Abstract: An apparatus heats fluids. A number of lithium-ion cells are positioned within a housing. A first connector is positioned on a first end of the housing and operably connected to the number of lithium-ion cells. The first connector is configured to receive electrical power from a power source. A second connector is positioned on a second end of the housing and operably connected to the number of lithium-ion cells. A heating element has a tube for transferring fluid. The heating element is configured to connect to the second connector. A controller is positioned within the housing and operably connected to the number of lithium-ion cells and the second connector. The controller is configured to monitor a rate at which the electrical power is received by the heating element and limit an amount of the electrical power received by the heating element when the rate reaches a predetermined level.

Abstract: A face mask that has tab parts at opposing positions approximately on an upper side of the face shape, and a ridge-folded part and a valley-folded part are alternately folded in a lateral direction of the face and further folded perpendicularly to these folding lines, where the tab parts are folded in a manner projecting outward, so that the face mask having such fold structures can easily be spread out.

Abstract: Methods, apparatuses, and systems for promoting re-epithelialization as an aspect of wound healing are presented. A re-epithelialization dressing for use with reduced pressure has a moist tissue-interface layer, a manifold member, and a sealing member. The moist tissue-interface layer has a plurality of apertures. The moist tissue-interface layer is for disposing adjacent to the wound and provides a moisture balance (i.e., provides moisture when the wound is dry and receives moisture when the wound site is substantially wet). The reduced pressure, apertures, and moist tissue-interface layer help with liquid management and otherwise promote re-epithelialization. Other systems, apparatuses, and methods are presented.

Abstract: Systems, devices, and methods for treating a tissue site on a patient with reduced pressure are presented. In one instance, a reduced-pressure interface includes a conduit housing having a cavity divided by a dividing wall into a reduced-pressure-application region and a pressure-detection region. The reduced-pressure interface further includes a reduced-pressure port disposed within the reduced-pressure-application region, a pressure-detection port disposed within the pressure-detection region, and a base connected to the conduit housing, the base having a manifold-contacting surface. The dividing wall includes a surface substantially coplanar with the manifold-contacting surface.

Abstract: A disposable waste containment article is disclosed along with a combination of using two articles simultaneously. The article includes a bodyside layer having a first surface and an outer perimeter, and a garment facing layer having an outer perimeter approximately coincident with the outer perimeter of the bodyside layer. An absorbent layer is positioned between the bodyside layer and the garment facing layer. A seal secures the bodyside layer to the garment facing layer. The seal is located inward of the outer perimeters. An ingress is formed in the bodyside layer and is aligned with one of the waste orifices present in a human body such that waste from the human body can pass through the ingress and be collected in the waste containment article. The waste containment article also includes a body adhesive for securing the first surface to the wearer's body.

Abstract: A sanitary protection device intended to be placed in the user's vagina (7). Distinguishing features of the sanitary protection device are that it includes a shell-like basic element (1), that the basic element (1) has in its height direction (H) a shape which narrows both upwards and downwards from an intermediate portion, and that the basic element (1) is provided with apertures (5) along part of its external surface.

Abstract: An ostomy closure is disclosed for sealing an ostomy pouch after use and removal from an ostomy mounting plate. The ostomy mounting plate is secured to an individual. The ostomy closure comprises a cap body defining an interior surface and an exterior surface extending to a peripheral edge. A cap flange is coupled to the peripheral edge of the cap body and extends from the interior surface of the cap body. A cap locking member is integral to the cap flange. A cap lip defining an interior surface and an exterior surface extends from the cap flange for manipulating the cap body and the cap flange. The cap flange couples with a pouch flange of the ostomy pouch for defining a sealing closure for maintaining the stool and the stool odor within the ostomy chamber and a locking closure for preventing inadvertent removal of the cap flange from the pouch flange.

Abstract: A body waste collecting device for attachment to the body comprising a collecting pouch comprising a first wall and a second wall, the pouch being attached to an adhesive wafer, wherein a central portion of the wafer constitutes a part of the first wall of the pouch, the wafer comprises a permeable backing layer, at least one layer of an absorbent adhesive layer wherein the wafer comprises a moisture impermeable layer at least in the central portion.

Abstract: A diaper wherein at least one of the waist band, side panels, leg cuffs and fastening system landing zone includes a textile material of stitch bonded construction. The textile material includes selectively applied zones of stitches formed from elastomeric yarns with adjacent zones having stitches formed from inelastic yarns. The textile material provides stretch of a desired degree in the cross-machine direction while maintaining substantial dimensional stability in the machine direction.

Abstract: A disposable absorbent article comprises a first crotch elastic member adjacent a first crotch edge and a second crotch elastic member adjacent a second crotch edge, each crotch elastic member extending generally in a longitudinal direction, each crotch elastic member having a front terminal point and a rear terminal point. In one embodiment, at least one of the terminal points of the first crotch elastic member is positioned transversely inward from a remaining portion of the first crotch elastic member, and at least one of the terminal points of the second crotch elastic member is positioned transversely inward from a remaining portion of the second crotch elastic member. In another embodiment, front end portions of the first and second crotch elastic members or rear end portions of the first and second crotch elastic members converge transversely inward toward each other.

Abstract: A force focused fastening system maintaining a fastener element in plane during fastening. The force focused fastening system includes a force focused fastening member including an extensible region and an end region. The end region includes a fastener element and the extensible region includes a high modulus region aligned relative to a center portion of the fastener element. During fastening, the force focused fastening member directs forces toward the center portion of the fastener element, away from end portions, minimizing distortion of the fastener element.

Abstract: A system for transferring solutions from a first cartridge into a second cartridge comprises a cartridge holder, a plunger driver, and a cartridge connector. The cartridge connector carries a transfer needle and an exhaust needle. The cartridge holder positions the first cartridge against the cartridge connector so that the transfer needle penetrates the first cartridge septum. The second cartridge is removably inserted into another end of the cartridge connector so that both the transfer needle and the exhaust needle penetrate the second cartridge septum. The plunger driver is disposed to advance a plunger on the first cartridge to transfer solution from the first cartridge into the second cartridge thus displacing solution from the second cartridge through the exhaust needle. The cartridge connector includes a sealed interior waste chamber for receiving the solution from the second cartridge.

Abstract: A system for mixing or reconstituting a drug contained in a first container with a diluent or fluid contained in a second container. The second container has a port docking assembly for engaging the first container. The first container is rotatable and axially slidable within the port docking assembly. The port docking assembly has an actuator to urge a stopper fluidly sealing the first container into the interior of the first container. The port docking assembly further includes a movable plug constructed to fluidly seal the second container in a first, docked position and to provide access to the interior of the second container in a second, activated position, whereby fluid communication between the first and second containers is provided when the first and second containers are in the second, activated position.

Abstract: A method of seating a fluid reservoir in a housing of a fluid infusion device is presented here. The method is performed prior to establishing an outgoing fluid flow path from the fluid reservoir. The method begins by detecting insertion of the fluid reservoir into the housing of the fluid infusion device. In response to detecting the insertion, the method determines whether the fluid reservoir is in need of depressurization. When the fluid reservoir is in need of depressurization, the drive motor assembly of the fluid infusion device is rewound to depressurize the fluid reservoir. After depressurizing the fluid reservoir, an equalization state for the fluid reservoir is achieved. After achieving the equilibrium state, the drive motor assembly is advanced to obtain an initial seated state for the fluid reservoir.

Abstract: A pump for delivering insulin to a user. The pump comprises a pump mechanism and a meal-bolus program module. The meal-bolus program module is programmed to control the pump mechanism to deliver a meal bolus. An alarm program module is in data communication with the alarm, the timer, and the meal-bolus program module. The alarm module is programmed to generate an alarm signal when the meal-bolus program module does not control the pump mechanism to deliver a meal bolus within a predetermined period of time.

Abstract: The intervertebral disc is avascular. Nutrients and waste are diffused through adjacent vertebral bodies into the disc. As we age, calcified layers form between the disc and vertebral bodies, blocking diffusion of nutrients, oxygen and pH buffer in blood. Under anaerobic conditions, lactic acid is produced, irritating nerve endings and causing nonspecific pain. In addition, the disc begins to starve and flatten. The weight shifts abnormally from disc to the facet joints causing strain and back pain. Lactic acid inhibitor inhibits production of lactic acid from pyruvate within the disc to reduce or alleviate back pain.

Abstract: Implants or systems of implants and methods apply a selected force vector or a selected combination of force vectors within or across the left atrium, which allow mitral valve leaflets to better coapt. The implants or systems of implants and methods make possible rapid deployment, facile endovascular delivery, and full intra-atrial retrievability. The implants or systems of implants and methods also make use of strong fluoroscopic landmarks. The implants or systems of implants and methods make use of an adjustable implant and a fixed length implant. The implants or systems of implants and methods may also utilize a bridge stop to secure the implant, and the methods of implantation employ various tools.

Abstract: A proximal terminal end of a proximal section of a catheter, preferably tapered, defines a perimeter of an opening into a lumen of the catheter and includes an exposed sealing area. A sealing assembly, that may be removed from the catheter, includes a relatively soft part and a relatively rigid part, wherein the exposed sealing area is formed by the soft part, and the relatively rigid part may include an attachment feature for removable connection of the assembly to the catheter. The lumen of the catheter, within the proximal section, may include a seal zone portion, which preferably includes a slit segment intersecting a funnel-like segment of a bore. The catheter proximal section may further include a feature for interlocking engagement with an accessory tool.

Abstract: An intravenous infusion tubing fitment comprises a body, a rotatable knob coupled with the body, and a pressure dome seated within the knob. The body defines; a first inlet configured for coupling with a first segment of tubing; a first outlet into a pressure dome; a second inlet from said pressure dome; and a second outlet configured for coupling with a said second segment of tubing. The knob defines an expansion opening within a surface of the. The pressure dome is formed of a flexible elastomeric material and defines a fluid flow path between the first outlet and the second inlet. The pressure dome includes a vane configured to variably regulate flow through the fluid flow path in response to rotation of the knob. The pressure dome is configured to expand through the expansion opening in response to fluid pressure in the fluid flow path.

Abstract: A device for the in situ clearing of blockages in a tube includes a controller and a clearing member. The controller can have a housing and an actuator for generating repetitive motion. The clearing member can be releasably coupled to the controller and suitable for insertion in the tube. The tube can be at least partially disposed within a living being. The controller can be located external to the living being. The clearing member can have a first end releasably coupled to the actuator, at least one flexible section which permits axial displacement of the clearing member, and a second end suitable for repetitively engaging and disrupting the blockage. The flexible section permits the clearing member to repetitively engage and disrupt the blockage within one of a straight and a curved portion of the artificial tube.

Abstract: System and method for making incisions in eye tissue at different depths. The system and method focuses light, possibly in a pattern, at various focal points which are at various depths within the eye tissue. A segmented lens can be used to create multiple focal points simultaneously. Optimal incisions can be achieved by sequentially or simultaneously focusing lights at different depths, creating an expanded column of plasma, and creating a beam with an elongated waist.

Abstract: Subjects treated with nonablative fractional photothermolysis (FP) have an intact stratum corneum, but can have microscopic lesions and vacuole formation within the epidermis. The vacuoles thus formed can trap dermal material and extrude it through the epidermis. Thus, FP can be used for the treatment of recalcitrant melasma, solar elastosis, and tattoos.

Abstract: Embodiments of the present invention relate to a system and method for controlling a tissue treatment device using results from a spectroscopic tissue analyzer. One embodiment provides a system that uses a direct signal from a spectroscopic tissue analyzer to control the tissue treatment device. Alternatively, the system may provide an audible feedback signal to a user, allowing the user to choose how to adjust the tissue treatment device. A final embodiment provides a probe that has active sites for treating tissue, and an optical system to convey light to the active sites, allowing an analysis of the tissue parameter at the active sites.

Abstract: The present invention comprises methods and devices for thermal treatment of a barrier to increase the permeability of the barrier. One form of increasing the permeability of the barrier comprises forming micropores which may be used for administration of active agents across the barrier, or may be used for sampling or collecting fluids, or may be used for detecting, measuring or determining analytes, or may be used for monitoring of physiological or other conditions. Devices of the present invention may comprise microheaters that are activated by inductive or ohmic heating power supply components.

Abstract: An ablation device includes a handle assembly including a distal end and a probe extending distally from the distal end of the handle assembly. The probe includes a heat-transfer portion and at least one fluid-flow path in fluid communication with the heat-transfer portion. The handle assembly includes at least one fluid reservoir in fluid communication with the at least one fluid-flow path and at least one apparatus configured to cause fluid flow between the at least one fluid reservoir and the heat-transfer portion. The probe is configured to apply thermal energy released by an exothermic chemical reaction that occurs when fluid from the at least one fluid reservoir is caused to flow to the heat-transfer portion.

Abstract: An electrosurgical return electrode is disclosed. The return electrode includes a first and second flexible conductive material layers and a material layer disposed between the first and second conductive material layers. The material layer is transitionable between a solid state and a non-solid state, the material layer is also configured to melt upon an increase in temperature beyond a predetermined threshold, thereby increasing conductivity between the first and second conductive material layer.

Abstract: A modular biopsy, ablation and track coagulation needle apparatus is disclosed that allows the biopsy needle to be inserted into the delivery needle and removed when not needed, and that allows an inner ablation needle to be introduced and coaxially engaged with the delivery needle to more effectively biopsy a tumor, ablate it and coagulate the track through ablation while reducing blood loss and track seeding. The ablation needle and biopsy needle are adapted to in situ assembly with the delivery needle. In a preferred embodiment, the ablation needle, when engaged with the delivery needle forms a coaxial connector adapted to electrically couple to an ablating source. Methods for biopsying and ablating tumors using the device and coagulating the track upon device removal are also provided.

Abstract: A device for directing energy to a target volume of tissue includes an antenna assembly and an elongated body member. The elongated body member includes a proximal end portion and a distal end portion, wherein the proximal and distal end portions define a longitudinal axis. The elongated body member has a chamber defined therein that extends along the longitudinal axis, and a body wall surrounding the chamber. An antenna assembly is disposed in the chamber. The elongated body member also includes an opening in the body wall to allow energy radiated from the antenna assembly to transfer into the target volume of tissue.

Abstract: The invention relates to an ablation catheter which controls the temperature and reduces the coagulation of biological fluids on an electrode of a catheter, prevents the impedance rise of tissue in contact with the electrode, and maximizes the potential energy transfer to the tissue, thereby allowing an increase in the lesion size produced by the ablation. The electrode includes passages positioned to allow saline flow out of an inner cavity of the electrode. This fluid flow is pulsatile to increase turbulence, reducing areas of stagnant flow, and produces a desired cooling effect.

Abstract: A catheter handle includes a handle body. A steering control mechanism is displaceably carried on the handle body. An electrode sheath carrier is carried on the handle body, the electrode sheath carrier being displaceable at least relative to the steering control mechanism.

Abstract: Described herein generally are surgical pencils which define a channel to enable suctioning of materials and methods of operating the surgical pencils. Surgical pencils are described comprising: a surgical tool configured to perform one of cutting and coagulation, the surgical pencil having a housing including a channel through the housing and terminating near the surgical tool which enables direct suctioning of a material at a surgery site.

Abstract: Systems and methods for endometrial ablation. The systems include a handle and elongated introducer sleeve extending to an expandable working end having a fluid-tight interior chamber. A thin dielectric wall surrounds at least a portion of the interior chamber and has an external surface for contacting endometrial tissue. The thin dielectric wall surrounds a collapsible-expandable frame and receives an electrically non-conductive gas. First and second polarity electrodes are exposed to the interior and exterior of the chamber, respectively. A radiofrequency power source operatively connects to the electrode arrangement to apply a radiofrequency voltage across the first and second electrodes, wherein the voltage is sufficient to initiate ionization of the neutral gas into a conductive plasma within the interior chamber, and to capacitively couple the current in the plasma across the thin dielectric wall to ablate endometrial tissue engaged by the external surface of the dielectric structure.

Abstract: A composition for the induction of bone growth is disclosed. The composition includes a substrate, bone growth protein, and sources of calcium and phosphate. The composition is acidic which promotes high activity of the bone growth protein. The calcium and phosphate sources can be provided as an acidic calcium phosphate salt. Also disclosed are methods of the making the composition and methods of using it.

Abstract: A system (10) for preparing a long bone for a prosthetic, the long bone having a long axis comprises a distal instrument (12) and a proximal instrument (14). The distal instrument (12) is configured to remove bone from a distal portion of bone. The distal instrument (12) has a bone removing portion (16) configured to remove bone along the long axis of the long bone and a shaft (18) extending from the bone removing portion (16) along the long axis of the long bone. The proximal instrument (14) is configured to overlie the shaft (18) of the distal element (12) within the long bone. The distal shaft (18) guides the proximal instrument (14) to prepare the proximal portion of the long bone after the distal instrument (12) has prepared the distal portion of the long bone.

Abstract: A cutting burr that includes a pair of axially spaced diamond-shaped portions designed to be keyed into a spindle of a locking mechanism of a high speed surgical drilling instrument and adapted to fit into a single pawl thereof to lock said cutting burr in place so as to prevent axial movement thereof and provide concentric rotation of said cutting burr without any wobbling. The orientation of both portions may be identical with respect to a center plan and diamond shape in the portion at the proximal end of the shank of the cutting tool may be larger than the intermediately located diamond shape of the other portion. The apexes of the facets of the six-sided diamond shape may be disposed below the surface of the shank of the cutting burr.

Abstract: An instrument for inserting an implant between vertebral bodies, including a holder adapted to hold the implant during insertion of the implant between the vertebral bodies, a retractor adapted to retract the holder away from the implant after the insertion, and a guard adapted to prevent the implant from being removed from between the vertebral bodies during the retraction.

Abstract: There is disclosed a system for positioning a connecting element adjacent one or more bones or bony portions, such as the spinal column, through a minimally invasive surgical approach. The system generally includes at least one bone anchor engageable to the one or more bones or bony portions and at least one anchor extender removably engaged to the bone anchor. A connecting element is movable along a longitudinal axis of the anchor extender. In response to movement of the connecting element along the longitudinal axis toward the bone anchor, the anchor extender flexes, bends or otherwise reconfigures to allow a leading end of the connecting element to be rotated away from the longitudinal axis so that the connecting element can be positioned in a transverse orientation to the longitudinal axis along the one or more bones or bony portions at a location adjacent the bone anchor.

Abstract: A retractor system and method for locating and placing a polyaxial screw while substantially simultaneously retracting tissue is shown and described. The retractor has a channel that facilitates introducing a rod into the polyaxial screw. Various embodiments are shown, including one which utilized a reducer for moving the rod in the retractor.

Abstract: A method for preparing a proximal femoral canal of a patient during total hip replacement surgery uses an instrument having a handle, a shaping member including structure configured to shape bone, wherein the structure configured to shape bone comprises at least two cutting surfaces on opposite sides of the shaping member, and a connecting member connecting the handle and the shaping member, the connecting member having a plurality of transverse cross sections. The connecting member includes a dual offset including a first compound bend between the connecting member and the handle, wherein when following a direction from the connecting member to the handle, the first compound bend includes a bend in a posterior direction and a bend in a lateral direction. The connecting member also includes a second compound bend between the connecting member and the shaping member, the second compound bend in an anterior and a medial direction.

Abstract: An instrument system for setting the internal-external rotation of a prosthetic femoral component with respect to a proximal tibia has a bone resection instrument having a planar surface for engaging a planar surface of a resected distal femur. The bone resection instrument system has a cutting guide for guiding a tool for resecting a posterior surface of the distal femur and forming a cylindrical surface on the posterior condyle intersecting the planar surface. The cylindrical surface defined by an axis extending in a direction generally perpendicular to the resected planar surface. The system includes a trial component having a planar surface for engaging the planar surface of the resected distal femur and having posterior condyles having a cylindrical anteriorly facing surface engagable with the resected cylindrical surface on the posterior condyle.

Abstract: A method of, and apparatus for, arthroplasty of a knee joint comprising obtaining a desired spacing of the femur from the tibia by inserting a spacer into the knee joint between the femur and the tibia. The spacer is used as a reference for securing a guide jig in position about the knee joint for guiding resection of one or both of the femur and tibia for fitting of tibial and/or femoral prostheses. A method of resecting the femur while moving the tibia through an arc of motion to remove bone to the desired depth, a method of determining the position of the guide jig, the guide jog, an alignment device and the spacer are also described.

Abstract: An assembly for sealably injecting a fluent material into an intradiscal space accessed through an opening in the annulus of a spinal disc comprises a cannula having a passageway for injecting the fluent material therethrough into the intradiscal space, a seal having a sealing surface for sealing engagement with the outer surface of the disc annulus and defining a central opening for, and an articulating joint defined between the central opening of the seal and the cannula configured to permit relative articulation between the components. The assembly may further comprise an anchor element extending through the central opening of the seal, the anchor element including an elongated threaded body sized for threaded engagement within the opening in the disc annulus and having a head configured to engage a distal end of the cannula.

Abstract: A curable material delivery cannula device and method are disclosed. The device includes a cannula and a hub. The cannula includes an open proximal end, a deflectable segment forming a plurality of pre-set curves, each of which corresponds to a pre-determined temperature of the cannula, a lumen, and side orifice(s) adjacent, and proximally spaced from, the distal end and fluidly connected to the lumen. When distally extended from the guide cannula, and upon being heated to a predetermined temperature (before, during, or after extension), the deflectable segment assumes a curved shape, which may be used to create a void in the bone for receiving curable material. The distal cannula end includes a blunt tip for non-traumatic interface with bodily material. During use, curable material, such as bone cement, is delivered from the side orifice(s) in a radial direction relative to the lumen.

Abstract: A hinged pivoting guide for positioning a femoral tunnel in anterior cruciate ligament (ACL) reconstruction locates a drilling hole for placement that optimally penetrates a minimal depth of soft tissue (skin, muscle, etc.) yet directs drilling into a sufficiently rigid and structurally sound area of the femur. The hinged guide allows placement of an aimer point at a desired drilling exit location on the femur. The hinge is adapted to secure the aimer at a degree of rotation about an axis defined by the hinge rotation, such that the axis passes through the aimer point throughout rotation of the hinge while maintaining the aimer point in line with an insertion guide slideably movable through the aperture in the handle, the aperture defined by an insertion axis extending toward the aimer point such that the aimer point remains disposed at the intersection of the hinge axis and the insertion axis.

Abstract: An insertion instrument for inserting an expandable support device, where the insertion instrument includes an actuator device operable to rotate a component of an expandable support device to a rotated position, such that the rotation to the rotated position of the expandable support device causes a first longitudinally extending member of the expandable support device to be longitudinally fixed. The insertion instrument also includes a hollow body, where the hollow body includes a removable gear device or a removable screw driver device. The removable gear device is configurable to cause a first longitudinally extending member of expandable support device to longitudinally extend in a direction away from the center of the expandable support device. The removable screw driver device is configurable to insert a screw into the expandable support device to lock the rotated position into place.

Abstract: An apparatus for locating a central axis of a spinal column and method of using the same is disclosed. The apparatus and method includes one or more members capable of spanning a center line which may then be identified by at least one additional member positioned therebetween. Furthermore, the device may contain or be capable of accommodating various additional tools for marking the location of the central axis of a spinal column.

Abstract: A spine measurement system includes a plurality of sensored heads, a spinal instrument, and a remote system. The spinal instrument comprises a handle, a shaft, sensored heads, and a module. The sensored heads includes one or more sensors that couple to module and each has a different height. The module includes an electronic assembly for receiving, processing, and sending quantitative data from sensors in sensored heads. The module can be coupled to and removed from handle. Similarly, sensored heads can be coupled to and removed from shaft. A sensored head can be inserted between vertebra and report vertebral conditions such as force, pressure, orientation and edge loading. A GUI of remote system can display a workflow and report load and position of load during the workflow.

Abstract: A surgical fastener system includes a plurality of fasteners having a throughbore with a non-circular cross section portion. The fasteners may engage with a splined mandrel that passes through the throughbore of the fasteners and rotates the fasteners relative to the mandrel to move at least one of the fasteners along the mandrel, e.g., along the mandrel's longitudinal axis. A distal end of the mandrel may be inserted into a material, such as a tissue, prosthetic or other, and a fastener may be deployed from the distal end of the mandrel while the distal end is positioned in the material.

Abstract: In one aspect, an apparatus for correcting osseous development deficiencies at orbital level in persons includes a halo-like structure for fixing to a cranium, a union plate between the halo-like structure and the distractor, and the orbital distractor itself, which is supported by the halo-like structure and fixed to the orbit.

Abstract: Apparatus, assemblies, and methods for capturing objects within a body are disclosed. A surgical snare device includes a steerable deflection portion with a steerable distal tip. An interface is linked to the steerable deflection portion to selectively manipulate the distal tip. A snare loop disposed at the distal tip can have a length that remains substantially constant as the distal tip is deflected and the snare loop moves in concert with the distal tip. The distal tip may deflect up to at least one-hundred eighty degrees, while the snare loop moves a corresponding amount. A method includes extending a snare through a body lumen and to a location near an object. The snare may have a loop that changes positions while maintaining the same length. The loop may be placed around an object and then used to retrieve the object from the body lumen.