Abstract: A method displays, in response to a user selection of a first viewing mode, an ultrasound image in grayscale and determines a region of interest within the displayed grayscale ultrasound image. In response to an operator instruction to switch to a second viewing mode that is different from the first viewing mode, a modified ultrasound image is generated comprising the region of interest. The method displays the modified ultrasound image including the region of interest, wherein one or more portions of the modified image are highlighted.

Abstract: An ultrasound imaging system (102) includes a probe (104) with a transducer array (106) with at least one transducer element (108). The ultrasound imaging system further includes a console (112) with a controller (124) and an echo processor. The ultrasound imaging system further includes a display monitor (122). The ultrasound imaging system further includes a touch screen user interface (128), including: a touch panel (130) with a first major surface (402, 1402) and a first recess (408, 1408) in the first major surface; and at least one touch sensitive control (134) disposed in the recess. A method includes sensing a first physical contact with a touch control recessed in a surface of a touch screen user interface, generating a signal indicative of the gesture, sensing a second physical contact with the touch control recessed in the surface of the touch screen user interface, and performing a predetermined action based on the first and second physical contact.

Abstract: Methods and systems are provided for displaying a 3D ultrasound image volume in a desired view orientation. A 3D ultrasound image can be acquired of an anatomical feature in a patient. The actual orientation of the anatomical feature can be determined in space. The 3D ultrasound image including the anatomical feature can be displayed such that the anatomical feature is positioned in a selected orientation that is different than the actual orientation, and in relation to a lighting model for generating lighting and shadowing on the anatomical feature.

Abstract: An ultrasound device performs a two-dimensional (2D) ultrasound scan to acquire a plurality of 2D images based on 2D ultrasound scan parameters. The ultrasound system stops the 2D ultrasound scan in response to an instruction received by a processor of the ultrasound system. The ultrasound device performs a thin slice volume ultrasound scan in response to the instruction to acquire a thin slice volume. The thin slice volume includes a last acquired 2D image of the 2D ultrasound scan and one or more 2D images adjacent to the last acquired 2D image. The ultrasound system identifies at least one representative plane from the thin slice volume. The ultrasound system displays the identified at least one representative plane at a display system.

Abstract: Systems and methods are provided for generating an ultrasound image. The systems and methods collect ultrasound data for a volumetric region of interest (ROI). The ultrasound data includes color flow data and B-mode image data. The systems and methods further include a Doppler signal power and a flow velocity based on the color flow data corresponding to pixels within a first set of pixel data, and generate a second set of pixel data based on the B-mode image data. The systems and methods further identify a select pixel data set from the first set of pixels data and the second set of pixel data based on the Doppler signal power and the flow velocity. The select pixel data forms an ultrasound image of the ROI. The systems and methods further display the ultrasound image on a display.

Abstract: An ovulation tester contains: a first body and a second body. The first body is cylindrical and includes a first connecting portion, a first holding disc, and a switch. The switch has a first coupling section which corresponds to a second coupling section of the first body, between the switch and the first holding disc are defined a power supply assembly and a light-emitting element below the power supply assembly, and between the light-emitting element and the first holding disc is defined a light diffuser. The second body is cylindrical and is connected with the first body, the second body includes a second connecting portion for corresponding to the first connecting portion of the first body, a second holding disc for corresponding to the first connecting portion of the first body, and at least one lens in the inner wall thereof below the second holding disc.

Abstract: Methods of using a biological sample collection device comprising a collection portion and a body portion, the body portion including a holding portion for holding a biological sample storage medium, and a sample transfer means, such as a cover. The collection portion can be arranged in a first position separated from the body portion for collecting a sample, and in a second position at least partly between the sample transfer means and the holding portion, with the sample transfer means being operable to push the collection portion towards a position at which the holding means is arranged to hold the biological sample storage medium, enabling a sample held in the collection portion to be transferred to the latter.

Abstract: A biopsy needle consisting of a main portion, a linking portion and a front end portion wherein the main portion has a first bore of uniform circular cross-section, the front end portion has a smaller second bore of uniform circular cross-section and the linking portion has a shoulder between the first bore and the second bore. The outer surface of the linking portion is tapered. The open front end has multiple projecting teeth which serve to cut. There may also be serrations on the outer surface of both the front end portion and the linking portion. The biopsy needle has slits or holes to facilitate the expansion of the captured biopsy specimen and to inject cement for bone support. The needle assembly has a non-slip grip on multiple surfaces and pins hold components in place during rotation of the assembly.

Abstract: Devices and methods for organizing a plurality of end effectors and selectively delivering them through surgical trocars are described herein. In one embodiment, a surgical end effector loading device is provided that includes at least one mating element to interface with a surgical trocar, a deployment lumen positioned to align with a working channel of a surgical trocar, an end effector repository having a plurality of end effector lumens formed therein to receive end effectors, the repository being configured to selectively align any of the plurality of end effector lumens with the deployment lumen, and an advancer coupled to the repository and configured to advance an end effector from the repository through the deployment lumen.

Abstract: Devices and methods for delivering end effectors through surgical trocars are described herein. In one embodiment, a surgical end effector loading device is provided that includes a housing having a distal-facing first portion configured to couple with a proximal end of a surgical trocar, and an elongate second portion protruding distally from the first portion. The second portion can include a lumen formed therein and can be configured to extend into a working channel of the surgical trocar when the housing is coupled thereto. The device can also include at least one mating element coupled to the housing and configured to interface with a complementary mating element of the surgical trocar to restrict movement of the housing relative to the trocar, as well as an end effector retainer coupled to the housing and configured to selectively couple a surgical end effector to the housing.

Abstract: The present invention is directed towards implantable, inflatable, bioabsorbable medical prostheses. In particular, the present invention relates to an implantable, inflatable, bioabsorbable method and device for occluding septal defects such as an atrial septal defect. A double button shaped device is contained in a catheter to allow for easy positioning and re-positioning of the apparatus to ensure proper placement and deployment. The device is charged with a filling solution so that it temporarily stabilizes the defect for a period of time typically varying from weeks to a year while it provides a structure to support natural tissue growth. The device is eventually replaced by natural tissue as it degrades and is absorbed or eliminated from the body by natural processes.

Abstract: Disclosed is an instrument that may an interior tube and an external tube. The exterior tube may be fixed relative to an interior tube, where the interior tube may rotate or oscillate relative to the exterior tube. Further, the two tubes may be co-bent such that an angle is formed by both of the tubes.

Abstract: A surgical instrument comprises a steering mechanism. The steering mechanism comprises a handle at a proximal end of the surgical instrument. The handle includes a plurality of controls for controlling a movement of the surgical instrument. The steering mechanism also comprises a hub that rotatably mates with the handle and a housing positioned about the hub. The handle, the housing, and the hub communicate with each other to provide at least a first degree of freedom and a second degree of freedom. An articulation region is at a distal end of the surgical instrument. A movement of the steering mechanism handle in one and only one of the first or second degrees of freedom relative to at least one of the housing or the hub translates to a movement of the articulation region in a single plane of motion.

Abstract: Retraction guidewires are disclosed, including retraction guidewires configured to transition from an elongate configuration for delivery to a treatment site through an organ wall to a deployed configuration for retraction of the organ wall, for example. The deployed configuration includes a stem portion and a dome portion having a distal end and a proximal end, the stem portion extending proximally from the distal end of the dome portion.

Abstract: Surgical methods for stabilizing a joint are disclosed. The methods aid in surgical repairs by allowing for quick and reproducible repairs to be made. A bone tunnel is formed anteriorly/posteriorly in clavicle, and a bone tunnel is formed superiorly in acromion. At least one cannulated insert is provided into one or both of bone tunnels to protect the bone from abrasions caused by a flexible construct. A flexible construct is passed through the acromion tunnel and the clavicle tunnel. An attachment device may then be positioned on at least one side of the clavicle and/or acromion tunnel, and the flexible construct is attached to the attachment device.

Abstract: Methods, systems and apparatuses for soft tissue repair including a device for anchoring sutured tissue to bone are disclosed. In one example, a device can include a body and a member. The body can have a wall with an outer surface thereof configured to engage the bone of a patient. The body can define an inner passage extending generally from a proximal end thereof to a distal end thereof. The body can have a slit formed by the wall, the slit extending at least a portion of a proximal-distal length of the wall. The member can be configured to be disposed within the body and can be moveable along the inner passage relative to the body between a first position and a second position. The member can be configured with a second passage to receive and pass a suture through the member when the member is in the first position.

Abstract: Devices and methods for treating or repairing a heart are disclosed. The device includes at least one radially expandable tissue-engaging element, an elongate member (e.g., suture) coupled to the expandable element, and a locking mechanism (e.g., locking clip, suture knot). The expandable element may be anchored to heart tissue within the heart, such as in the left ventricle, with the elongate member extending from the expandable element and across a heart chamber to a second location such as the heart apex where the elongate member is held by the locking mechanism.

Abstract: An anchor is provided for placement in or against tissue. The anchor includes a flat fibrous construct having a first end and a second end; and a filament having a first end and a second end passing through the fibrous construct in two locations including a first passing location nearest a first end of the fibrous construct, a second passing location nearest a second end of the fibrous construct, the filament remaining free to slide through the first passing location and the second passing location such that the filament can be removed from the flat fibrous construct from the first end of the fibrous construct and the second end of the fibrous construct.

Abstract: A cannula (100) for catgut-embedding therapy according to the present invention comprises: a tube (110) having a closed front end; and a hole (120) penetrating a side of the tube (110), wherein the cannula (100) comprises a ball (140) inserted into the tube (110) and arranged to guide a catgut-embedding string (130) to the hole (120). The present invention can advantageously solve the problem of spikes (131) getting stuck at the front end (121) of the hole (120) and failing to come out.

Abstract: A suture needle system includes a first needle and at least one second needle. Each of the first and second needles preferably has a common needle body construct. The first needle includes an elongate suture having a length sufficient to extend at least the length of an instrument channel of an endoscope. The second needle includes an opening formed by a loop of suture at which the second needle can be advanced over the elongate suture. In use, the first needle is secured to a first tissue location using an endoscopic suturing system. A second needle is advanced at its opening over the elongate suture and secured to a second tissue location. Additional second needles may be advanced over the elongate suture to respective tissue locations. The elongate suture is pulled taut, drawing the second needles into proximity, and secured.

Abstract: Devices for easily and quickly tying complex suture knots are disclosed. The knot tying accessories described herein provide a means for introducing a complex knot pattern into a bight of suture using a device body and a guide thread. The device body includes system for maintaining the guide thread and suture in a convoluted pathway, either with the use of channels, protrusions, or a combination of both within its interior, on its exterior, or both. The guide thread may include a coupler at one end for holding a suture end while the guide thread leads the suture through the convoluted path defined within the guide body. Pull tabs may also be included to aid with exchanging the guide thread for the suture ends.

Abstract: One embodiment is directed to a method for tensioning a suture member that crosses a portion of a wall of a tissue structure, comprising: advancing a distal portion of the suture member across at least a portion of a wall of the tissue structure; advancing a tensioning assembly, through which the suture member is threaded, toward the wall of the tissue structure, the tensioning assembly comprising: a tensioning member base having a tissue interface surface configured to engage a portion of the tissue structure when coupled to a suture member that may be threaded through the tensioning member base and into the tissue structure; a suture clamping member configured to be switched from a first mode, wherein a suture may be tensioned back and forth through a space defined at least in part by the clamping member, to a second mode, wherein a suture may only be tensioned in one direction relative to the suture clamping member; and a mode switching member movably coupled to the suture clamping member and configured to

Abstract: There are disclosed embodiments for a suture retention mechanism. For example, embodiments may include a suture retention mechanism including a body with a suture aperture and a channel defined through the body. A cam is pivotally attached to the body so that the cam may be moved between an open position and a closed position. In the open position, a suture may move within the suture opening. In the closed position, the cam obstructs the suture opening so the suture may not move within the suture opening. An embodiment for a closure tool for a suture retention mechanism is also disclosed.

Abstract: Suture clip deployment devices for applying suture clips to sutures are described. Some embodiments can include a generally tubular main body and a vacuum port located at the distal end, a hollow inner body longitudinally slidable within the main body and extending from the main body at its distal end, and a suture recess located in the generally tubular main body. At least one suture clip configured to frictionally fit on an outer surface of the inner body is deployed during use. Clip deployment can occur after a vacuum source is applied to the device so as to draw the suture into the device. The suture lines can be retrieved through the suture recess, and the device can be actuated so as to deliver the suture clip off the delivery device and onto the suture, locking the suture in place.

Abstract: An apparatus and a method for surgical suturing with thread management. An apparatus for tissue suturing comprising a cartridge having a suturing needle having a pointed end and a blunt end, the suturing needle capable of rotating about an axis; a pusher assembly comprising a cartridge holder having a needle rotation drive capable of releasably engaging the cartridge and rotating the suturing needle about the axis; and an actuator capable of releasably engaging the needle rotation drive to rotate the needle rotation drive. A method for suturing tissue comprising placing a suturing device having a cartridge containing a suturing needle to span separated tissue segments; activating an actuator to cause rotational movement of the suturing needle through the separated tissue segments; and deactivating the actuator to stop an advancing movement of the suturing needle to cause a suturing material to be pulled through the separated tissue segments forming a stitch.

Abstract: An apparatus and a method for surgical suturing with thread management. An apparatus for tissue suturing comprising a cartridge having a suturing needle having a pointed end and a blunt end, the suturing needle capable of rotating about an axis; a pusher assembly comprising a cartridge holder having a needle rotation drive capable of releasably engaging the cartridge and rotating the suturing needle about the axis; and an actuator capable of releasably engaging the needle rotation drive to rotate the needle rotation drive. A method for suturing tissue comprising placing a suturing device having a cartridge containing a suturing needle to span separated tissue segments; activating an actuator to cause rotational movement of the suturing needle through the separated tissue segments; and deactivating the actuator to stop an advancing movement of the suturing needle to cause a suturing material to be pulled through the separated tissue segments forming a stitch.

Abstract: A surgical buttress for use in a surgical stapling apparatus is provided and includes an elongate rectangular body portion defining a width; a neck portion integrally formed with and extending from a distal end of the body portion, the neck portion defining a width; a head portion integrally formed with and connected to a distal end of the neck portion, the head portion defining a width; and a tail portion integrally formed with and extending from a proximal end of the body portion, the tail portion defining a width. The width of the tail portion is less than the width of the body portion.

Abstract: A buttress assembly is configured to temporarily adhere to a wet surgical stapler end effector. The buttress assembly includes a buttress body and a humidity tolerant adhesive. The adhesive includes a bioabsorbable polymer having a block configuration selected from the group consisting of A-B-A and A-B-C. The A block is a bioabsorbable homopolymer characterized by a glass transition temperature of at least about 0° C., a crystallinity as measured by X-ray diffraction of at least about 30%, and a melting temperature of at least about 50° C. The B block is a bioabsorbable homopolymer or co-polymer that is characterized by a glass transition temperature of at least about -40° C., a crystallinity as measured by X-ray diffraction of at most about 25%, and2 a molecular weight of from about 20 to about 80kDa. The C block is a bioabsorbable hydrophilic homopolymer or co-polymer that is miscible with water at 37° C.

Abstract: A stretchable buttress assembly is associated with surgical staples deployable into tissue from a surgical stapler having a longitudinal axis. The buttress assembly includes a planar fabric and a bioabsorbable adhesive. The planar fabric also has fibers that are either substantially unaligned with the longitudinal axis of the surgical stapler or substantially aligned with the longitudinal axis of the surgical stapler. The bioabsorbable adhesive is applied to the first side and/or the second side of the planar fabric and is configured to adhere the stretchable buttress assembly to an end effector of the surgical stapler. The buttress assembly is substantially stretchable in one direction. In some versions the buttress assembly is stretchable in a direction parallel to the longitudinal axis. In some versions the buttress assembly is stretchable in a direction perpendicular to the longitudinal axis.

Abstract: A deployment device and an associated surgical fastener as well as their methods of use are disclosed. In one embodiment, the deployment device includes a restraining mechanism constructed and arranged to temporarily limiting movement of a surgical fastener back span. The surgical fastener includes two legs extending in a distal direction from opposing ends of the back span. The legs are in a first closed position with a first shape. The deployment device also includes a spreader configured and arranged to engage the legs of the surgical fastener in the first closed position. When the spreader is moved in a distal direction relative to the back span, the spreader spreads the legs of the surgical fastener from the first closed position to a second open position as the back span is limited from distally moving by the restraining mechanism.

Abstract: An apparatus can include a first flexible member having first and second ends and a first body extending therebetween that defines a first passage portion. A second flexible member can include first and second ends and a second body extending therebetween that defines a second passage portion. The first end of the first flexible member can pass into and through the second passage portion in a first direction such that the first end extends outside of the second passage portion. The first end of the second flexible member can pass into and through the first passage portion in a second direction such that the first end of the second flexible member extends outside of the first passage portion to form a self-locking adjustable flexible member construct. Applying tension to the first ends can draw the passage portions and corresponding second ends toward each other.

Abstract: A surgical suture having enhanced visual characteristics is provided. The suture has a suture filament operatively coupled to a suture needle. The suture filament includes a useful segment and a terminal segment. The terminal segment is located at a first end of the filament. The useful segment extends substantially from the terminal segment to a second end of the filament. The terminal segment is of a length of the filament that is left-over after a substantially last formable suture knot is formed using the useful segment. After the last formable suture knot is formed, the terminal segment is removed from the useful segment along with the suture needle for disposal. In order to enable visual location of the terminal segment after the same has been separated from the useful segment, the filament is treated such that that the terminal segment has distinctive contrasting light frequency characteristics.

Abstract: A method for suture lacing includes providing a suture with a needle attached thereto, inserting the needle and suture into an organ through a passageway, throwing a single stitch through a first tissue member, throwing a single stitch through an opposed and spaced apart second tissue member, repeating the preceding step at least once, bringing the first and second tissue members in contact by tensioning the suture, whereby suture drag is minimized during the tensioning and even tissue compression substantially achieved, and securing the suture.

Abstract: A buttress assembly is configured to temporarily adhere to a wet surgical stapler end effector. The buttress assembly includes a buttress body and a humidity tolerant adhesive material. The humidity tolerant adhesive material is applied to at least one side of the buttress body. The humidity tolerant adhesive material is configured to hold the buttress body to an underside of an anvil or a deck of a staple cartridge for at least five minutes in an environment of 100% relative humidity at approximately 37° C.

Abstract: An apparatus includes a buttress body, an adhesive material, and a containment sheet. The buttress body is sized to fit on an anvil or a staple cartridge deck of a surgical stapler. The adhesive material is disposed on the buttress body. The adhesive material is configured to flow across the buttress body in response to a temperature exceeding a melting temperature. The containment sheet is disposed on the adhesive material.

Abstract: A stretchable buttress assembly includes a planar fabric layer and a biocompatible adhesive layer. The planar fabric layer is configured to stretch along a stretch axis. The planar fabric layer includes extensible fibers and non-extensible fibers. The extensible fibers are arranged in a repeatable pattern. The extensible fibers are oriented along respective paths that are each parallel to the stretch axis. The non-extensible fibers are arranged in a repeatable pattern and engaged with the extensible fibers. The adhesive layer is applied to the planar fabric and is configured to removably adhere the planar fabric layer to an end effector of a surgical stapler.

Abstract: A surgical stapling device is described having a tool assembly including an anvil assembly and a staple cartridge having a series of tri-staples which are supported and configured to be rotatably ejected from the staple cartridge into the anvil assembly to suture tissue. The manner in which the staples are supported and ejected from within the staple cartridge facilitates the use of a tool assembly of reduced diameter that includes staples capable of suturing thicker tissues than would normally be associated with tool assemblies with such a reduced diameter. A tri-staple is also described that can be ejected from the surgical stapling device. In embodiments, the tri-staple includes three legs of different lengths. Each of the legs is configured to provide a different degree of compression when applied to tissue. In addition, each of the staple legs has a D-shaped configuration when deformed.

Abstract: An apparatus includes an end effector, a cartridge, and a buttress assembly. The end effector includes an anvil and a lower jaw. The anvil is configured to move toward and away from the lower jaw. The lower jaw is configured to receive the cartridge. The cartridge includes a housing, staples disposed in the housing, and a deck disposed over the staples. The buttress assembly is configured to be attached to either the anvil or the cartridge. The buttress assembly includes an adhesive layer, a film layer, and a buttress body. The adhesive layer is configured to adhere to either the anvil or the deck of the cartridge. The adhesive layer is attached to a first side of the film layer. The buttress body is attached to a second side of the film layer such that the film layer is interposed between the adhesive layer and the buttress body.

Abstract: A staple cartridge includes a plurality of staples and a deck defining a plurality of openings. Each opening of the plurality of openings is associated with a corresponding staple of the plurality of staples, such that each staple is configured to pass through a corresponding opening of the plurality of openings. The deck further includes a first mechanical coupling feature and a buttress assembly. The buttress assembly includes a buttress body and a second mechanical coupling feature. The second mechanical coupling feature is configured to engage the first mechanical coupling feature to releasably couple the buttress body to the deck.

Abstract: A buttress applier cartridge includes a housing, a platform, a buttress assembly, and a data communication feature. The housing defines a gap that is configured to receive a portion of an end effector of a surgical stapler. A portion of the platform is exposed in the gap defined by the housing. The buttress assembly is positioned on the platform. The buttress assembly is exposed in the gap defined by the housing. The data communication feature is configured to provide communication of data relating to the cartridge. The data communication feature may communicate with a complementary data communication feature of the surgical stapler.

Abstract: A surgical stapler end effector assembly includes a staple cartridge, an end effector, and a buttress assembly. The cartridge included a plurality of staples and a deck. The cartridge is operable to drive the staples through the deck. The anvil includes an underside having a staple forming surface configured to receive staples driven through the deck. The buttress assembly is sized and configured to be coupled with the deck of the staple cartridge or the underside of the anvil. The buttress assembly includes a buttress body, a first adhesive layer, and a second adhesive layer. The first and second adhesive layers are formed of different materials. The first adhesive layer is laid over the buttress body. The second adhesive layer is laid over the first adhesive layer such that the first adhesive layer is interposed between the second adhesive layer and the buttress body.

Abstract: A blood vessel connecting apparatus connects a first blood vessel to a second blood vessel. The blood vessel connecting apparatus includes an elastic connection part and a fixing part. The elastic connection part has an elastic restoring force, is inserted in an end of the second blood vessel and extends along an extending direction of the second blood vessel. The fixing part fixes the elastic connection part to an inside of the second blood vessel.

Abstract: Methods and apparatus for creating an anastomosis or fistula between the gallbladder and an adjacent organ are disclosed. First, a parent magnet, typically a permanent magnet, is deployed in the stomach, small intestine, or another organ adjacent to the gallbladder, and a mating daughter material is deployed in the gallbladder in order to create a magnet-compression anastomosis. The gallbladder may then be ablated or otherwise functionally inactivated through the anastomosis. Another aspect of the invention relates to an all-in-one surgical kit that contains all the necessary specialized tools for a surgeon to perform the procedure.

Abstract: A surgical instrument that includes an elongated shaft that defines defining a central axis. The elongated shaft may have a distal end portion that is configured to operably support a circular staple cartridge therein. A tissue acquisition shaft may be axially movable within the elongated shaft such that a distal end portion of the tissue acquisition shaft may be distally advanced beyond the distal end portion of the elongated shaft. At least one tissue acquisition member may be pivotally attached to the distal end portion of the tissue acquisition shaft such that at least one tissue acquisition member is selectively pivotable about a corresponding acquisition axis that is substantially parallel to the central axis from a retracted position to deployed positions upon application of a deployment motion thereto. Various embodiments include an annular cutting member that is supported by the distal end of the elongated shaft for selective axial travel relative thereto.

Abstract: The problem of positioning one or more nerve ends inside a sheathing implant is solved by the use of a pulley and cinching systems that pull a nerve end into an implant and that can adjust the diameter of an implant to conform the implant to the diameter of the nerve, respectively. The pulley system utilizes a suture that traverses the wall of an implant leaving one end outside the implant wall and another end that can be attached to a nerve. Pulling the suture end outside the wall pulls the nerve attached to the other end of the suture into the bore of the implant. A cinching system utilizes specially arranged sutures within the wall of an implant to tighten or cinch up the wall after a nerve is placed therein, so as to conform at least part of the implant to the diameter of the nerve. Methods are also disclosed by which such pulley systems can be formed during an intraoperative procedure.

Abstract: A fastener cartridge assembly for use with a circular surgical fastening device. The fastener cartridge assembly includes a cartridge body that has a circular deck. A plurality of fastener cavities is provided in the circular deck. Each fastener cavity includes two cavity ends wherein one cavity end of each of the fastener cavities is positioned on a first circular axis having a first radius and wherein the other cavity end of each fastener cavity is positioned on a second circular axis that has a second radius that differs from the first radius.

Abstract: A device for clipping tissue includes a clip including first and second arms, a pusher member received over a proximal end of the clip, an outer sleeve distal of the pusher member and received over the first and second arms and being pushed distally over the clip by the pusher member from a first position in which the first and second arms are unconstrained by the outer sleeve in a tissue receiving configuration to a second position in which the first and second arms move to a closed tissue gripping configuration. A clip holder has first and second fingers which are held by the pusher member against corresponding cuts on a proximal end of the clip to couple the clip to the device. When the pusher member is moved distally to the second position, the first and second fingers move radially outward releasing the clip.

Abstract: A device for delivering an implant (e.g., an embolic micro-coil) to a vascular disorder of a patient includes a delivery pusher, a moveable element, and first and second elongate members. The delivery pusher defines a lumen between its proximal and distal ends. The moveable element (e.g., a floating tube or a floating coil) defines a passageway therethrough and is disposed within the lumen of the delivery pusher. The first and second elongate members (e.g., core wires) are also disposed within the lumen of the delivery pusher. A portion of each elongate member passes through the passageway of the moveable element. Movement of the first elongate member in a first direction (e.g., retraction of the first elongate member from a locked to an unlocked configuration) causes a time-delayed or lost motion movement of the second elongate member in the same (i.e., first) direction, which releases the implant from the delivery pusher.

Abstract: Embodiments of the present invention provide an improved vascular occlusion device for occlusion of a passageway, cavity, or the like. According to one embodiment, a medical device for occluding a left atrial appendage is provided. The medical device includes a first portion having at least one plane of occlusion that is configured to be positioned outside of the left atrial appendage, and a second portion having at least one plane of occlusion that is configured to be at least partially positioned within a cavity defined by the left atrial appendage.

Abstract: A bone preparation system including a guide body and a plurality of bone locators. The guide body is configured to mate with a patient-specific module having a patient-specific module surface customized based on image data of a specific patient to correspond to the patient's specific bone geometry. The plurality of bone locators are coupled to the guide body and positioned by the patient-specific module surface to define a patient-specific bone engaging surface of the guide corresponding to the patient's specific bone geometry.