Abstract: Medical devices for cinching and cutting one or more suture, and methods for making and using such devices are disclosed. An example medical device may include a shaft, a sleeve attached to the shaft, cutter slidable within the sleeve, a cinch sleeve releasably coupled to the sleeve, and a cinch member. An elongated inner shaft may extend through and be longitudinally movable within the elongated shaft, sleeve, cutter, cinch sleeve, and cinch member. The inner shaft may be actuated to cinch and cut one or more suture disposed within the device.

Abstract: Medical devices for cinch and cutting one or more suture, and methods for making and using such devices are disclosed. An example medical device may include a coupler, a sleeve releasably coupled to the coupler, a cutter slidably disposed within the sleeve, and a suture cinching member movable into and out of the sleeve. A wire may extend through and be longitudinally movable within the coupler to move the suture cinching member and cutter.

Abstract: A flexible portal cannula for use in arthroscopic surgery. Distally positioned flaps extend radially outwardly from the outer surface of the cannula and are resiliently foldable to lie against the outer surface of the cannula during insertion into a surgical portal, and resiliently biased to return to the radially outwardly extending position when unconstrained. Slots disposed around the perimeter of the flaps for anchoring and sorting sutures.

Abstract: An apparatus and a method are provided for a sterile staple implant kit that a surgeon may unpack and utilize during a surgery. The staple implant kit comprises a group of complementary surgery-specific instruments that are packaged in a sterile state. An instrument tray is configured to preserve the instruments in the sterile state until the staple implant kit is opened during the surgery. The instrument tray is configured to provide the surgeon with easy access to the instruments during the surgery. The staple implant kit comprises at least a staple inserter and a surgical staple suitable for being implanted in parallel holes drilled across a bone fusion or fixation site of a patient. The surgical staple preferably is loaded in a relaxed configuration into the staple inserter. A staple retention clip retains the surgical staple in the staple inserter until the staple is distracted during the surgery.

Abstract: A cartridge of a surgical instrument includes a housing, a drive member, and a knife member. The knife member is driven distally by the drive member and is configured to cut when moved distally. During an initial distal movement of the drive member, the knife member is coupled with the housing to restrain the knife member from moving distally. Subsequent to the initial distal movement of the drive member, the drive member drives the knife member toward the distal end.

Abstract: A sterile staple implant system is provided for use during a surgery. The staple implant system comprises a group of complementary surgery-specific instruments that are packaged in a sterile state. An instrument tray is configured to preserve the instruments in the sterile state until the staple implant system is opened during the surgery. The instrument tray is configured to provide the surgeon with easy access to the instruments during the surgery. The staple implant system comprises at least a staple inserter and a surgical staple suitable for being implanted in parallel holes drilled across a bone fusion or fixation site of a patient. The surgical staple preferably is loaded in a relaxed configuration into the staple inserter. A staple retention clip retains the surgical staple in the staple inserter until the staple is distracted during the surgery.

Abstract: A method of controlling motor velocity in a surgical instrument is disclosed. The surgical instrument includes a displacement member, a motor coupled to the displacement member, a control circuit coupled to the motor, a position sensor coupled to the control circuit, and a timer coupled to the control circuit. The method includes receiving a first position of a displacement member from a position sensor, starting a timer, advancing the displacement member to a second position by setting a motor velocity to a first velocity, receiving the second positon from the position sensor, stopping the timer when the displacement member reaches the second position, receiving elapsed time from the timer, wherein the elapsed time is the time taken by the displacement to move from the first position to the second positon, and controlling, by the control circuit, velocity of the motor based on the elapsed time.

Abstract: The present invention refers to a reusable meniscus suture device that comprising a handle for handling the device; a single-part needle comprising an elongated solid body which extends from the handle and a free end opposite the handle endowed with a cutting tip; and at least a portion of the elongated body gradually tapers in thickness towards the cutting tip, forming a portion of greater thickness in the region near the handle, and a portion of lesser thickness in the region near the tip, and wherein the portion of lesser thickness is malleable and curvable; and wherein the tip of the distal end has a lumen for the passage of the suture thread.

Abstract: A suture according to an embodiment of the present disclosure includes a first barb portion, a second barb portion, and a center portion which connects the first barb portion and the second barb portion to each other. Each of end portions of the first barb portion and the second barb portion may be formed so as to face the center portion, and a hole portion including a plurality of holes may be formed in at least one of the first barb portion, the second barb portion, and the center portion. The suture may show an excellent recovery and a lifting effect to be semi-permanently maintained and may have an excellent strength.

Abstract: A staple cartridge includes a cartridge body and a plurality of staples. The cartridge body defines a plurality of rows of staple pockets and a central knife slot. One of the staples is received in each of the staple pockets. Each of the staples defines a burr or facet that faces the central knife slot and defines a plane that is substantially parallel to the longitudinal axis of the cartridge body.

Abstract: A surgical stapler includes a jaw assembly at a distal end connected to a handle assembly that is configured to control the stapler and actuate the deployment of staples. The surgical stapler successfully eliminates intermediate caming portions commonly known as pushers that are located between the staples and a translating slider. The staples are located in pockets at an angle such that the base of the staple is parallel to an angled caming surface of the slider. The translating slider comes into direct contact with staples during deployment as the slider moves through each staple pocket where staples are partially supported by recesses along the slider pathway. The staples are deployed at an angle against the anvil surface. Because there are no pushers, a great deal of space is saved resulting in a much smaller diameter surgical stapler that is particularly suitable for laparoscopic stapling applications.

Abstract: An abdominal closure method and device is disclosed where the device generally includes a first tissue securement member configured for securement to a first tissue region and a second tissue securement member configured for securement to a second tissue region. The first and second tissue securement members are coupled to the connecting member and the connecting member is positionable at a distance from the first and second tissue regions. Additionally, one or more biasing elements may be connected to the first and second tissue securement members to approximate the first and second tissue regions towards one another via respective securement members.

Abstract: A surgical stapler apparatus or assembly comprises a surgical stapler device having an internal channel extending from a stapler actuating handle to a stapler head of the device and a gas insufflation device having a pressurized gas supply connected to the internal channel of the stapler device via an inlet port at a handle portion intersecting with the channel in order to supply pressurized gas to the channel as the stapler shaft is inserted into the lumen of a colon, rectum or the like. Pressurized gas travels along the channel and out of the stapler head at the distal end of the stapler device in order to inflate the lumen ahead of the advancing stapler head, easing insertion.

Abstract: A force sensor arrangement for use in a surgical device includes a support block supported within the surgical device and defining a support block surface; a load sensor disposed axially adjacent the support block, the load sensor defining a sensor surface; and a spherical disc interposed between the support block and the load sensor, and in contact with the support block surface and the sensor surface, wherein the spherical disc defines a first side in contact with the sensor surface, and a second side in contact with the support block surface, wherein the second side of the spherical disc has a spherical profile and the support block surface has a complimentary spherical profile.

Abstract: The disclosure relates to a surgical staple defining a median folding zone which is continued by a pair of branches, each branch having a pointed fastening end and an intermediate clamping zone situated between the median folding zone and the pointed fastening end. The staple is deformable so that each branch can be folded relative to the median folding zone by causing each fastening end to approach the other branch, the staple being formed by a metal cutout pre-shaped by folding, and is of constant thickness. Intermediate clamping zones of the two branches are cut out such as to form at least two teeth, the edges of which form two complementary clamping surfaces, parallel to the median plane when the staple is folded. The cross-section of clamping surfaces correspond to the cross-section of the metal cutout.

Abstract: A surgical clip applier includes a handle assembly including an actuator and a motor, an elongate body including a drive member, and a jaw assembly that receives a clip. The actuator is operable to activate the motor to move the jaw assembly to partially crimp a clip or fully crimp a clip.

Abstract: A plurality of structures that resiliently attract one another are provided for implanting in a patient around a body tissue structure of the patient. For example, the body tissue structure may be the esophagus, and the plurality of structures may be implanted in an annulus around the outside of the esophagus, the annulus being substantially coaxial with the esophagus. The attraction may be between annularly adjacent ones of the structures in the annulus, and it may be provided, for example, by magnets or springs. The array of structures is preferably self-limiting with respect to the smallest area that it can encompass, and this smallest area is preferably large enough to prevent the apparatus from applying excessive pressure to tissue passing through that area.

Abstract: A ligation device includes a main body and a first ligation ring. The main body has a cylindrical shape. The main body is configured to be attached to an endoscope and to be located on a distal end portion of the endoscope. The main body includes a distal end portion configured to project from a distal end of the endoscope in a longitudinal direction of the main body and includes a first fluid feeding passage with a first opening that opens on a distal end face or an outer peripheral face of the distal end portion of the main body. The first ligation ring is attached to the distal end portion of the main body so as to obstruct the first opening.

Abstract: An auricle clamp for heart surgery comprises: two clamp arms two springs located at two ends of the clamp arms. The two springs are configured to: connect the two ends of the two clamp arms to form a closed-loop structure; and provide a clamping force that enables closing of the two clamp arms; wherein: a clamp arm of the two clamp arms comprises a first rod-shaped tube segment and a second rod-shaped tube segment joined at a hinge site; in a first state, the two clamp arms are substantially parallel; and in a second state, the two clamp arms form a quadrilateral shape, wherein the first rod-shaped tube segments and the second rod-shaped tube segments of the two clamp arms form a majority of the quadrilateral shape.

Abstract: A clip applier may be configured to releasably secure a surgical clip contained in a cavity of a cartridge and having first and second leg members. The clip applier may include first and second jaw members. The first jaw member may include a first clip engagement portion configured to engage the first leg member, and a first cartridge engagement portion including at least one first flange extending laterally of the first clip engagement portion. The second jaw member may include a second clip engagement portion configured to engage the second leg member, and a second cartridge engagement portion including at least one second flange extending laterally of the second engagement portion. The first and second flange(s) may be configured to abut side surfaces of the cartridge to align the first and second jaw members with the first and second leg members.

Abstract: Treatment of aneurysms can be improved by delivering an occlusive member (e.g., an expandable braid) to an aneurysm sac in conjunction with an embolic element (e.g., coils, embolic material). A treatment system for such treatment can include an electrolytically corrodible core wire having a proximal portion, a distal portion, and a detachment zone between the proximal portion and the distal portion. An occlusive member having a proximal hub is coupled to the core wire distal portion. A conduit extends along at least a portion of the core wire. The conduit has a lumen configured to pass an embolic element therethrough.

Abstract: Treatment of aneurysms can be improved by use of a treatment system including a conduit have a distal portion, a coupler slidably coupled to the distal portion, an occlusive member coupled to the coupler, and a securing member coupled to the conduit proximal to the coupler. The securing member can include a distal end portion that is removably coupled to the coupler. In some embodiments, the securing member can have a shape and/or be treated such that the securing member self-expands to decouple itself from the coupler during deployment of the occlusive member. In some embodiments, movement of the conduit relative to the coupler causes the securing member to decouple from the coupler.

Abstract: Systems and methods for treating an aneurysm in accordance with embodiments of the present technology include intravascularly delivering an occlusive member to an aneurysm cavity via an elongated shaft and transforming a shape of the occlusive member within the cavity. The method may include introduction of an embolic element to a space between the occlusive member and an inner surface of the aneurysm wall. In some embodiments, the elongated shaft is detachably coupled to a distal portion of the occlusive member.

Abstract: This invention relates to a device for adapting a LAA occluder after implantation, especially an adjustable custom made occluder for placement within the left atrial appendage (LAA). The invention relates to a medical occluder made of self expanding shape memory material configured to be inserted into a patient?s left atrial appendage cavity, said occluder comprising a disc being connected to a lobe, the lobe is configured to move between a first size-restricted configuration and at least one second enlarged configuration, the restricted configuration is of substantially smaller diameter than the enlarged configuration, the lobe comprises at least one restriction element to control the diameter of the lobe. The restriction element is a surgical thread or a screw-in thread running inside the lobe of the occluder.

Abstract: The helical balloon assist device includes a tubular balloon formed at least partially into an independent helical shape in an uninflated state and an inflation tube in sealed communication with the balloon and extending from the helical balloon assist device in a proximal direction. The helical balloon assist device may include an inner core member formed at least partially into an independent helical shape and supporting the helical shape of the tubular balloon.

Abstract: An aneurysm treatment system can include an occlusive member configured to be positioned within an aneurysm sac, and a distal conduit coupled to the occlusive member and having a first lumen extending therethrough. A proximal conduit has a second lumen extending therethrough and is positioned adjacent the distal conduit so that the first lumen is in fluid communication with the second lumen. A coupler extends between the distal conduit and the proximal conduit. The coupler may be ruptured to permit the proximal conduit and the distal conduit to be separated from one another.

Abstract: An intrasaccular flow diverter includes a wire structure (e.g., a braided wire or a laser-cut hypotube), a thin-film mesh placed over the wire structure, and crimps fixing the thin-film mesh to the wire structure at each crimp. The wire structure and the thin-film mesh between adjacent crimps are expanded radially to form thin-film covered spheroid structures. When deployed in an aneurysm, the spheroid structures may volumetrically fill the aneurysm sac. An intrasaccular flow diverter with an umbrella structure includes a wire structure with a plurality of crimps along the wire structure, and a thin-film covered umbrella structure at one end of the wire structure. The wire structure between adjacent crimps is expanded radially to form a spheroid structure. When deployed in an aneurysm, the thin-film covered umbrella structure may cover the aneurysm neck.

Abstract: Treatment of aneurysms can be improved by delivering an occlusive member (e.g., an expandable braid) to an aneurysm sac in conjunction with an embolic element (e.g., coils, embolic material). A delivery system for such treatment can include an occlusive member configured to be positioned within an aneurysm sac and having a proximal hub. An elongate tubular member has an engagement member removably coupled to the proximal hub, for example via threaded engagement or an interference fit via one or more engagement members. A conduit extending within or adjacent to the elongated member is configured to receive an embolic element therethrough for delivery to the aneurysm sac.

Abstract: Treatment of aneurysms can be improved by delivering an occlusive member (e.g., an expandable braid) to an aneurysm sac in conjunction with an embolic element (e.g., coils, embolic material). A treatment system for such treatment can include an electrolytically corrodible conduit having a proximal portion, a distal portion, and a detachment zone between the proximal portion and the distal portion. An occlusive member having a proximal hub is coupled to the conduit distal portion. The conduit has a lumen configured to pass an embolic element therethrough.

Abstract: Systems and methods for treating an aneurysm in accordance with embodiments of the present technology include intravascularly delivering an occlusive member to an aneurysm cavity and deforming a shape of the occlusive member via introduction of an embolic element to a space between the occlusive member and an inner surface of the aneurysm wall.

Abstract: A hemostasis promoting method and a hemostasis assisting tool are capable of promoting hemostasis on a puncture site. The hemostasis promoting method is a method of promoting hemostasis on a puncture site formed in a radial artery among the radial artery and an ulnar artery that are branched from a brachial artery in an arm and that extend parallel to each other. The hemostasis promoting method makes a temperature of a body surface around the radial artery higher than a temperature of a body surface around the ulnar artery such that the temperature of the radial artery will be higher than the temperature of the ulnar artery.

Abstract: Provided is a method of determining a hemostatic pressure in a tourniquet includes: driving a limb occlusion pressure (LOP) sensor, which measures a pulse signal of a subject, at a first brightness (S1); checking whether the LOP sensor and a main body are connected to each other (S2); providing a first hemostatic pressure from the main body to the tourniquet (S3); checking, on the basis of a result value of the LOP sensor, whether a pulse of the subject is detected (S4); and, when, on the basis of the result value of the LOP sensor, the pulse of the subject is determined as “not detected,” providing a hemostatic pressure, which is obtained by increasing the current hemostatic pressure by a safe hemostatic pressure, from the main body to the tourniquet (S7).

Abstract: A personalized tourniquet cuff assembly comprises a sterile tourniquet cuff, a machine-readable instrument symbol, machine-readable personalization data and a sterile connector. The instrument symbol identifies a predetermined first type of tourniquet instrument from a plurality of types of tourniquet instruments, and is adapted for contactless reading by an optical tourniquet interface of the first type of tourniquet instrument. The personalization data represents a value of a personalization parameter for safe operation of the tourniquet cuff with the first type of tourniquet instrument and is adapted for contactless reading by the optical tourniquet interface. The connector is adapted for releasably connecting the tourniquet cuff to the first type of tourniquet instrument.

Abstract: An adjustable revision guide for femoral resections comprising a translating stem adaptor, a distal end of the translating stem adaptor configured to selectively attach to a femoral trial/resection guide. The translating stem adaptor configured to selectively translate the femoral trial/resection guide proximally-distally. A proximal end of the translating stem adaptor configured to selectively attach to an offset adaptor of an intramedullary rod. The translating stem adaptor configured to allow for selective locking of rotation of the offset adapter on the translating stem adaptor to thereby lock-in a selected offset. A femoral trial/resection guide selectively attached to the distal end of the translating stem adaptor for use in resecting said distal femur. An intramedullary rod attached to the proximal end of the translating stem adaptor via an offset adaptor on a distal end.

Abstract: A connection member for connecting a surgical tool to a plurality of different kinds of corresponding connector. A surgical tool including the connection member. A surgical kit including the surgical tool. The connection member includes an elongate shaft having a longitudinal axis, a proximal end and a distal end. The connection member also includes a plurality of connection features located at the proximal end of the shaft. The plurality of connection features includes at least one connection feature for mating with a first kind of corresponding connector. The plurality of connection features also includes at least one connection feature for mating with a second, different kind of corresponding connector. The connection member may be a male connection member and the corresponding connectors may be female. A method including providing the surgical tool and connecting the connection member to a corresponding connector.

Abstract: The invention concerns a surgical drill bit able to be connected to a surgical tool, comprising a flexible stem. The invention also concerns a corresponding method to produce the surgical drill bit.

Abstract: Devices, systems, and methods for locking a drill guide into a polyaxial hole while maintaining the form and function of the polyaxial hole are provided herein. In some embodiments, the drill guide includes a hollow outer body extending from a proximal end to a distal end and having a slot disposed proximate the proximate end, wherein the distal end is configured as a reverse collet having a plurality of prongs; an inner body having a central channel extending therethrough; and a lever coupled to the inner body through the slot, wherein the slot is shaped such that rotation of the lever results in motion along a central axis of the drill guide, and wherein a distal end of the inner body is configured to prevent radially inward deflection of the plurality of prongs when the inner body is in a lowermost position.

Abstract: Alignment guide systems, fixation guide devices, and methods for positioning and inserting an intramedullary nail are disclosed. The alignment guide system includes a targeting guide with a first end and a second end, an alignment wire rotatably engaging a second end of the targeting guide, and a guide sleeve insert engaging an opening in the first end of the targeting guide. The fixation guide device including a frame including a first end and a second end, a compression device slidingly coupled to the first end of the frame, and the intramedullary nail secured to a nail attachment apparatus of the frame. A method of inserting an intramedullary nail into two bones for fixation of the two bones is also disclosed.

Abstract: A surgical guide system comprises a guide body having a receiver and a reference plate joined by a connecting arm, a portion of the receiver and a portion of the reference plate intersecting a guide axis, the guide body operable for at least one bone to be interposed between the receiver and reference plate. The guide body further comprising a shuttle cable configured on the reference plate for engagement with a surgical tool A method includes positioning the surgical guide system on at least one bone, the bone the having a first side and a second side, guiding a surgical tool through a hole in the at least one bony structure, engaging a portion of the shuttle cable, and retrieving a first end of the shuttle cable through the hole.

Abstract: Patient-specific instrumentation for reverse shoulder surgery includes a jig having a contact surface including a patient-specific surface portion negatively shaped as a function of a glenoid surface and configured to be applied against the glenoid surface in unique complementary engagement. A first throughbore opens into the contact surface, the first throughbore having an axis corresponding to a first altered bone plane in the glenoid surface. A second throughbore opens into the contact surface, the second throughbore having an axis corresponding to a second altered bone plane in the glenoid surface. The axes of the first throughbore and of the second throughbore are not parallel to one another.

Abstract: An instrument assembly for a shoulder arthroplasty that can comprise: a cut guide having a slot for aiding a resection of a head of a humerus; and a positioning assembly configured to position the cut guide relative to the head of the humerus, wherein the positioning assembly is configured to couple to a reamer. The positioning assembly can comprise: a boom configured to position the cut guide relative to the reamer and the head of the humerus along a first axis; and an arm coupled to the cut guide and configured to be moveable to position the cut guide relative to the head of the humerus about the reamer in a second axis.

Abstract: A guidewire for use in intravascular procedures has a solder or weld joint at a distal end thereof. A plurality of dimples are formed on the solder/weld joint to increase the engagement and penetration of fibrous material including chronic total occlusions (CTO).

Abstract: A vacuum aspiration control system for use with a vacuum source and an aspiration catheter includes a connecting tube configured to connect the vacuum source with a lumen of an aspiration catheter. An on-off valve is operatively coupled to the connecting tube, and a sensing unit is configured to detect flow within the connecting tube and provide a signal representative of flow. A controller receives the signal to decide whether to open or close the valve. The controller may automatically close the valve to stop flow when flow through the connecting tube is unrestricted, or according to a predetermined timing sequence. The controller can further periodically open a closed valve to determine whether flow has entered an acceptable range. The controller can still further engage pulsed aspiration with a pressure manipulation assembly when flow is restricted or occluded.

Abstract: A design capable of both mechanical thrombectomy and stenting for treating occlusions in the cerebral vasculature provides for a three-catheter setup. The first outer catheter has the largest diameter and can serve as a guide catheter while also being a sheath for the other catheters. The second deployment catheter can be configured for the aspiration of occlusions and can include a stepped or recessed section proximal of the distal tip that can act as a housing for a braided expandable stent. The outer diameter of this stepped section can be lined with an inflation device on top of which the braided stent sits. Internal to the second deployment catheter is a microcatheter which can deliver mechanical thrombectomy devices to the target site to retrieve an occlusion in the vessel, after which the stent can be expanded and implanted in the vessel.

Abstract: A retrieval device can include inwardly facing protruding features that facilitate engagement and capture of a thrombus or other mass from a body lumen of a patient. The protruding features can deploy from a frame of the retrieval device to extend radially inwardly toward an opposing side of the frame. When deployed into a thrombus, the protruding features engage and urge the thrombus as the retrieval device moves to facilitate capture.

Abstract: Systems and methods can remove material of interest, including blood clots, from a body region, including but not limited to the circulatory system for the treatment of pulmonary embolism (PE), deep vein thrombosis (DVT), cerebrovascular embolism, and other vascular occlusions. The capture system can include a tubular body comprising a first end, a second end, and an axial length therebetween, the first end having an opening and a capture guide. The capture system can include one or more tensioners coupled to the capture guide. The tubular body has a first configuration in which the first end and the capture guide are expanded while the second end and a majority of the tubular body remains compressed. The tubular body is transformable to a second configuration by application of tension by the tensioners. The catheter can remove a large volume of clot. In some embodiments, the body of the catheter or the funnel tip is expandable. The catheter can include a dilator and a peel-away cover.

Abstract: In one example embodiment, an apparatus for treating a tissue site may include a contact layer formed from a compressible material. The contact layer may include a plurality of apertures extending at least partially through the contact layer. The contact layer may be configurable such that at least a portion of the apertures include a first plurality of orifices having a diameter in a first diameter range and such that at least a portion of the apertures include a second plurality of orifices having a diameter in a second diameter range. The first diameter range may be from about 2 mm to about 6 mm. The second diameter range may be from about 8 mm to about 15 mm. The apparatus may include a cover configured to form a sealed space including the contact layer and the tissue site.

Abstract: A scar subcision devices comprising a first elongated element comprising a pivotal connection to a second elongated element, the first elongated element having a blunt distal end, the second elongated element having a proximal-facing cutting edge at a distal end thereof, the device having a first state wherein the cutting edge is retracted to a location within an outer perimeter of the first elongated element, and a second state wherein the cutting edge is exposed outside of the outer perimeter of the first elongated element and the device transitioning between the first state and the second state by the first elongated element and the second elongated element rotating relative to each other about the pivotal connection are disclosed. Methods are also disclosed.

Abstract: Instruments and methods for resecting tissue from the interior of a patient's body with a motor-driven rotating tubular cutter.

Abstract: A system to treat a patient comprises a user interface that allows a physician to view an image of tissue to be treated in order to develop a treatment plan to resect tissue with a predefined removal profile. The image may comprise a plurality of images, and the planned treatment is shown on the images. The treatment probe may comprise an anchor, and the image shown on the screen may have a reference image marker shown on the screen corresponding to the anchor. The planned tissue removal profile can be displayed and scaled to the image of the target tissue of an organ such as the prostate, and the physician can adjust the treatment profile based on the scaled images to provide a treatment profile in three dimensions. The images shown on the display may comprise segmented images of the patient with treatment plan overlaid on the images.