Abstract: An apparatus for cone beam computed tomography can include a support structure, a scanner assembly coupled to the support structure for controlled movement in at least x, y and z orientations, the scanner assembly can include a DR detector configured to move along at least a portion of a detector path that extends at least partially around a scan volume with a distance D1 that is sufficiently long to allow the scan volume to be positioned within the detector path; a radiation source configured to move along at least a portion of a source path outside the detector path, the source path having a distance D2 greater than the distance D1, the distance D2 being sufficiently long to allow adequate radiation exposure of the scan volume for an image capture by the detector; and a first gap in the detector path.

Abstract: Method for positioning an artificial heart valve at the anatomic position of a malfunctioning heart valve of a heart of a patient, by employing a catheter bearing the artificial heart valve and a valve fixation device, at the tip of the catheter, the method including the procedures of receiving a marking input associated with an image of the heart, and respective of the anatomic position, in a medical positioning system (MPS) coordinate system, moving the tip toward the anatomic position, constantly detecting the current position of the artificial heart valve, and producing an indication when the current position substantially matches the anatomic position, thereby enabling the catheter to fix the malfunctioning heart valve in place, by the valve fixation device.

Abstract: According to one embodiment, Switching units are configured to switch the intensity of X-rays to be generated by an anode. An X-ray controller controls the switching units to switch the intensity of the X-rays to be generated by the anode, and controls a rotor control power generator to rotate the anode. When a value approximately equal to an integer multiple of an X-ray intensity switching period designated by a user coincides with the rotor rotation period, the X-ray controller controls the rotor control power generator to shift the thermoelectron collision ranges of the anode in the first turn from thermoelectron collision ranges in the second turn.

Abstract: An X-ray imaging method includes acquiring a differential phase contrast imaging X-ray scan with an X-ray imaging system having an X-ray source, an X-ray detector, and a grating arrangement having a source grating, a phase grating and an analyzer grating. The source grating is misaligned in respect to an interferometer such that moiré fringes are detectable in the plane of the detector. A translation signal is computed for translating the source grating for achieving a predetermined moiré pattern. The positioning of the source grating is adjusted in an X-ray projection direction based on the translation signal such that at least 2 pi of phase changes are covered with the Moiré fringes over the width of the detector. And a further differential phase contrast imaging X-ray scan is acquired.

Abstract: A method and system for determining a velocity of a moving object such as a body or a stream. The object is irradiated in a non-collinear configuration with multiple ultrasound waves overlapping in a region-of-interest (ROI) of the object. An response wave, resulting from the non-linear interaction among the incident waves and the object, is detected and the frequency variations of the response wave are determined. Data representing a Doppler-shift of this frequency is further determined and processed to calculate the velocity of the moving object.

Abstract: The present invention provides for an improved combination sensor tip that includes an ultrasound transducer and a pressure sensor both disposed at or in close proximity to the distal end of the combination sensor tip. The present invention also provides for an improved connector to couple a guide wire to a physiology monitor that reduces torsional resistance when maneuvering the guide wire.

Abstract: An apparatus, method and system for detecting a position within a body are provided. A dipole that is free to rotate or oscillate within a capsule is inserted at a target location within the body. The dipole can be either electric or magnetic, and the dipole rotates or oscillates within the capsule when an alternating or rotating electric or magnetic field is applied in the vicinity of the dipole. Ultrasound energy is impinged upon the target location and a position of the dipole is determined based on detected ultrasound reflections.

Abstract: An image processing apparatus of an embodiment includes a combined image generator and a controller. The combined image generator projects, on three-dimensional data indicating three-dimensional heart function information obtained from a first volume data group obtained by imaging the heart of a subject, a three-dimensional shape of blood vessels nourishing a cardiac muscle included in second volume data obtained by imaging the heart, thereby producing three-dimensional combined data, and produces combined image data in which the three-dimensional combined data is developed on a surface. The controller causes a display unit to display the combined image data.

Abstract: Rotational intravascular ultrasound (IVUS) imaging devices, systems, and methods are provided. Some embodiments are directed to transducer mounting configurations that enable polymer piezoelectric micro-machined ultrasonic transducers (PMUTs) to be used with a Doppler color flow rotational IVUS imaging system. In one embodiment, a rotational intravascular ultrasound (IVUS) device includes: a flexible elongate body; a piezoelectric micromachined ultrasound transducer (PMUT) coupled to a distal portion of the flexible elongate body; and an application-specific integrated circuit (ASIC) coupled to the distal portion of the flexible elongate body. The ASIC is electrically coupled to the PMUT and includes a pulser, an amplifier, a protection circuit, and timing and control circuitry for coordinating operation of the pulser, amplifier, and protection circuit.

Abstract: The probe includes a probe body that includes an internal empty space and is configured to be inserted into a coelom; an energy source module that is disposed in the probe body, and configured to emit an energy beam; first and second view windows that are provided at an end portion of the probe body, have different fields of view, and are configured to transmit the emitted energy beam; and a path changing unit that is disposed in the probe body, and configured to change a traveling path of the emitted energy beam to travel to one of the first view window and the second view window.

Abstract: Provided is a technique that implements harmonic imaging in an ultrasound diagnostic apparatus, being unaffected by the voltage-dependent distortion and nonlinear characteristics of the transmit system in the ultrasound diagnostic apparatus that incorporates the transmit amplifier, the ultrasound probe, and the like, facilitating adjustment of the transmit voltage, and achieving a frame rate substantially equivalent to that of the conventional PI method. In the amplitude modulation method that synthesizes the transmit acoustic fields, thereby eliminating a basic wave component of an acoustic wave and creating an image from nonlinear component echoes being extracted, one transmit and receive out of plural transmits and receptions to obtain one scanning line also serves as the transmit and receive for obtaining other scanning line. The echo signals obtained by the shared transmit and receive are used to form the receive beams respectively on both the scanning lines that share the transmit and receive.

Abstract: A method of displaying the influence of an aspect of a model includes acquiring a two-dimensional echocardiogram having a variable intensity; relating the two-dimensional echocardiogram to a plurality of mapping points, the mapping points existing in a three-dimensional model space; determining a degree of influence value for a mapping point; and displaying the mapping point with a visual attribute that corresponds to the determined degree of influence value.

Abstract: Data is communicated from an implanted section to an external location. The implanted section includes a transducer such as a piezoelectric element with an ultrasound reflecting surface that moves in response to an applied driving signal. A sensor generates an output signal that depends on a sensed parameter, and a control circuit drives the transducer based on the sensor's output. The transducer's response to the driving signal is repeatable such that the value of the output signal can be determined by measuring the variations in the velocity of the surface using externally applied Doppler ultrasound, and computing the value of the sensor's output from the measured variations in velocity.

Abstract: In order to verify a surgical operation image matching, a model of a target is manufactured. Then, a reference body is attached to the model. Then, three-dimensional reference data regarding to the model is obtained. Then, grid patterned light is emitted onto the model to obtain reflection image. Then, three-dimensional shape is measured from the reflection image, and measurement image is obtained from the three-dimensional shape. Then, the measurement image and previously obtained three-dimensional reference data are matched. Then, reference position of the target in the three-dimensional reference data is compared with estimated position of the target, which is estimated by the reference body in the measurement image. Therefore, the matching of the surgical operation can be verified.

Abstract: A method and system track a location of an object while the object is disposed within a region of interest within biological tissue, the location of the object being determined with respect to a tracking coordinate frame; generate acoustic images of the region of interest, the acoustic images being generated with respect to an acoustic image coordinate frame which is different from the tracking coordinate frame; transform the location of the object from the tracking coordinate frame to the acoustic image coordinate frame; and automatically adjust at least one image resolution parameter of the acoustic images in response to the location of the object with respect to the acoustic image coordinate frame.

Abstract: A marker deployment tool may comprise a marker cannula having a lateral deployment aperture, a push rod slidably disposed within the marker cannula and a scalloped tip coupled to the distal end of the marker cannula. The scalloped tip may have a push rod recess configured to receive a portion of the distal end of the push rod such that the push rod does not appreciably extend out of the lateral deployment aperture when the push rod is actuated distally. The marker deployment tool may further comprise a magnet at or near the distal end. This magnet may be used in combination with a magnet or plurality of magnets disposed about an access chamber in a tissue sample holder to assist the user in aligning the marker deployment tool. The access chamber in the tissue sample holder may also include a valve, two valves, or a removable plug.

Abstract: A marker deployment tool may comprise a marker cannula having a lateral deployment aperture, a push rod slidably disposed within the marker cannula and a scalloped tip coupled to the distal end of the marker cannula. The scalloped tip may have a push rod recess configured to receive a portion of the distal end of the push rod such that the push rod does not appreciably extend out of the lateral deployment aperture when the push rod is actuated distally. The marker deployment tool may further comprise a magnet at or near the distal end. This magnet may be used in combination with a magnet or plurality of magnets disposed about an access chamber in a tissue sample holder to assist the user in aligning the marker deployment tool. The access chamber in the tissue sample holder may also include a valve, two valves, or a removable plug.

Abstract: The present invention utilizes tetherless microtools to biopsy tissue. The invention provides a device and method for deployment and retrieval of tetherless microtools. The size of the microtools ensures that tissue damage at a site targeted for biopsy is negligible. As such, large numbers of microtools may be deployed ensuring that a true statistical sampling of biologic tissue is performed.

Abstract: A multi-functional handle manipulates a medical instrument and includes a body capable of being gripped by a hand of a user and further capable of being in communication with the medical instrument. In non-limiting exemplary embodiments, the handle may include one or more of a first trigger assembly, a second trigger assembly and a third trigger assembly. The body may also include a first portion and a second portion coupled thereto such that the second portion is displaced relative to the first portion. At least one of the first portion, second portion and first trigger assembly is capable of manipulating the medical instrument. Non-limiting exemplary embodiments also include one or more of a primary digit-receiving member, a secondary digit-receiving member, and a tertiary digit-supporting member for facilitating ergonomic operation of the handle.

Abstract: The present invention is directed to a tool having a wrist mechanism that provides pitch and yaw rotation in such a way that the tool has no singularity in roll, pitch, and yaw. A positively positionable multi-disk wrist mechanism includes a plurality of disks or vertebrae stacked in series. Each vertebra is configured to rotate in pitch or in yaw with respect to each neighboring vertebra. Actuation cables are used to manipulate and control movement of the vertebrae. In specific embodiments, some of the cables are distal cables that extend from a proximal vertebra through one or more intermediate vertebrae to a distal vertebra, while the remaining cables are medial cables that extend from the proximal vertebra to one or more of the intermediate vertebrae. The cables are actuated by a pivoted plate cable actuator mechanism.

Abstract: A bioadhesive mixing assembly includes first and second syringes and an adapter. The first syringe includes first and second chambers holding a first sealant component and an activator, respectively. The second syringe includes third and fourth chambers holding a second sealant component and one of an activator or a third sealant component, respectively. The adapter is mounted to the first syringe and includes first and second channels in flow communication with the first and second chambers, a first seal member providing sealed access to the first and second channels, first and second needles connected in flow communication with the third and fourth chambers, and a second seal member enclosing the first and second needles. Connecting the adapter to the second syringe punctures the first and second seal members with the first and second syringes to create flow communication between the first and third chambers and the second and fourth chambers.

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: A retractor (10) for use in a surgical intervention in the area of an eye socket is described. The retractor (10) comprises two planar retraction elements (26, 28), which are movable relative to each other between an insertion position with a first surface coverage and a retraction position with a second surface coverage AI, which is smaller than the first surface coverage. A spring element (20) provides pretensioning, which presses the retraction elements (26, 28) into the retraction position.

Abstract: Disclosed is a tissue anchor system and a kit of parts for surgical anchor placement including a needle having a length of suture attached to a trailing end of the needle. An opposite second end of the suture is provided with a stopper. The kit of parts further includes a plurality of surgical anchors each including an anchor body having a through-going lumen extending from a first opening in a proximal end to a second opening in a distal end. Each of the anchors is provided on the length of suture between the first and the second ends of the suture. Also disclosed is a method of preparing a kit of parts and a method of attaching a surgical implant inside the body of a patient.

Abstract: A method and apparatus for securing a suture to bone can include grasping a first suture portion with a grasping member on a positioning tool. The first suture portion can be located into a first cannulation defined in the positioning tool. A cutting member can be advanced through a second cannulation defined on the positioning tool and out through a distal opening defined on the positioning tool. A first bone hole can be cut into the bone with the cutting member. A flexible member advancing tool can be advanced through the first cannulation. The first suture portion can be urged out of the distal opening and into the first bone hole.

Abstract: A suture anchor driver has an elongated shaft, a handle at a proximal end of the shaft an anchor engagement at a distal end of the shaft and a clutch between the handle and the shaft. The clutch includes a slot for frictionally engaging a suture an engagement with the shaft and an engagement with the handle. The engagement with the shaft and the engagement with the handle are located with respect to one another such that driving torque applied to the handle urges open the slot to release its frictional engagement of the suture.

Abstract: An apparatus and a method for surgical suturing with thread management. An illustrative apparatus for tissue suturing includes a cartridge having a suturing needle having a pointed end and a blunt end, the suturing needle capable of rotating about an axis, a reciprocating needle drive, and an actuator capable of releasably engaging the needle drive to rotate the needle. A method for suturing tissue is provided that includes placing a suturing device having a cartridge containing a suturing needle to span at least one tissue segment, activating an actuator to cause rotational movement of the suturing needle through the at least one tissue segment, and deactivating the actuator to stop an advancing movement of the suturing needle to cause a suturing material to be pulled through the at least one tissue segment forming a stitch.

Abstract: Provided herein are medical apparatuses and methods and more particularly devices and methods for positioning and anchoring a lining to a hollow body organ, such as a stomach, intestine or gastrointestinal tract. For example, in one embodiment, an endoluminal applier includes a fastening assembly configured to receive tissue and lining, a suction device configured to acquire tissue and lining, and a stitching mechanism configured to stitch into the fastening cavity and to apply a running suture to the tissue portion and lining.

Abstract: An apparatus and a method for surgical suturing with thread management. An illustrative apparatus for tissue suturing includes a cartridge having a suturing needle having a pointed end and a blunt end, the suturing needle capable of rotating about an axis, a reciprocating needle drive, and an actuator capable of releasably engaging the needle drive to rotate the needle. A method for suturing tissue is provided that includes placing a suturing device having a cartridge containing a suturing needle to span at least one tissue segment, activating an actuator to cause rotational movement of the suturing needle through the at least one tissue segment, and deactivating the actuator to stop an advancing movement of the suturing needle to cause a suturing material to be pulled through the at least one tissue segment forming a stitch.

Abstract: A surgical stapling instrument for performing a circular anastomosis comprises a stapling head assembly, an actuator handle assembly, a shaft assembly, a safety latch, and a locking member. The stapling head assembly includes an anvil that moves relative to a staple holder and a staple driver to drive staples from the staple holder into tissue and against the anvil. The actuator handle assembly has a first actuator that controls motion of the anvil and a second actuator that controls motion of the staple driver. The shaft assembly couples the stapling head assembly to the actuator handle assembly. The safety latch prevents operation of the second actuator when the gap between the anvil and staple holder is outside a predetermined range. The locking member is configured to prevent adjustment of the anvil gap after the desired staple height has been set inside the predetermined range.

Abstract: An end effector for use with a surgical instrument includes a first jaw, a second jaw, a blade assembly, and a lockout assembly. The first jaw removably couples with a staple cartridge. The second jaw is movably coupled with the first jaw. The blade assembly translates relative to the first jaw and includes a first tab. The lockout assembly includes a resilient member that biases the blade assembly to a lockout position. The lockout assembly engages the first tab of the blade assembly in the lockout position to prevent the blade assembly from translating distally relative to the first jaw when a staple cartridge is absent from the first jaw or when a spent staple cartridge is disposed in the first jaw.

Abstract: A surgical stapling apparatus (stapler) is provided. A tool assembly includes first and second jaw members. A cartridge assembly includes an actuation sled and a slide. A drive member having a working end is configured to translate through the tool assembly when the first and second jaw members are in a closed configuration. A lock assembly including a latch is movable from a locked position to an unlocked position. The latch is urged to the locked position to engage the working end to prevent distal translation of the drive member through the tool assembly. The slide is configured to move the latch from the locked position to the unlocked position upon installation of an unspent cartridge assembly onto the first jaw member. The slide is movable by the drive member upon actuation of the stapling apparatus to allow the latch to move back to the locked position.

Abstract: A magazine (200;400) for dispensing at least one band (106) onto the tip of a haemorrhoid ligator (100), the magazine (200; 400) comprising at least one expander receiving a respective band, the expander being arranged to expand the band and push it onto the tip (104) of the ligator (100) as the tip (104) is inserted into the magazine (200; 400). The only action required by the medical practitioner to load the band (106) onto the ligator (100) from the magazine (200;400) is to push the tip (104) of the ligator (100) inside the magazine (200; 400) whereupon the band (106) is expanded, pushed into place and is ready for immediate discharge. Therefore the magazine (200; 400) provides a medical practitioner with an easy way to load a haemorrhoid ligator (100).

Abstract: A system and method of delivering and detaching an implant within a body of a patient is described. A tether connects an implant with a delivery device. The delivery device includes a heater coil through which the tether passes. The inner diameter of the heater coil is about the same size or slightly larger than the outer diameter of the tether, allowing the tether to more efficiently break the tether during delivery.

Abstract: A method is provided for ablating a portion of the myocardium. The method includes inserting an occlusion catheter into a vessel on a heart, occluding the vessel using the occlusion catheter, inserting an ablation catheter into a chamber of the heart, positioning the ablation catheter against the myocardium, and ablating a portion of the myocardium while the vessel is occluded. The system includes an occlusion catheter having a catheter body including a tubular member having a distal portion and a bend located in the distal portion, a balloon located proximal of the bend and configured to contact an inner surface of the CS when positioned therewithin, a plurality of marker bands positioned on the catheter body, and a plurality of electrodes positioned on the catheter body. One or more electrodes or coils can be used as a reference for an electroanatomical system and can be disposed on the occlusion catheter.

Abstract: A vaso-occlusive device delivery assembly includes a pusher assembly having proximal and distal ends, a conductive sacrificial link disposed at the distal end of the pusher assembly, and a vaso-occlusive device secured to the pusher assembly by the sacrificial link. The pusher assembly includes first and second conductors extending between the proximal and distal ends thereof. The sacrificial link is electrically coupled between the first and second conductors, such that the first conductor, sacrificial link and second conductor form an electrical circuit, and, when a disintegration current is applied through the sacrificial link through the first and second conductors, the sacrificial link thermally disintegrates, thereby releasing the attachment member and vaso-occlusive device from the pusher assembly.

Abstract: Detachment of an implant from a delivery assembly can be electrolytic. A distal end of a core member and a proximal end of an implant can be joined together by one or more weld joints disposed axially between the distal end and the proximal end, the one or more weld joints being further disposed at a radially outermost periphery of the distal end and a radially outermost periphery of the proximal end. Delivery of a detachable implant as described herein can include advancing, to a target location within a patient, an implant having a proximal end and being connected to a distal end of a core member by one or more weld joints, as described above, and separating the implant from the core member by corroding the one or more weld joints.

Abstract: A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and a shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween. The surgical clip applier can include a variety of features to facilitate use of the device, including features to align a clip with the jaws, features to prevent unintentional migration of a clip, and features to prevent clip fallout during formation.

Abstract: An end effector is provided and includes a distal housing portion and a proximal housing portion interconnected to one another by a knuckle portion, wherein the knuckle portion permits rotation of the distal housing portion relative thereto and articulation of the distal housing portion relative to the proximal housing portion; a jaw assembly supported in the distal end of the distal housing portion, the jaw assembly including a first jaw and a second jaw movable between a spaced apart and an approximated position; and a plurality of fasteners loaded within the distal housing portion, each of the plurality of fasteners defining a fastener axis extending in a direction substantially parallel to a pair of legs thereof, each of the plurality of fasteners being arranged within the base portion such that the fastener axis is disposed at an angle with respect to a longitudinal axis of the distal housing portion.

Abstract: A handpiece for dental or surgical applications has a chuck for rotatably clamping a tool such as a bur, the chuck being drivingly connectable to a drive mechanism such as to rotate the tool about a rotation axis thereof, a push button operatively connected to the chuck, configured to release the tool from the chuck upon depressing the push button, a spherical element, preferably a ball, fitted within or mounted at the push button, arranged and configured such that, when the push button is depressed, the spherical element enters into contact with the chuck, the spherical element being of a material with a high hardness on the Vickers scale of >2000.

Abstract: A tissue removal device and method of using the device to remove tissue from a patient is provided. The tissue removal device comprises a tissue removal probe and a sheath slideable relative to the probe. The probe has a tissue removal element, and the sheath has a portion that exposes the tissue removal element. The sheath distal end may be pre-shaped to bend when slid distal to the probe. The probe may have a window through which the tissue removal element is exposed.

Abstract: A method of preoperative planning and provision of patient-specific surgical aids includes creating a virtual model of a native patient tissue. A virtual device is placed into a predetermined device orientation relative to the virtual model of the native patient tissue. At least one predetermined landmark orientation is specified for placement of at least one virtual landmark relative to the native patient tissue. A virtual patient-specific template containing the predetermined landmark orientation and having a landmark guiding feature is generated. At least one virtual patient-specific placement guide configured to interact simultaneously with at least one previously placed virtual landmark and the virtual device when the virtual device is in the predetermined device orientation is generated. A physical patient-specific template is created as a tangible representation of the virtual patient-specific template.

Abstract: Disclosed herein are systems and methods for performing total hip arthroplasty with patient-specific guides. Pre-operative images of a pelvic region of a patient are taken in order to predefine the structure of the guides and corresponding implants. From the obtained image data an insertional vector for implanting an acetabular implant or component into an acetabulum of the patient is determined, wherein the insertional vector is coaxial with a polar axis of the acetabular component. Also from the obtained image data, a superior surface of the guides and implants can be shaped to match the acetabulum of the patient. A nub portion extending outwardly from the superior surface of the guides and implants is shaped to substantially match the shape of a fovea of the acetabulum. A guide portion of the guides forming a slot has a longitudinal axis coaxial with the determined insertional vector of a corresponding acetabular component.

Abstract: A method for preparing a bone of a joint of a patient includes mounting a patient-specific reference guide on a bone of a joint of a patient. A connecting portion of the reference guide is coupled to a miniaturized numerically controlled instrument having a housing including a controller, a processor and a tool driver. The patient-specific reference guide has a three-dimensional inner surface preoperatively configured to mirror and mate with a corresponding surface of a bone of a joint of a patient in only one position. The patient-specific reference guide is configured to automatically register the numerically controlled instrument to the patient's bone portion intraoperatively. The cutting tool is guided by the controlled with signals from the processor along a patient-specific tool path determined during the preoperative plan for preparing a portion of the bone.

Abstract: An instrument system, associated milling or drilling guide and method include use of a trial implant of a size corresponding to an actual implant for the intervertebral space, with a milling guide mounted on the trial implant. The system also includes a cutting tool which is used to form a cutout in an adjacent vertebra.

Abstract: A guide for use prior to, or concurrently with, resecting a portion of a patient's bone includes a body, an anterior adjustment member, at least one posterior adjustment foot, at least one adjustable condylar alignment pin, an adjustable anterior arm, and means to direct guide pins into the femur. The body has multiple apertures configured to accept pins. The anterior adjustment member is coupled to the body and moves toward/away from the femur and contacts an anterior portion of the femur. The posterior adjustment foot is coupled to the body and moves toward/away from the femur and contacts a posterior portion of the femur. The anterior arm is coupled to the anterior adjustment member and is configured to contact the femur proximal of the anterior adjustment member. The rotation arm is coupled to the body and provides guides to drill into the femur.

Abstract: A device for fracturing calcifications in heart valves including a catheter (12, 22, 42) configured for percutaneous delivery to a heart valve, an fracture-producing element (14, 26, 46, 64, 66,82, 124, 152) disposed at a distal portion of the catheter and operative to vibrate and mechanically fracture calcifications when brought into contact with a calcification at a leaflet of the heart valve, and an energy source (34, 47, 79, 98, 152) operative to vibrate the fracture-producing element so that the fracture-producing element fractures the calcification without necessarily removing the calcification from the leaflet. The device may further comprise a valvuloplasty balloon (30), an embolic protection net (56) and a protective sleeve (110, 130).

Abstract: The devices and methods described herein relate to improved structures for removing obstructions from body lumens. Such devices have applicability in through-out the body, including clearing of blockages within the vasculature, by addressing the frictional resistance on the obstruction prior to attempting to translate and/or mobilize the obstruction within the body lumen.

Abstract: A dual-purpose surgical bougie is disclosed for vertical sleeve gastrectomy (VSG) procedures, and other related operations, that can serve the purpose of both operating as a guide or dilator for stapling and resecting a stomach and also securing, containing, and trans-orally extracting the resected stomach, thereby promoting faster patient recovery, minimizing and reducing the size and number of incisions, and further minimizing VSG procedure related complications, among other advantages. In one aspect of the disclosure described herein, the dual-purpose medical device can include a surgical bougie having a distal end and a proximal end, wherein the bougie can be made of at least one of rubber, silicone, plastic, and metal. In addition, the bougie can include a channel or passage disposed within its central axis extending from its distal end to the proximal end, and a securement member coupled to the bougie.

Abstract: An endoscope treatment tool includes a sheath; a support part; a pair of forceps members that are arranged in front of the sheath and are supported so as to be relatively rotatable around a rotation shaft provided at the support part; a linear member that is inserted through the sheath so as to be capable of advancing into and retracting from the sheath, brings opposed surfaces, which are respectively provided closer to distal end sides of the pair of forceps members than the rotation shaft, closer to each other as the linear member is separated from the rotation shaft, and separates the pair of opposed surfaces from each other as the linear member approaches the rotation shaft; an elastic member that is supported by the linear member or the support part; and a locking portion that is provided on the linear member or the forceps members.