Abstract: A vaginal probe is equipped with tactile sensors and ultrasound elements and configured for simultaneous acquisition of tactile images and ultrasound images for the same portion of vaginal tissues and pelvic floor muscles. The probe is configured for placement into vagina to record tactile images and ultrasound images in static, during tissue deformation as well as pelvic floor muscle contraction. Acquired and recorded tactile data are transmitted to a data processor for composing elasticity images of pelvic floor structures and muscle functional images and visually presenting thereof on a display.

Abstract: An ultrasound probe (104) includes a probe head (134). The probe head includes a transducer array (136) with a transducing surface (137), an instrument guide (142), and a light source (140). A method includes emitting a light beam, from a light source disposed on and adjacent to a transducer array of an ultrasound imaging probe, in a direction opposite of a transducing surface of the transducer array, at an inside wall of a cavity of a subject or object. A laparoscopic ultrasound imaging probe includes a shaft, a body, an articulating member that couples the probe head, and a handle coupled to the elongate shaft. The articulating probe head includes a transducer array that generates an ultrasound signal that traverses an image plane of the transducer array, an instrument guide, and a light source arranged to emit light in a direction opposite of the image plane.

Abstract: An apparatus for performing measurements in an artery includes a Doppler catheter, comprising a Doppler transducer and a wire connected to the Doppler transducer; and an elongated catheter body having a conduit therein for housing the wire of the Doppler catheter. The body has a proximal end and a distal end; wherein the wire is movable in the conduit relative to the catheter body so that the Doppler transducer and the wire are capable of being threaded into said conduit at the proximal end after the distal end of the catheter has been inserted into the artery, until the Doppler transducer emerges outside the conduit at the distal end of said body for performing ultrasound measurements in the artery. Another embodiment employs at least an additional side transducer for measuring the cross-sectional dimension of the artery useful for computing blood flow.

Abstract: An object information acquiring apparatus comprises a light irradiation unit configured to irradiate an object with light; a sound generating member arranged between the object and the light irradiation unit and configured to generate a substantially planar ultrasonic wave based on the irradiated light; an acoustic wave probe configured to acquire an acoustic wave generated inside the object due to the light and convert the acoustic wave into a first electric signal; and an information generating unit configured to generate information concerning optical characteristics of an interior of the object, based on the first electric signal, wherein the sound generating member allows a part of the light irradiated from the light irradiation unit to pass through the sound generating member to the object.

Abstract: Ultrasound transducer assemblies and associated systems and method are disclosed herein. In one embodiment, an ultrasound transducer assembly includes at least one matching layer overlies a transducer layer. A plurality of kerfs extends at least into the matching layer. In some aspects, the kerfs are at least partially filled with a filler material that includes microballoons and/or microspheres.

Abstract: An imaging agent delivery method and system thereof are provided. The method includes applying an imaging agent to a region, and alternately performing a heating process and a detecting process to the region with an ultrasound transmitting device and an ultrasound receiving device, respectively. Subsequently, an ultrasound signal acquired is processed by the ultrasound receiving device to obtain a temperature image of the region and a vaporization image of the imaging agent, such that the performance of the imaging agent can be monitored on the basis of the temperature image and the vaporization image.

Abstract: Enhanced ultrasound imaging apparatus and associated methods of work flow are disclosed herein. In one embodiment, a method of ultrasound scanning includes receiving a first dataset representing ultrasonic scanning of a target anatomy of a patient in a two-dimensional mode and generating a two-dimensional ultrasound image of the scanned target anatomy based on the received first dataset. The method also includes accepting a definition of at least one of a sagittal plane, a transverse plane, and a coronal plane on the displayed two-dimensional ultrasound image. Thereafter, a second dataset representing ultrasonic scanning of the target anatomy in a three-dimensional mode is received and an ultrasound image at the coronal plane of the target anatomy is generated based on (1) the three-dimensional scanning and (2) the accepted definition of at least one of the sagittal plane, the transverse plane, and the coronal plane.

Abstract: An ultrasound system and method for generating an elastic image are disclosed. The ultrasound system includes an ultrasound probe and a processor. The ultrasound probe is configured to transmit ultrasound signals into a target object and receive ultrasound echo signals from the target object while the ultrasound probe applies a variable compression force on the target object.

Abstract: In the present invention, a reference frame selection unit selects a reference frame from among a sequence of frames showing the heart of a fetus. A candidate region group setting unit sets a candidate region group for each of the frames that constitute the sequence of frames. A correlation value calculation unit calculates, for each candidate region, a correlation value between the reference frame and all the other frames. Due to this, a plurality of correlation value waveforms corresponding to the plurality of candidate regions is generated. A stabilized waveform portion specification unit specifies a stabilized waveform portion for each correlation value waveform. A stabilized region specification unit specifies, from among the plurality of stabilized waveform portions, the stabilized waveform portion having the highest degree of stabilization (in other words, the candidate region having the highest degree of stabilization).

Abstract: A control system for an ultrasound transmission/reception apparatus with a plurality of acoustic transducers for transmitting and receiving ultrasound signals may include driving device operatively coupled to the acoustic transducers and a control unit. The control unit may cyclically control the acoustic transducers in a transmission state for transmitting ultrasound signals, and in a reception state for receiving echoes of the transmitted ultrasound signals. The control unit may include an input stage which receives an external timing signal, and a processing stage which detects a first edge of the timing signal to determine the start time of a transmission phase during which the acoustic transducers are controlled in the transmission state, and a second edge of the timing signal to determine the stop time of a reception phase during which the acoustic transducers are controlled in the reception state.

Abstract: Systems and methods of transmitting heat out a medical imaging device are disclosed herein. In one embodiment, a medical imaging device includes a housing having electronics and a heat sink. The heat sink is positioned near a first end of the housing, a groove that is configured to receive at least a portion of an operator's hand is positioned at a second end of the housing. A heat pipe in the housing extends from the electronics toward the first end of the housing and is configured to transfer heat produced by the electronics toward the heat sink and away from the groove.

Abstract: An ultrasonic module includes a reception circuit adapted to receive a reception signal from an ultrasonic device, which receives an ultrasonic wave, to generate an echo signal, switching power supplies driven with a predetermined switching cycle, and adapted to supply the reception circuit with electrical power, and a phasing addition circuit adapted to perform an addition process on a first echo signal output when driving the reception circuit at a first drive timing in the switching cycle, and a second echo signal output when driving the reception circuit at a second drive timing delayed as much as a half cycle of a switching noise in the switching power supplies from the first drive timing.

Abstract: Various example specimen collecting devices are disclosed for the collection of biological samples. The specimen collection device is comprised of an elongate shaft and a distal sampling member, where the distal sampling member includes a plurality of bristles for collecting and sampling a biological fluid. Various example embodiments are provided in which the bristles of the distal sampling member are spatially configured and oriented for collection and elution of biological fluids that may contain cells, such as vaginal fluids.

Abstract: Devices, systems, and methods for inverting and closing the left atrial appendage. In at least one embodiment of a method for closing a left atrial appendage of the present disclosure, the method comprises the steps of inverting a distal portion of a left atrial appendage, and constraining the inverted distal portion of the left atrial appendage using a device configured to fit within an interior of the left atrial appendage.

Abstract: Aspects of the present invention provide apparatuses and methods for closing an apical hole in a heart of a subject, including a hole-closure device that includes a tissue-attachment portion configured to attach to cardiac tissue around the apical hole, and a collapsible portion coupled to the tissue-attachment portion and configured to close the hole by collapsing inwardly inside the apical hole.

Abstract: The present invention relates to an occlusion device (1) consisting of a braiding (2) of thin wires or threads (4) which is given a suitable form in a molding and heat treatment procedure. The occlusion device (1) has a proximal retention area (6) and a distal retention area (8), whereby the ends of the wires or threads (4) converge into a holder (5) in distal retention area (8). A cylindrical crosspiece (10) is furthermore disposed between the proximal and distal retention areas (6, 8). With the objective of providing an occlusion device which positions as flat as possible against the septum at the proximal side of a septal defect in the inserted state, the invention provides for the proximal retention area (6) of the braiding (2) to exhibit a completely closed proximal wall (112) disposed with a continuous surface at the proximal end of the occlusion device (1) which forms the proximal end (12) of said occlusion device (1).

Abstract: Remodeling of body tissue using a bioabsorbable implant that maintains or otherwise mechanically assists a more permanent implant or other treatment take, for example, by the treatment causing fibrosis. For example, the apparatus and methods can be used for hernia, organ prolapse and cosmetic purposes, such as breast and face lifts.

Abstract: A surgical retractor assembly, method, and uses thereof are provided. The surgical retractor assembly comprises a retractor support comprising a flexible tissue retractor blade and a member for contacting and flexing or bending the flexible tissue retractor blade.

Abstract: An introducer for insertion of a medical device into a patient's vasculature includes an elongate introducer body, a hub, and a hemostatic valve. The elongate introducer body includes a longitudinal axis, a proximal region, a distal region, and an inner lumen. The hub is coupled to the proximal region of the introducer body. The hemostatic valve is disposed within the hub and forms a liquid-tight seal across the inner lumen. The introducer includes a guide configured to guide an object towards the center of the valve during insertion of the object.

Abstract: A surgical retraction system may include one or more surgical retractor blades connected to a surgical support shaft or frame. Each retractor blade may extend at an angle from said shaft axis and have a transverse bend that forms an acute angle with the shaft axis. Such transverse bend may result in each retractor blade being asymmetrical with respect to said shaft axis. Each retractor blade may further include a tissue contacting side and an opposing side. The tissue contacting side may include holes or other texturing that hold tissue being retracted.

Abstract: An access device for accessing an intervertebral disc having an outer shield comprising an access shield with a larger diameter (˜16-30 mm) that reaches from the skin down to the facet line, with an inner shield having a second smaller diameter (˜5-12 mm) extending past the access shield and reaches down to the disc level. This combines the benefits of the direct visual microsurgical/mini open approaches and the percutaneous, “ultra-MIS” techniques.

Abstract: A suture device with a composite end effector, the composite end effector including a suture with an unmodified fixation element at a distal end and an overlying attachment piece disposed over the proximal end of the unmodified fixation element. The resulting composite end effector has improved strength and avoids the need for affixation methods such as welding or chemical affixation.

Abstract: A suture device including an improved welded fixation device at its distal end, to provide improved holding strength during and after implantation of the suture in tissue.

Abstract: A suture anchor cartridge having a rectangular case portion that includes a top portion and a rectangular bottom portion, the bottom portion including an opening, and the top portion being slidably connected with the bottom portion. A suture anchor is suspended in the opening in the bottom portion. The suture anchor being held at a distal end and at a proximal end by the suture anchor cartridge, and a suture-threading loop is disposed within the bottom portion.

Abstract: A suture anchor including a sleeve with an optional solid tip and a threaded, hollow interior portion. A transverse hole passes through a distal end of the sleeve. An inner screw with a flat distal end and threads disposed on an outer surface and a driver head extension monolithically connected with a proximal end of the inner screw are also provided.

Abstract: A suture anchor suitable for being fixed in a hard tissue opening with the aid of a material having thermoplastic properties and energy transmitted to the suture anchor for in situ liquefaction of at least part of the material having thermoplastic properties. The suture anchor includes an anchor foot and a thermoplastic sleeve, and the anchor foot includes a system of channels and/or grooves with a mouth in a proximal face of the anchor foot. The thermoplastic sleeve is arranged coaxially to the mouth. The anchor foot also includes a locking element for securing the suture in a non-slideable manner relative to the hard tissue or a securing sleeve for securing the suture. The locking element or the securing element may be secured relative to the anchor foot when the anchor foot is in a fixed state.

Abstract: An orthopedic implant includes a bridge and at least a first leg extending from a first end of the bridge and a second lee extending from the second end of the bridge. The bridge includes a first upper section and a second lower section. The first upper section includes surfaces that are non-orthogonal and taper from a central surface to provide the first upper section with a non-uniform cross-section. The second lower section includes surfaces that are non-orthogonal and taper from a central surface to provide the second lower section with a non-uniform cross-section. The non-uniform cross-sections of the first upper section and the second lower section flatten the profile of the bridge, thereby producing an orthopedic implant with a smooth composite surface.

Abstract: The present disclosure provides staples, and corresponding staple guides, for applying a compressive force between biological elements. The staples may include a bridge portion and a pair of tines extending from the bridge portion configured for implantation into biological elements. The tines may be spaced a first distance in a first state of the bridge portion. The bridge portion may be elastically deformable into a second state with the pair of tines spaced a second distance that is greater than the first distance and the tines pre-loaded to apply a compressive force therebetween. The guides may include a staple engagement portion operable to maintain the biased state of the staple, and/or a drill guide portion operable to facilitate the formation of apertures spaced the second distance in the biological elements.

Abstract: Surgical clip appliers are provided and include a housing; at least one handle pivotably connected to the housing; a channel assembly extending distally from the housing; a clip carrier disposed within the channel assembly and defining a channel and a plurality of windows therein; and a plurality of clips slidably disposed within the channel of the clip carrier. The surgical clip appliers further include a drive channel reciprocally disposed within at least one of the housing and the channel assembly; a wedge plate reciprocally disposed within the channel assembly; a pusher bar reciprocally positioned within the housing and the channel assembly; and a motion multiplier system having a plurality of linkage members configured to distally move the pusher bar by an incremental amount upon an initial actuation of the handles, and configured to proximally move the pusher bar and the wedge plate subsequent to the initial actuation of the handles.

Abstract: A soft tissue repair device can include a housing having a handle, a deployment system having an actuation member, and an insertion system having an inserter and a slider. The slider can be coupled to the actuation member and movable relative to the inserter between deployed and retracted positions. First and second anchors can be carried on an external surface of the slider such that the anchors are spaced apart and portions of the anchors are coaxial with the slider and each other. A flexible strand can couple the anchors. The insertion system can cooperate with the deployment system to move the slider to the deployed position to deploy the first anchor upon activating the actuation member a first time, and to move the slider to the deployed position from the retracted position to deploy the second anchor upon actuating the actuation member a second time after the first time.

Abstract: A surgical fastening apparatus and associated method of use is disclosed. The surgical fastening apparatus includes a handle assembly, a central body portion extending from the handle assembly, and a distal head portion including an anvil head assembly. The anvil head assembly includes an anvil head defining an interior recess, an activator plate, a deformable member, and a securing member. The anvil center rod assembly defines a longitudinal axis and is pivotably connected to the anvil head assembly about a pivot axis. The anvil center rod assembly includes a configured to contact the anvil head assembly upon an actuation of the surgical fastening apparatus. Upon the actuation of the surgical fastening apparatus, the deformable member is configured to deform such that the activator plate is advanced distally into the interior recess to facilitate the anvil head pivoting about the pivot axis.

Abstract: A device for excluding the left atrial appendage (LAA) includes first and second members, each with first and second ends. The second ends are connected by a hinge. The first ends interlock to close the device about the LAA. The members are shaped such that they can exclude the LAA without causing the development of necrotic tissue. If desired, a flexible cover can be provided and the first and second members can be disposed within the cover. If such a cover is used, it will contact the LAA in order to cushion the contact between the members and the LAA and minimize the tendency of the LAA to bleed. The invention also includes methods for using the device to exclude the LAA.

Abstract: An endoscopic surgical clip applier is provided, wherein a distal end of the surgical clip applier is introduced to a target surgical site through a cannula having a fixed diameter lumen. The surgical clip applier comprises an endoscopic portion supported by and extending from a handle assembly, and a pair of jaws supported at a distal end of an outer tube, wherein the pair of jaws are movable between a fully open condition and approximated conditions. When the pair of jaws are in the fully open condition the pair of jaws extend radially beyond an outer diameter of the outer tube to a dimension greater than the fixed diameter of the lumen of the cannula; and when the pair of jaws are in at least one approximated condition the pair of jaws have a transverse dimension permitting passage through the lumen of the cannula.

Abstract: Elongate implant structures can be introduced into an airway system to a target airway axial region, often to apply lateral bending and/or compression forces against the lung tissue from within the airways for an extended period of time. Structures or features of the implants may inhibit tissue reactions that might otherwise allow portions of the device to eventually traverse through the wall of the airway. The devices may enhance the area bearing laterally on the tissue of a surrounding airway lumen wall. Embodiments may have features which increase the device friction with the airway to allow the device to grip the surrounding airway as the device is deployed. An appropriate adhesive may be introduced around the device in the lung. Hydrophilic material may inhibit biofilm formation, or features which induce some tissue ingrowth (stimulation of tissue growth) may enhance implanted device supported.

Abstract: Atrial appendage occlusion systems and methods of using the same. In an exemplary embodiment of a system for occluding an atrial appendage of a heart, the system comprises a first device and a second device, wherein the first device comprises a first tube sized and shaped for insertion into the heart and a balloon coupled to the first tube, wherein the balloon is capable of inflation and deflation, wherein the second device comprises a second tube sized and shaped for insertion into a pericardial space surrounding the heart, the second tube comprising a lumen extending at least partially from a second tube distal end to a second tube proximal end and a loop sized and shaped to fit at least partially within the lumen of the second tube, wherein the loop is capable of protraction from the second tube distal end, and wherein the loop of the second device is configured for placement around the atrial appendage and to be secured around the atrial appendage.

Abstract: Provided are approaches to establish a failsafe barrier to internal bleeding from percutaneous wounds. As provided herein, a barrier is formed to protect a patient from failed wound closure devices or related complications due to a variety of contributing factors such as state of systemic anticoagulation, errors in surgical procedure, Variability in patient anatomy, and the like. The methods described herein permit a clotting agent to encase, and thus isolate, substantially the entire wound access area from the rest of the patient. A preferred method comprises sealingly inserting an instrument, such as an intravascular introducer sheath, through a wound at an access site on a vessel, then using the entire enveloping tissue region around the accessed area as a mold cavity to be filled with a clotting agent. With benefits of patient safety, user simplicity, and low healthcare cost driving the effort, autologous whole blood is the preferred injected agent.

Abstract: A surgical sagittal saw blade with a static blade bar, an oscillating blade head and at least one drive rod disposed in the blade bar that pivots the blade head. The blade bar is formed with an opening located proximal to the distal end of the blade. A finger connected to a distal end of the drive rod is located above the drive rod so as to be seated in the opening in the blade bar. The finger extends forward of the drive rod over a base section of the blade head.

Abstract: A cutting guide assembly comprises a mounting block having a guide surface into which may be mounted an articulated mounting arm. The mounting arm has a first post which is retained in the mounting block and a second post. A cutting tool attachment component is provided to attach the cutting tool to the cutting guide assembly. The cutting tool attachment component has a first surface against which the saw blade can be retained for oscillation around an axis of oscillation, and a shaft which cooperates with the second post such that the longitudinal axis of the shaft is collinear with the axis of oscillation of the saw blade. When the saw blade is retained against the first surface, the plane of oscillation is parallel to, and displaced from, the guide surface of the mounting block.

Abstract: The Infrared Endoscopic Probe represents a new instrument to bore pilot holes in vertebra pedicles while imaging the operation in the infrared spectrum with an integrated fiber optics endoscope. The pilot holes are bored to provide entry points for pedicle screws that serve as anchor points for spine stabilizing rods to treat several spine conditions. The device consists of a metal body that terminates in a tapered incision tip, an endoscope that runs inside said metal body, a handle to drive the device into pedicle boney tissue and a fiber optics harness that enters the device handle and is used to connect to imaging, illumination, irrigation and suction devices to enable the endoscopic functions of the device. The fiber optics harness connects to an imaging camera that provides an electrical signal to a monitor to view the operation in real time. A method is described to accomplish this procedure.

Abstract: A medical device is disclosed for restricting a flow in a body lumen by being inserted into the body lumen. The medical device including an elongated shaft part; an expansion part which is a tubular body having a plurality of gaps and elastically deformable, with the shaft part being connected to at least one of both side end portions of the tubular body; a cover part which is flexibly deformable independently from the expansion part while surrounding an outer circumference of the expansion part, which is tubular in shape, both end portions of the tubular shape being connected to both end portions of the expansion part; and a sheath in which the expansion part and the cover part both contracted in diameter can be accommodated.

Abstract: A shockwave probe transducer structure includes a shock cup, a magnetic disc and a focusing module. The focusing module includes a circular cover and a focusing member installed between the circular cover and the shock cup. The focusing member is consisted of a focusing bag or a lens and a focusing bag closely coupled to each other. The focal point of the shockwave of the shockwave probe transducer structure can be changed by simply changing the focusing module installed at the front of the shockwave probe transducer structure, so as to overcome the problems of complicated changing procedure and possible water leakage and avoid the risk of damaging an expensive shockwave system or jeopardizing the safety of people.

Abstract: Methods for accessing a disc space of a patient as a part of an interbody fusion, as well as the tools employed therewith. An exemplary method may include inserting a leading end of an tool into the patient's back at a location on the posterior surface that is laterally offset from a patient's spinous process and disc. The tool's initial entry into the patient may be from a posterior approach. As the tool is advanced along its designated path, it begins to deviate from the posterior approach towards a lateral approach. When the leading end reaches the disc, it may access the disc from a lateral or substantially lateral location. The tool may be used to access the disc location, to remove disc material, to deliver a cutting tool for removing the disc material, and other steps associated with the spinal interbody fusion procedure.

Abstract: A follicle container for transporting an extracted hair follicle from a follicle extractor and containing the hair follicle for future use includes a receptacle, a conduit coupleable with the follicle extractor, to convey the extracted hair follicle toward the receptacle; and an injector to aerosolize and inject an irrigant into the conduit while the extracted hair follicle travels toward the receptacle. The irrigant lubricates the interior wall of the conduit and thus reduces friction as the follicle travels in the conduit. The irrigant also washes the conduit and keeps the extracted follicle moist and thus viable and more flexible. Flexibility allows the follicle to more easily suffer without damage bumps with the wall of the conduit and/or other extracted follicles as the follicle travels in the conduit.

Abstract: An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a remote actuator. The ultrasonic instrument has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting jaw by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting jaw. A trocar assembly including a cannula may be provided to slidably receive the elongated portion of the ultrasonic instrument.

Abstract: Described herein are atherectomy catheters, systems and methods that include a distal tip region that may be moved laterally so that its long axis is parallel with the long axis of the main catheter body axis. Displacing the distal tip region laterally out of the main catheter body axis exposes an annular blade and opens a passageway for cut tissue to enter a storage region within the catheter. The annular blade may be internally coupled to a drive shaft that rotates the blade, and thus the exposed blade edge may have the same crossing profile (OD) as the rest of the distal end region of the catheter. Also described herein are gear-driven atherectomy devices that may use a cable drive shaft to actuate the annular blade. Both push-to-cut and pull-to-cut variations are described, as are methods for cutting tissue and systems including these atherectomy catheters.

Abstract: A tissue-removing catheter for removing tissue from a body lumen includes a tissue-removing element. The tissue-removing element may be coupled to a first longitudinal body portion of the catheter body. The first longitudinal body portion may be rotatable along its length and relative to a second longitudinal body portion to adjust the angular position of the first longitudinal body portion relative to the second longitudinal body portion. An angular-positioning mechanism may be operatively connected to the tissue-removing element for rotating the tissue-removing element relative to the second longitudinal body portion about a rotational axis to adjust an angular tissue-removing position of the tissue-removing element, relative to the longitudinal axis of the body lumen, from a first angular tissue-removing position to a second angular tissue-removing position offset from the first angular tissue-removing position.

Abstract: Atherectomy catheter devices having a C-shaped balloon opposite a cutting window out of which a rotating cutter may extend and a proximal annular balloon. The C-shaped first balloon may be used to drive the cutter against a vessel and to deploy the cutter by assisting in deflecting a nosecone (distal tip) to expose the distal-facing cutting edge of the cutter. The proximal annular balloon may be used to occlude blood flow. The device may pulled, pushed or rotated in a vessel with the balloons inflated or deflated.

Abstract: A puncture needle for an endoscope includes a flexible sheath having a longitudinal axis and deformed to be bent by a raising base, a flexible needle tube having a needle tip and a distal opening section and that is movable in the sheath with respect to the sheath, and a stylet having a distal end surface that is able to advance and retreat in the needle tube and protrude and withdraw from needle tube along the longitudinal axis of the sheath, wherein the stylet retracts the needle tip such that the needle tip of the needle tube is separated from an inner surface of the sheath as the distal end surface of the stylet comes in contact with the inner surface of the sheath formed in the bent shape.

Abstract: A method and device for puncturing the atrial septum to gain access to the left atrium without causing unintended injury to left atrial tissue. Specifically, the device includes a transseptal needle having a compressible shaft and a puncturing tip. As the transseptal needle is advanced through a delivery sheath and into contact with the septum, the compressible shaft is compressed and stores a minimal amount of mechanical energy but allows force transfer along its length. Force continues to be applied to the needle by the user until the puncturing tip punctures the septum. As the puncturing tip advances through the puncture and into the left atrium, any mechanical energy stored in the compressible shaft is immediately released, and the transfer of force is discontinued, by physical deformation of the compressible shaft. Thus, the puncturing tip enters the left atrium without causing injury to left atrial wall tissue.

Abstract: A surgical device, and related method to aid in delivery by vaginal or cesarean section delivery to dislodge the fetal head when it has become wedged in the birth canal is provided. The device has a body and a handle for an operator to hold and brace against the mother, and a head plate with an inflatable bladder for gently applying force to the fetal head. The head plate is inserted into the birth canal and the bladder is filled with air or biocompatible fluid. The combination of insertion and inflation gently elevates the fetal head out of the birth canal into the pelvis to facilitate repositioning or extraction of the fetus. The device may have an adjustable neck to accommodate different anatomies and scenarios. The device may have sensors to monitor the health of both the neonate and the mother and to aid in the operation of the device.