. A cannula extend distally from the chamber and may be configured to extend distally into a patient body. The cannula may be further configured to receive the distal end of the scope such that the scope can be maneuvered through the cannula to a location within the patient body. The trocar assembly may include a cleaning element forming a surface within the chamber, where the surface of the cleaning element is configured to remove debris from at least one non-longitudinal, end-facing surface of the scope.