Abstract: One aspect of the invention is a method to vent gas from a body cavity during an endoscopic procedure. A body cavity is in fluid communication with an exhaust gas inlet of a vacuum break device. The vacuum break device has a chamber in fluid communication with both the inlet and an outlet. The chamber may comprise one or more openings in fluid communication with the atmosphere. A conduit in fluid communication with the exhaust gas outlet may be connected directly or indirectly to a suction source. The suction source may be activated.

Abstract: A personal feminine hygiene device includes a curvilinear frame. The curvilinear frame can include a plurality of disk members disposed around and extending from the curvilinear frame, wherein the larger diameter or radius disks can be disposed around an approximate midpoint of the curvilinear frame, and wherein the diameter or radius of the disks gradually decreases moving from the midpoint to the terminal ends of the curvilinear frame. The device can further include a bowl-shaped member extending from one end of the curvilinear frame and can include a series of slats formed therein. The bowl-shaped member can further include a cap at its anterior end terminating at a convex shaped tip especially configured to access the crease adjacent to the cervix where debris, e.g., mucous, tends to pool, while the slats and the disks assist in removing and containing debris from the vaginal and cervical walls.

Abstract: A pressure bandage includes a banding porting, at least one infiltration and at least one fixing member. The banding portion includes at least one recession formed in one side of the banding portion, at least one tube having first and second ends, and at least one check valve mounted in the second end of the tube. The first end of the tube is connected to the recession. The infiltration is coupled on the inner surface of the recession of the banding portion. The fixing member fixes the banding portion to a treatment part.

Abstract: The present invention relates to a disposable absorbent article, such as a diaper, training pants, adult incontinence article, having a specific topsheet with an opening to receive bowel movement waste (BM) and which is such that it masks the waste present underneath said topsheet. The topsheet is air permeable and it has a uniform pore size distribution with small pores only and it has a low surface energy and therefore an alcohol repellency of at least 7, typically at least 9 or even preferably 10.

Abstract: A medicament transport system includes a syringe adapter assembly; and a vial adapter assembly including a base defining an opening having a seal member disposed therewithin, a stem extending from the base and defining a lumen therethrough and an opening through a wall thereof, a needle shuttle valve slidably disposed within the lumen of the stem and supporting a transfer needle and a vacuum needle; and a vacuum cup slidably supported on the stem, wherein a vacuum chamber is defined in the space between the base, the stem and the vacuum cup. The medicament transport system includes a condition where the transfer needle and the vacuum needles penetrate the seal member of the vial adapter assembly, and the vacuum cup is moved to draw a vacuum through the vacuum needle. An automation system is provided that utilizes a medicament transport system for forming a medicament solution from a liquid/non-liquid solution.

Abstract: A medicament transport system includes a syringe adapter assembly; and a vial adapter assembly including a base defining an opening having a seal member disposed therewithin, a stem extending from the base and defining a lumen therethrough and an opening through a wall thereof, a needle shuttle valve slidably disposed within the lumen of the stem and supporting a transfer needle and a vacuum needle; and a vacuum cup slidably supported on the stem, wherein a vacuum chamber is defined in the space between the base, the stem and the vacuum cup. The medicament transport system includes a condition where the transfer needle and the vacuum needles penetrate the seal member of the vial adapter assembly, and the vacuum cup is moved to draw a vacuum through the vacuum needle. An automation system is provided that utilizes a medicament transport system for forming a medicament solution from a liquid/non-liquid solution.

Abstract: A medicament transport system includes a syringe adapter assembly; and a vial adapter assembly including a base defining an opening having a seal member disposed therewithin, a stem extending from the base and defining a lumen therethrough and an opening through a wall thereof, a needle shuttle valve slidably disposed within the lumen of the stem and supporting a transfer needle and a vacuum needle; and a vacuum cup slidably supported on the stem, wherein a vacuum chamber is defined in the space between the base, the stem and the vacuum cup. The medicament transport system includes a condition where the transfer needle and the vacuum needles penetrate the seal member of the vial adapter assembly, and the vacuum cup is moved to draw a vacuum through the vacuum needle. An automation system is provided that utilizes a medicament transport system for forming a medicament solution from a liquid/non-liquid solution.

Abstract: A modular external infusion device that controls the rate a fluid is infused into an individual's body, which includes a first module and a second module. More particularly, the first module may be a pumping module that delivers a fluid, such as a medication, to a patient while the second module may be a programming module that allows a user to select pump flow commands. The second module is removably attachable to the first module.

Abstract: A system is provided for performing injections in the ventricle of a patient. The system includes an injection catheter with a proximal and distal end. Importantly, a flexible array is mounted at the distal end of the injection catheter and is moveable between a protective configuration and a flared configuration. Also, a needle of variable length is mounted on the distal end of the injection catheter and is covered by the flexible array when the array is in its protective configuration. In order to manipulate the flexible array, a locking mechanism is mounted on the proximal end of the injection catheter for engagement with the flexible array. When selectively operated, the locking mechanism moves the array from its protective configuration to the flared configuration, holds the array in its flared configuration for an injection, and subsequently moves the array back to its protective configuration.

Abstract: Apparatus is provided that includes a swallowable medical treatment device, which is configured to initially assume a contracted state having a volume of less than 4 cm3. The device includes a gastric anchor, which initially assumes a contracted size, and which is configured to, upon coming in contact with a liquid, expand sufficiently to prevent passage of the anchor through a round opening having a diameter of between 1 cm and 3 cm. The device also includes a duodenal unit, which is configured to pass through the opening, and which is coupled to the gastric anchor such that the duodenal unit is held between 1 cm and 20 cm from the gastric anchor. Other embodiments are also described.

Abstract: A luer connector assembly is provided for enhancing the frictional engagement between medical devices such as syringes and needle assemblies. The assembly needle includes a female luer fitting having a passageway and a relatively soft, resilient member bounding the passageway. The passageway is also bounded by the body of the fitting, which is harder than the soft, resilient member. A male luer fitting inserted into the passageway engages both the soft, resilient member and the body of the female luer fitting. A method of manufacturing such a connector assembly is further provided. A first material is injected into a mold to form the body of a female luer fitting, the fitting including a passageway and a recess extending into the body. A second material is then injected such that it extends into the recess and bounds the passageway. The second material, when cool, is softer than the first material.

Abstract: When a patient is fitted with an external gastrostomy connection to the stomach, ingested food can be removed through the gastrostomy connection using a pump-based or siphon-based system to achieve weight loss. The process of removing ingested food can be improved by alternating the infusion of liquid into the stomach with the removal of material from the stomach. Optionally, stomach acid may be captured and returned to the stomach. Optionally, nutritional supplements or medicines may be added to the infused liquid. Optionally, a flush mount connectorized system with a built in valve may be used to simplify the interface with the gastrostomy hardware that remains installed in the patient. Optionally, the system may be configured to disable itself from further use after a triggering event (e.g., the passage of time or a predetermined number of uses) has occurred.

Abstract: An indwelling urinary catheter assembly is disclosed having an indwelling catheter and a sheath enclosing an insertable portion of the indwelling catheter.

Abstract: A wearable infusion pump assembly includes a reusable housing assembly, and a disposable housing assembly including a reservoir for receiving an infusible fluid. The wearable infusion pump assembly also includes a releasable engagement assembly configured to allow the reusable housing assembly to releasably engage the disposable housing assembly. A switch assembly of the wearable infusion pump assembly is configured to effectuate a functionality of the infusion pump assembly.

Abstract: Optical imaging techniques and systems provide high-fidelity optical imaging based on optical coherence tomographic imaging and can be used for optical imaging in ophthalmic surgery and imaging-guided surgery. One method for imaging an eye includes positioning the eye relative to a Spectral Domain Optical Coherence Tomographic (SD-OCT) imaging system, the eye having a first and a second structure, and imaging the eye with the SD-OCT imaging system by selecting one of a direct image and a mirror image of the first eye-structure and generating a first image-portion corresponding to the selected image of the first eye-structure, selecting one of a direct image and a mirror image of the second eye-structure and generating a first image-portion corresponding to the selected image of the second eye-structure, and suppressing the non-selected images of the first and second structures.

Abstract: Example systems and methods for performing individually customized corneal ablative surgery is presented. The example systems and methods rely on a parametric model that correlates corneal measurements with predicted post-operative results and algorithm updates that facilitate achieving desired post-operative results.

Abstract: A photo-epilation device including a hand-held housing with at least one window opening; a lamp accommodated in the housing for generating light having a spectral range from approximately 575 nm to approximately 1700 nm; and a control device for driving the lamp. The lamp is switched on in brief pulses having a pulse duration in the range from 1.1 ms to 1.9 ms, and a pulse repetition frequency in the range from 0.1 Hz to 0.5 Hz. The fluence on skin level is in the range from 2 to 7 J/cm2, dependent on the skin type.

Abstract: A method for controlling a device for the treatment or refractive correction of the human eye using an electronic data processing system provides a simple overview of the influence of all of the parameters. To this end, once the operating parameters have been determined, a graphical simulation of the operating procedure is carried out in the form of a graphical visualization.

Abstract: Embodiments of the present invention comprise a fiber optic guidewire having a hypotube with a plurality of openings that provide variable stiffness and tracking characteristics between at least one proximal segment and one distal segment of the guidewire. In some embodiments, the guidewire further comprises a mandrel disposed within the hypotube, the mandrel cooperating with the optical fibers to permit the distal end of the hypotube to be shaped as desired by a user. Methods of manufacturing and using the guidewire are also disclosed.

Abstract: Thermal, electrosurgical and mechanical modalities may be combined in a surgical tool. Potentially damaging effects in a first modality may be minimized by using a secondary modality. In one example, thermal hemostasis may thus help electrosurgical applications avoid the adverse tissue effects associated with hemostatic monopolar electrosurgical waveforms while retaining the benefits of using monopolar incising waveforms.

Abstract: A microwave applicator for insertion into living body tissue for use in microwave coagulation and ablation treatments includes a microwave transmission line extending between an attachment end of the applicator and an antenna toward an insertion end of the applicator with an outer conductive sleeve forming an enclosed cooling fluid space around the transmission line. Circulation of cooling fluid is guided in the cooling fluid space by a guide sleeve. A temperature sensor senses the approximate temperature of cooling fluid to indicate cooling fluid is circulating. A multiplexing and power splitting circuit provides outputs tuned for one or for more than one applicator to be attached and detects the number of applicators and correct connection. A cadence sound generator can be used in conjunction with depth markings on the applicator to provide substantially constant withdrawal of the applicator from the treated tissue after treatment to provide track ablation.

Abstract: System and methods for channeling a path into bone include a trocar having a proximal end, distal end and a central channel disposed along a central axis of the trocar. The trocar includes a radial opening at or near the distal end of the trocar. The system includes a curveable cannula sized to be received in the central channel, the curveable cannula comprising a curveable distal end configured to be extended laterally outward from the radial opening in a curved path extending away from the trocar. The curveable cannula has a central passageway having a diameter configured allow a probe to be delivered through the central passageway to a location beyond the curved path.

Abstract: Electrosurgery method and apparatus. In the method, tissue is cut or coagulated, with an electrically low conductive liquid providing cooling. In another method, skin is cut by electrosurgery in a dry field using a low duty cycle signal energizing the cutting electrode, minimizing tissue charring. A combination coagulation and cutting electrode performs both functions. The cutting is performed by a blade edge generating a local plasma adapted for cutting. Superimposed on the blade edge is an electrode of greater surface area electrically insulated from the cutting electrode, for coagulation. In another version, a single component cutting/coagulation blade (electrode) has a cutting and a flat partially insulated portion defining through holes in the insulation for coagulation. Also provided is an electrical circuit whereby each electrode is isolated by a filter from cross talk and feedback of the RF signal from the other electrode, minimizing arcing.

Abstract: Methods for delivering precise amounts of fluid into cardiac tissue for the purpose of facilitating ablation of the tissue along a desired lesion line. One method injects fluid through a hollow needle. The injected fluid can be a highly conductive fluid injected in conjunction with radiofrequency ablation to create an ablative virtual electrode. The injected conductive fluid can provide deeper and narrower conduction paths and resulting lesions. Radiofrequency ablation can be performed at the same time as the fluid injection, using the injection device as an electrode, or subsequent to the fluid injection, using a separate device. In some methods, the injected fluid is a protective fluid, injected to protect tissue adjacent to the desired lesion line. Fluid delivery can be endocardial, epicardial, and epicardial on a beating heart. The present methods find one use in performing maze procedures to treat atrial fibrillation.

Abstract: There is provided a treatment instrument, which is provided with a flexible sheath configured such that at least a part thereof is formed of a flexible tube, an operation wire inserted into the flexible sheath to be movable in an axial direction of the flexible sheath, a front-end treatment member connected to a leading end of the operation wire so that the front-end treatment member is allowed to protrude from a front end of the flexible sheath and retracts into the front end of the flexible sheath in accordance with movement of the operation wire, and an at least one elastic member that has elasticity and is located in a front end portion of the flexible sheath in a condition where the at least one elastic member is elastically deformed between an inner surface of the flexible sheath and an outer circumferential surface of the operation wire.

Abstract: An electrosurgical device for tissue ablation includes a delivery cannula having a lumen and an open distal end in communication with the lumen, wherein an electrode array comprising a plurality of tines is deployable from, and retractable into, the cannula lumen through the open distal end. The electrode array tines have proximal ends secured to a mandrel carried in the cannula lumen, the mandrel being movable axially relative to the cannula, wherein the tines, when the electrode array is retracted into the cannula lumen, are nested in offset, circumferential layers about the mandrel.

Abstract: A swivel device for connection to an ESU pencil, an exhaust port of an ESU pencil with an integrated smoke evacuation system, or an exhaust port of an ESU pencil smoke evacuation shroud attachment includes a fixed member attached to a rotating member. The rotating member allows an electrical cord and/or vacuum tube to twist and coil freely during operation of an ESU pencil with or without the smoke evacuation system.

Abstract: A surgical instrument comprises a first portion encapsulated by a membrane and a second portion comprising a surgical instrument body and a cavity in the surgical instrument body. The cavity is configured to receive the first portion. The second portion comprises a first region comprising an opening in communication with the cavity, and a closure member movable between a first position and a second position. The closure member is in sealable engagement with the second region when it is in the first position and is at least partially free from sealable engagement with the second region when it is in the second position. One or more electrical contacts on the first portion or the second portion are configured to penetrate the membrane to allow a connection to be made between the first portion and the second portion when the closure member moves from the second position into the first position.

Abstract: An electrosurgical apparatus for coagulating tissue includes an elongated housing and an electrode located adjacent the distal end of the housing. The electrode can be connected to a source of electrosurgical energy. At least one actuator is included which electrosurgically energizes the electrode. The apparatus also includes a relatively small gas cylinder which contains a pressurized gas consisting of inert gas and which is selectively seated in the housing. Upon actuation of the actuator, gas is dispersed under pressure from the gas cylinder to the electrode and is ionized prior to the distribution of the gas into the operating field.

Abstract: An embodiment of an open-irrigated catheter system comprises a tip section, a distal insert, and mapping electrodes. The tip section has an exterior wall that defines an open interior region within the tip section. The exterior wall includes mapping electrode openings and irrigation ports. The exterior wall is conductive for delivering radio frequency (RF) energy for an RF ablation procedure. The irrigation ports are in fluid communication with the open interior region to allow fluid to flow from the open interior region through the irrigation ports. The distal insert is positioned within the tip section to separate the open region into a distal fluid reservoir and a proximal fluid reservoir. The mapping electrodes are positioned in the mapping electrode openings in the tip section.

Abstract: A medical probe kit and method of treating abnormal tissue within a patient is provided. The kit comprises a cannula having a shaft, a lumen extending through the cannula shaft, and a first ablation electrode disposed on the distal end of the cannula shaft. The cannula may have a handle mounted to the proximal end of the cannula shaft, and an optional fluid delivery port on the handle in fluid communication with the cannula lumen. The kit further comprises an ablation probe configured to be removably disposed within the delivery cannula lumen. The ablation probe has a shaft and a second ablation electrode disposed on a distal end of the probe shaft, wherein the first and second ablation electrodes are arranged in a bipolar configuration. Preferably, the ablation probe is slidable relative to the delivery cannula, whereby the distance between the first and second ablation electrodes can be adjusted.

Abstract: An apparatus and method for fixing a patient's jaw by using arcuate arch bars which are fastened to both the upper and lower teeth using a plurality of zip ties. The arch bars are provided with bores and zip ties are passed through these bores and fastened to the patient's teeth. Each arch bar is provided with interarch receptacles which receive and engage a zip tie. The receptacles are rotatable and are generally aligned between the upper and lower arch bars. Additional zip ties with opposed teeth are passed through the upper and lower pairs of arch bar receptacles and tightened to fix the lower jar to the upper jaw.

Abstract: An apparatus for treating a bone comprises an implant to be received within the bone, including a plurality of bores extending therethrough and a cavity formed therewithin, each of the bores being dimensioned to receive a bone fixation element and a plurality of inserts receivable in the cavity. Each insert includes an opening extending therethrough and configured to align with a corresponding bore. Each insert is movable between a resting configuration in which an opening width is smaller than a width of a bone fixation element inserted therethrough and a stressed configuration in which the opening width is expanded to a width greater than that of the bone fixation element in combination with a compression member movable into the cavity to apply a force moving the inserts from the resting configuration to the stressed configuration, withdrawal thereof reducing the force and permitting a return to the resting configuration.

Abstract: The invention relates to an intramedullary implant for use between two bones or two bone fragments. The implant includes a single-piece body having a generally elongate shape and having, at each end, areas for anchoring to the bone portions in question, characterized in that one of said areas has a generally cylindrical shape while the other area has a flat cross-section.

Abstract: An intramedullary fixation device having a distal section; a proximal section; a connecting member for adjustably securing the distal and proximal sections end to end along a longitudinal axis; means for securing the proximal section to a first bone; and means for securing the distal section to a least one different bone. The connecting member is rotated to provide compression across a bone arthrodesis site to be stabilized and fused. Also described is a method of utilizing the intramedullary fixation device with an outrigger assembly.

Abstract: A flexible trephine includes a flexible section that is formed of a spring member. The trephine is tubular and includes a central passage so that the trephine can coaxially fit over a longitudinal implant while force is applied to the trephine. The trephine has an annular cutting head for removing bone that surrounds the implant, so that the implant can be removed. The trephine is urged in the longitudinal direction of the implant while fitted coaxially on the implant so that the implant can be separated from the bone. The flexible section of the trephine allows the trephine to conform to and follow a bowed implant. The cutting head can include multiple teeth or a single osteotome.

Abstract: An instrument for removing tissue from a bone to create a cavity which is approximately circular in outline in which tissue within a predetermined region within the circular outline is left relatively undisturbed. The instrument includes a rotational drive unit which oscillates through an angle ?. A cutting head can be connected to the drive unit to cause the head to rotate.

Abstract: A set of styli comprised of a shaped memory or elastic metal are disclosed wherein each stylus has a different preformed curvatures for use with a cutting device for performing a selective discectomy. The device is inserted at a point chosen from contralateral, anterior or anterolateral relative to a herniation site. Once the cutting device is inserted its cutting window is moved to the desired position by inserting a first stylus having an appropriate curvature and moving the device, removing the stylus, inserting a second stylus with a different curvature relative to the first stylus before or after moving the device. By using a plurality of styli with different curvatures and using positioning movements the cutting window is positioned at the site of herniation and a selective discectomy is carried out.

Abstract: A device for delivery of a spinal rod to a bone anchor includes an inner tube and an outer tube disposed about at least a portion of the inner tube. The inner tube is adjustable relative to the outer tube along the longitudinal axis of the outer tube between a first position and a second position in which the distal end of the inner tube contacts the bone anchor. A spring is interposed between the inner tube and the outer tube to bias the inner tube distally. A locking member is coupled to the outer tube and is adjustable between a proximal position in which the locking member is spaced apart from the inner tube and a distal position in which the locking member inhibits proximal axial motion of the inner tube relative to the outer tube.

Abstract: A pivoting insertion apparatus and method includes a main body comprising a shaft including a longitudinal channel cavity and a forked end coupled to the shaft; an actuator seated within the channel cavity; a hinge joint including a hinge joint main body coupled to the main body and a pair of arms coupled to the hinge joint main body; an outer sleeve including an outer shell surrounding a cavity that loosely contains the main body, actuator, and a portion of the hinge joint; a member housing including a member housing body that includes a main cavity housing the longitudinal member and a pair of arms coupled to the member housing body; and a linkage component including a first end coupled to the forked end of the actuator and a second end coupled to at least one of the member housing arms.

Abstract: Surgical guiding tools for surgery on a bone head which include a cutting component, a guiding component and a collar having a patient-specific component are disclosed. The surgical guiding tools are interconnected which ensures secure and accurate placement of the guiding tool and thus guarantees accurate implementation of the pre-operative planning of the surgical intervention.

Abstract: A method and device for determining an optimal size of an intervertebral implant to be inserted within an intervertebral space between two vertebrae in a patient, comprising inserting a distractor into the intervertebral space. The vertebral endplate depth is measured by moving a posterior rod on the distractor longitudinally to a position at the posterior margin of the vertebral endplate and moving an anterior rod on the distractor to a position at the anterior margin of the vertebral endplate. The force applied during distraction is measured using at least one transducer mounted on the distractor and the intervertebral space is distracted by rotating the posterior and anterior rods on the distractor until the measured force reaches a predetermined value. The posterior height of the intervertebral space is measured based on the amount that the posterior rod is rotated and the anterior height of the intervertebral space is measured based on the amount that the anterior rod is rotated.

Abstract: A device for determining an optimal size of an intervertebral implant, comprising movable posterior and anterior rods, each rod operatively connected to a pair of posterior and anterior distracting members, respectively. Each pair is movable in opposing radial directions in response to longitudinal rotation of the posterior and anterior rods, and has marks corresponding to the distance the distracting members have moved for the purpose of measuring posterior and anterior disc height. A position indicator allows measurement of longitudinal distance between the longitudinally movable posterior and anterior rods. The device further comprises load sensor plates movable in response to movement of the distracting members, first and second handles pivotally connected to the load sensor plates, a protractor disposed relative to the handles, allowing measurement of an angle between the first and second handles, and a transducer for measuring force applied during distraction.

Abstract: To facilitate the insertion of bone screws into a bone plate, a magazine for receiving at least one bone screw is proposed, which comprises a device for releasably securing the magazine to a bone plate, a receiving chamber extending continuously from the upper side to the underside of the magazine, a bone screw being arranged in the receiving chamber in such a way that when the magazine is secured to the bone plate, the distal tip of the bone screw is directed at a screw-in opening in the bone plate, and the proximal end of the bone screw is accessible to a screwing-in tool from the upper side of the magazine, and a fixing device for releasably fixing the bone screw in the receiving chamber. The invention also relates to a bone plate having at least one such magazine releasably secured thereto.

Abstract: Systems, apparatuses and methods are disclosed for an orthopedic cast remover. The cast remover includes a rotatable cutting assembly having first and second cutting wheel sandwiched between a smaller-sized hub, where the space between the first and second wheel defines a passage in which fractured material may pass. A shear is coupled to the cutting assembly and is positioned in the passage, where edges of the shear are configured to engage with each of the cutting wheels. During operation, rigid material, such as a cast shell, passes along a top surface of the shear and is fractured into a predetermined width at a point where the shear edges engage with the rotating cutting wheels. The fractured material is fed into the passage for easy removal.

Abstract: A tissue retrieval device includes an introducer tube and a tissue retrieval bag. The introducer tube is insertable into a patient through a trocar. The bag may be selectively exposed at the distal end of the introducer tube, receive a tissue specimen, and be withdrawn from the patient. The bag includes a plurality of folds allowing the bag to transition from a folded configuration to an unfolded configuration. The folds may extend along a length of the bag transverse to the introducer tube; or along a length of the bag parallel to the introducer tube. The folds may extend about a perimeter of the bag, such as a circumference of the bag, and may be spaced apart along a length of the bag transverse to the introducer tube. The folds may be formed by petals that provide the bag with a generally spherical configuration when the bag is unfolded.

Abstract: In one aspect, an apparatus for supporting an adjustable surgical platform is disclosed. In one embodiment, the apparatus includes a supporting platform portion with a body portion that defines bore along a central axis. Arm portions with engaging means extend radially from the supporting platform portion. The apparatus also includes a shaft portion extending from the supporting platform portion in a first direction, with a shaft body portion that defines a bore along a longitudinal axis B. The bore of the shaft body portion is in communication with the bore of the supporting platform portion. The apparatus further includes a base portion connected to the shaft portion, and that defines a bore in communication with the bore of the shaft portion and the bore of the supporting platform portion. Mounting means are configured to secure the base portion to a region of interest of a living subject.

Abstract: A robotic medical system comprises a catheter having an elongated shaft with a plurality of flexible segments spaced apart along the catheter, and a drive unit coupled to the catheter. The catheter may have a plurality of cables respectively terminating at the flexible segments, in which case, the drive unit will be coupled to the plurality of cables. The robotic medical system further comprises a user interface remote from the drive unit and configured for generating at least one command, and an electric controller configured, in response to the command(s), for directing the drive unit to independently bend the flexible segments (e.g., three flexible segments).

Abstract: A surgical tensioning device for dynamically holding two tissue portions in contact with one another comprises a resilient member having a plurality of extending portions which are spaced from one another and are capable of resiliently moving toward and away from one another. A plurality of attachment points are provided on the resilient member, for attaching a securing member, such as suture or a surgical screw, thereto. A spacer member is placeable between the plurality of extending portions to retain the extending portions at a fixed distance from one another, and is removable from between the plurality of extending portions after the securing members are in place so that said tension is transferred from the spring to the suture or other securing members. The result is an ability to hold two tissues in a state of compression beyond that which is commonly and consistently achieved with the hand tying of sutures.

Abstract: The present invention involves new interventional methods for reducing gastric volume, and thereby treating obesity. The procedures are generally performed laparoscopically and may generally be described as laparoscopic plication gastroplasty (LPG) in which, after obtaining abdominal access, spaced apart sites on a gastric wall are engaged, approximated and fastened to create one or more tissue folds forming one or more plications projecting into the gastrointestinal space. The serosal tissue may optionally be treated during the procedure to promote the formation of a strong serosa-to-serosa bond that ensures the long-term stability of the tissue plication. These procedures are preferably carried out entirely extragastrically (i.e. without penetrating through the gastrointestinal wall), thereby minimizing the risks of serious complications.