Abstract: Devices, systems, and methods are disclosed for use in tomographic ultrasound imaging, large aperture ultrasound imaging and therapeutic ultrasound that provide for coupling acoustic signal transducers to body structures for transmitting and receiving acoustic signals. The acoustic signal transmission couplants can conform to the receiving medium (e.g., skin) of the subject such that there is an acoustic impedance matching between the receiving medium and the transducer. In one aspect, an acoustic coupling medium includes a hydrogel including polymerizable material that form a network structured to entrap an aqueous fluid inside the hydrogel.

Abstract: A triphalangeal stabilization feature for an ultrasound probe includes a stationary member, a manipulation member, and a locking member. The stationary member has a shape conforming to an outer surface of the ultrasound probe. The manipulation member is slidingly coupled to the stationary member and extends away from the stationary member to provide a surface for one or more of a user's fingers. The locking member is configured to prevent movement of the manipulation member with respect to the stationary member at one or more different positions along the stationary member.

Abstract: Steerable medical devices that include one or more elongate shafts and a medical tool in a distal region. The medical devices include a handle portion for controlling one or more aspects of the medical device.

Abstract: Systems and methods for an ultrasound scanner with an impact-resistance system are described. In some implementations, the impact-resistance system reduces acceleration components associated with an impact force applied to an enclosure of the ultrasound scanner or directly to an acoustic lens of a transducer array of the ultrasound scanner. The impact-resistance system distributes the acceleration components from the transducer array to the enclosure via couplings with soft and elastic materials. Some of the couplings may be located between the enclosure and elongated members embedded in backing material of the transducer array. Some of the couplings may be located between the enclosure and a flange that extends from the acoustic lens into a channel in the enclosure. Implementing the impact-resistance system described herein improves reliability of the transducer array without sacrificing performance or usability, particularly for ultraportable scanners.

Abstract: A display (150) for a contrast-enhanced examination ultrasound (CEUS) exam is disclosed. The display (150) includes a user interface (160) with an editable protocol (200) adapted to allow a user to select time-based actions and events of an upcoming CEUS exam on the display (150); a first time-bar display (300) adapted to allow the user to alter time-based actions during the CEUS exam, and to provide visual indications of upcoming actions on the display (150); and a second time-bar display (400) adapted to allow the user to display (150) images (512) and loops acquired during the CEUS exam on the display (150). A method (600) of controlling an imaging procedure is also described.

Abstract: A device for guiding a user in ultrasound assessment of an organ to perform a diagnostic or screening evaluation of the organ during a medical examination, the ultrasound assessment being based on ultrasound images, the device including a processor configured to detect and identify the presence of at least one landmark or the absence of landmarks in a current ultrasound image; verify whether the identified landmarks in the current image are present in a landmark database; if at least one of the identified landmarks in the current image are not present in the landmark database: triggering storage of the current ultrasound image and of the at least one identified landmark which was not included the landmarks database; verifying that all required landmarks have been stored in the landmark database and if at least one of the required landmarks is missing, triggering reception at least one additional current ultrasound image.

Abstract: A system and method for monitoring sepsis in a patient. Logic processes ultrasound image data acquired by one or more pads applied to the patient. The logic determines vascular parameters values, such as blood vessel size or shape, and the logic further determines a sepsis status and/or progression from the vascular parameter values by performing an algorithm on the vascular parameter values. The algorithm is defined utilizing artificial intelligence techniques applied to an ongoing collection data sets acquired from a plurality of sepsis monitoring systems across a plurality of patients undergoing sepsis events, where each data set includes one or more vascular parameter values and a corresponding independently acquired sepsis status for the sepsis event. The data set may also include patient data such as weight, age, etc. The pads may be wirelessly coupled with a system module. The vascular parameters may include multiple vascular sites on the patient.

Abstract: A console light guide device for use with a control console includes an interconnected light tube array. The light tube array includes a translucent surface, a shaped body substantially surrounding an output connection port on an external face of a console panel, and linear branches arranged relative to the shaped body. Side-firing light-emitting diodes (LEDs) emit light into a corresponding end of the light tube array. An opaque light guard defines a shaped channel and branch channels. The light tube array nests within the opaque light guard such that light from the side-firing LEDs is emitted uniformly through the translucent surface without any internal scattering or bleeding of the light within the console. A control console such as an ophthalmic surgical console is also disclosed herein that includes the console light guide device.

Abstract: System and method for using processor-controlled actuators to drive multi-stage catheter devices configured to navigate through complex narrow tissue openings such as lung bronchi pathway openings. The device comprises a proximal catheter portion containing a hollow torque shaft, with a distal catheter portion connected to the proximal portion by a rotatable coupler connected to this hollow shaft. The distal position of the proximal catheter can be controlled by independently controlled proximal stage steering cables positioned outside of the shaft, and the shaft itself can be used to rotate the distal catheter about the rotatable coupler. The position of the distal end of the distal catheter can be further controlled by distal stage steering cables positioned inside of the hollow shaft. The device is tipped by a tool plate, which can be equipped with various sensors and other instruments, connected to the outside via other conduits.

Abstract: A flexible joint and a manufacturing method thereof, and a bending section for surgical instruments are provided. The flexible joint comprises a first sub-joint, two opposite sides of which are each provided with a rotation slot and a rotary joint protruding from the rotation slot; a second sub-joint provided with two protruding rotation wings corresponding to each rotation slot, and a rotation interface for the rotary joint to be embedded; the rotation wing being embedded into the rotation slot and capable of rotating along a slot wall of the rotation slot with the rotary joint as a rotation center; wherein two opposite sides of the first sub-joint are each provided with an engaging part, and the second sub-joint is provided with a corresponding engaged part; the engaging part and the engaged part being fitted with each other to prevent the first sub-joint and the second sub-joint from being separated.

Abstract: Devices, systems, and methods for treating vessel openings are disclosed herein. According to some embodiments, a device for treating a vessel opening comprises a housing configured to be positioned within an opening in subcutaneous tissue proximate the vessel opening. The housing can comprise an inner wall and an outer wall. The inner wall can define a first lumen configured to receive an elongate member therein and the inner and outer walls can define a second lumen configured to receive an adhesive. The outer wall of the housing can define one or more apertures extending radially from the second lumen to an environment external of the housing. The device can comprise an actuator configured to be received within the second lumen. Movement of the actuator can force the adhesive to move through the aperture to the external environment and into an extravascular space within the subcutaneous tissue proximate the vessel opening.

Abstract: A system containing an electroceutical patch (ePATCH) in combination with a catheter having retractable electrodes (CATRE) which can be used to treat tissue defects, such for the repair of lumen defects, is described herein. The system was shown to be able to seal lumen defects on both synthetic and wet tissue substrates.

Abstract: In one aspect, the present invention provides a device for occluding an aperture in a body, for example, a patent foramen ovale (PFO), including a first side adapted to be disposed on one side of the septum and a second side adapted to be disposed on the opposite side of the septum. The device has an elongated, low-profile delivery configuration and a shortened, radially expanded deployment configuration. The first and second sides are adapted to occlude the aperture upon deployment of the device at its intended delivery location. The device also includes a radially expandable center portion. In some embodiments, the center portion includes a plurality of ribs provided by slits in device. The ribs expand radially when the device is deployed. The expandable center portion facilitates the positioning of the device in the aperture. The device can be secured in the deployed configuration using a catch system.

Abstract: The present disclosure is directed to a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method may include providing an intravascular device having a distal portion and a longitudinal axis and inserting the intravascular device into the vascular lumen. The method may further include positioning the distal portion in the vascular wall, rotating the intravascular device about the longitudinal axis, and advancing the intravascular device within the vascular wall.

Abstract: A surgical retractor including a blade molded from a polymer having at least a predetermined flexural modulus, a handle extending from the blade, wherein the blade has a length of 50 mm to 150 mm and a predetermined thickness such that the blade does not interfere with a user's work space in an operating cavity, and wherein, the blade, being molded from the polymer, is capable of withstanding more than 30 lbs of force applied to its distal tip without breaking.

Abstract: A retractor tube device has a retractor tube having a slotted tube body with a proximal end and a distal end. The slotted tube body has a full slot extending longitudinally through the distal and proximal ends. The slotted tube body has two opposing lateral window slots at the distal end. Each window slot is positioned on the slotted tube body spaced apart by the full slot. The two opposing lateral window slots are aligned forming a passage crossing through a center of the slotted tube body transverse to a longitudinal axis of the slotted tube body. The full slot is configured to provide unimpeded instrument maneuverability for instrument placement and reach during a surgical procedure. The two opposing lateral window slots are configured to allow for additional instrument placement and reach during the surgical procedure.

Abstract: A device for threading and automatically retrieving a suture is provided. The device includes a bottom handle having a channel for receiving and retaining a suture, and a top handle having a needle with an opening, the opening configured to receive and retrieve the suture as the device is moved from a closed position to an open position. Related methods of use are also provided.

Abstract: Systems and methods are provided for wound closure and suturing of skin using round bodies or taper point suture needles. Surprising results found that tapered or round bodies suture needles do not require unreasonable force to pass through skin, reduce bleeding and damage to the tissue, reduce risk of suture pull-through in skin, reduce finger sticks, and reduce the amount of transferred material in cases of finger sticks, thereby reducing the risk of disease transmission.

Abstract: A loader is disclosed that can load a suture and/or a shuttle into a suture device. The loader can have a suture and/or a shuttle that can be moved (e.g., via a loader control) from a non-loaded configuration to a loaded configuration without damaging the suture or the shuttle. The shuttle can be moved from a shuttle first position to a shuttle second position. When the shuttle is in the shuttle first position, a suture device can be positionable in a device space on the loader. When the suture device is positioned in the device space, the shuttle can be moved from the shuttle first position to the shuttle second position. When the shuttle is in the shuttle first position, the shuttle can be outside the suture device. When the shuttle is in the shuttle second position, the shuttle can be inside the suture device.

Abstract: A staple cartridge is disclosed. The staple cartridge can comprise a cartridge body comprising a deck and a bottom surface opposite the deck. The staple cartridge can comprise a plurality of staple cavities, wherein each staple cavity extends into the cartridge body from the deck to the bottom surface. Additionally, a plurality of wells can be defined into the staple cartridge from the deck to a lowermost surface of the well. A plurality of staples can be removably positioned in the staple cavities. The staple cartridge can comprise a tissue thickness compensator releasably secured to the cartridge body, wherein the tissue thickness compensator comprises a compensator body and a plurality of extensions extending from the compensator body into the wells, wherein at least one extension is compressed within one of the wells. Each well can surround at least one staple cavity and/or can extend between at least two staple cavities.

Abstract: Embodiments include an end effector including an anvil, the anvil having an anvil face, an anvil blade channel defined by the anvil face, a first pocket row of first row staple pockets, a second pocket row of second row staple pockets, a third pocket row of third row staple pockets, a fourth pocket row of fourth row staple pockets, a fifth pocket row of fifth row staple pockets, a sixth pocket row of sixth row staple pockets, a cartridge having a cartridge face defining a cartridge blade channel, the cartridge being configured to retain a plurality of staples, and a blade, the blade having a cutting edge, where the blade is movable from a first position at a distal end of the cartridge to a second position at a proximal end of the cartridge.

Abstract: Techniques for torque compensation include a system include actuating means coupled to a clamping means and processing means. The processing means is configured to acquire an initial torque limit for the clamping means; adjust the initial torque limit based on an angle of a wrist of the clamping means to obtain an adjusted torque limit; and drive, subject to the adjusted torque limit, the actuating means to cause the clamping means to clamp a material.

Abstract: A surgical anchor device for being anchored on the mucous membrane of the inner wall of the intestine, the device having a temporary anchor element presenting anchoring that can be modified in a controlled manner and having a first substantially cylindrical multiply-perforated wall presenting properties of radial elasticity whereby the first wall presents an outer diameter that can be varied in controlled manner, wherein a portion of the inner surface of the first wall is lined with an independent leakproof inner sheath having only its longitudinal ends fastened to the anchor element to define a suction chamber between the inner sheath and the first wall, the temporary anchor element being coupled to a flexible or semi-rigid tube extending outside the anchor element, an open end of the injection-suction tube opening out into the suction chamber enabling air to be injected into or sucked out from the suction chamber.

Abstract: An applicator for a wound closure device includes a proximal handle and a barrel extending from the handle. The barrel includes an elongate shaft, a slidable elongate actuator, and an elongate, slidable ejector rod. A jaw is pivotably attached to a distal end of the elongate actuator. The jaw has a first pair of prongs and the shaft distally terminates in a second pair of prongs. The first and second pairs of prongs are configured to releasably receive the wound closure device. A single trigger is attached to the handle and is actuatable to a first position configured to enable loading of the wound closure device to the first and second pairs of prongs, a second position configured to open the loaded wound closure device, a third position configured to close the loaded wound closure device, and a fourth position configured to release the wound closure device from the applicator.

Abstract: A surgical staple cartridge is disclosed comprising a plurality of staples removably stored within the surgical staple cartridge. The staples comprise staple legs which extend from a staple base portion. The staple legs comprise staple tips configured to pierce tissue and contact a corresponding forming pocket of an anvil of surgical stapling instrument. The staples further comprise zones having different hardnesses.

Abstract: System and methods of delivering adhesive material are described for occluding target locations within a patient. The systems include a catheter configured to deliver adhesive to a target location and one or more of a light source to harden the adhesive, a retention structure to contain the adhesive prior to curing, a balloon to occupy a target location, and an open cell foam plug to occupy a target location.

Abstract: An occlusion device for occluding a left atrial appendage extending from a lateral wall of a left atrium of a heart may include a first clamping portion and a second clamping portion movably connected to one another and configured for positioning along opposite sides of the left atrial appendage. The first clamping portion and the second clamping portion each may include an inner side configured to face toward the left atrial appendage when the device is in a deployed configuration, an outer side disposed opposite the inner side and configured to face away from the left atrial appendage, a concave side configured to face away from the lateral wall when the device is in the deployed configuration, and a convex side disposed opposite the concave side and configured to face toward the lateral wall.

Abstract: Systems and methods for occluding vascular defects are disclose herein. According to some embodiments, the present technology includes a method comprising releasing an occlusive member into an aneurysm cavity, the occlusive member comprising a mesh structure. Releasing the occlusive member can allow the occlusive member to self-expand into an expanded state in which the mesh structure defines an internal cavity. The occlusive device can be sized such that, when the occlusive device is positioned in the aneurysm cavity, a height of the occlusive device is less than a height of the aneurysm such that a space exists between a distal surface of the occlusive member and an inner surface of a dome of the aneurysm. The method may further comprise delivering a coil into the internal cavity of the mesh structure and not into the space between the occlusive member and the dome of the aneurysm.

Abstract: An occlusion clip comprising: (a) a first elongated occlusion arm; (b) a second elongated occlusion arm; (c) a first elongated biasing arm coupled to a distal portion of the first elongated occlusion arm; (d) a second elongated biasing arm coupled to a distal portion of the second elongated biasing arm is coupled to a proximal portion of the second elongated biasing arm, where the first elongated occlusion arm extends parallel to the first elongated bias arm along a majority of its length, and where the second elongated occlusion arm extends parallel to the second elongated bias arm along a majority of its length.

Abstract: A method of utilizing a distractor in a joint replacement procedure is provided. The method includes releasably engaging a datum to a datum securement of the distractor and gripping a handle of the distractor in an insertion position. The handle includes a first handle portion and a second handle portion. The method includes disposing a paddle of a tissue engaging portion of the distractor against a tissue surface and adjusting the handle from the insertion position to the distraction position to thereby independently move the paddle with respect to both the second handle portion and the first handle portion such that the paddle remains at a generally constant angle against the tissue surface as the tissue surface is distracted. The paddle is attached directly and exclusively to a distal tip of the second handle portion such that the paddle pivots about an axis transverse to a length of the handle.

Abstract: In one embodiment, the present disclosure relates to a joint replacement assembly. The joint replacement assembly comprises a baseplate having an articulating side and a bone facing side, and a proximal member having a proximal end and a distal end, the proximal end being connectable to the bone facing side of the baseplate, the distal end having a plurality of grooves arranged about a first axis extending through the proximal member in a lengthwise direction. The joint replacement assembly further comprises a distal member having a proximal end and a distal end, the proximal end being connectable to the distal end of the proximal member and having a plurality of protrusions configured to engage with the plurality of grooves and prevent rotation of the distal member about the first axis relative to the proximal member.

Abstract: The present disclosure relates to a system and method for repairing an articular surface. A guide pin may be secured to an articular surface of a glenoid, wherein the guide pin defines a working axis and the working axis is positioned at an angle ? relative to the articular surface, wherein angle ? is less than or equal to 90 degrees. An excision device may be advanced over the guide pin, wherein the excision device includes a cannulated shaft and at least one cutter, wherein the at least one cutter is generally aligned in a single plane. A generally hemi-spherical excision site may be formed with the excision device within the articular surface of the glenoid.

Abstract: In one embodiment, a drill guide for an implantable medical device includes a template comprising a turntable having a drill guide opening; and a drill clip connected to the turntable. In one embodiment, a drill guide for an implantable medical device includes a template comprising a template opening and a turntable having a drill guide opening coaxially aligned with the template opening, a drill interface connected to the turntable, and a support element connected to the drill interface extending from the turntable and offset from the drill guide opening.

Abstract: Provided is a method of resecting a humerus, including positioning a multi-part guide on the humerus, where the multi-part guide includes a support portion and a positioning jig; advancing at least two mounting pins through the support portion along diverging paths; removing the positioning jig; and resecting the humerus with reference to a cutting surface of the support portion.

Abstract: A system is provided which includes a cannula and a secondary device. The cannula includes an expandable member, a cannula lumen, and a cannula proximal end. The expandable member includes a proximal most end, a distal most end, at least two movable sections, with the space between the at least two moveable sections, and an impermeable membrane extending across the space between each of the at least two moveable sections. In addition, the impermeable membrane extends from the expandable member distal most end to the expandable member proximal most end. The secondary device is configured to be coaxially placed through the cannula lumen. The cannula proximal end is configured to operatively couple to a vacuum source configured to create a negative pressure to pull an undesirable material into the cannula lumen.

Abstract: A catheter includes a shaft; a tip disposed at a distal end of the shaft; at least one acoustic sensor disposed on or in the shaft, each acoustic sensor disposed at a respective distance from the distal end of the shaft; and at least one electrical conductor disposed on or in the shaft, each electrical conductor electrically connecting a respective acoustic sensor to one or more electrical connection points in a housing attached to a proximal end of the shaft. The catheter and an acoustic source are localized with respect to each other using acoustic signals transmitted between the acoustic source and the catheter.

Abstract: Devices, systems, and methods for retrieving clot material from a vessel lumen are disclosed herein. According to some embodiments, the present technology includes a clot retrieval device comprising a tubular mesh configured to transition between a low-profile state for delivery through a delivery catheter and an expanded state for deployment in a blood vessel at a treatment site proximate a clot. The device can include a webbing coupled to the tubular mesh and comprising a plurality of filaments coupled to and extending across a lumen of the mesh. When the device is in the expanded state within the blood vessel at the treatment site, the mesh is configured to engage peripheral portions of the clot and the webbing is configured to engage non-peripheral portions of the clot.

Abstract: A thrombectomy system includes an inner catheter, an outer catheter, an adjustable basket, and at least one debulking element. The outer catheter defines an outer catheter lumen. The inner catheter is slidably received within the outer catheter lumen such that the inner catheter is slidable relative to the outer catheter. The adjustable basket has a fenestrated structure extending between a proximal collar and a distal collar. The proximal collar is attached to a distal end of the outer catheter and the distal collar is attached to a distal end of the inner catheter. The at least one debulking element is positioned on the outer catheter proximal to the adjustable basket. The fenestrated structure is radially expanded by sliding the inner catheter in a first direction relative to the outer catheter and is radially collapsed by sliding the inner catheter in a second direction opposite the first direction.

Abstract: A thrombectomy guidewire system includes a thrombectomy guidewire having a wire shaft with a proximal portion and a distal portion, the wire shaft is sized for receiving and delivering guidewire deliverable intravascular thrombectomy devices. The thrombectomy guidewire includes a self-expanding basket positioned at the distal portion of the wire shaft and configured to self-expand from a collapsed configuration to an expanded configuration. A exchange sheath includes a first lumen configured to slidably receive the wire shaft and a second lumen aligned with the central lumen. The exchange sheath is slidable in a distal direction over the wire shaft from the proximal portion of the wire shaft at least until the self-expanding basket is sheathed within the central lumen and collapsed into the collapsed configuration.

Abstract: The disclosed technology includes a clot retrieval device being configured to retrieve a clot from a blood vessel and having a constrained delivery configuration and a clot engaging configuration. The device can include a first expandable framework having a first plurality of struts that form a first body and a second expandable framework having a second plurality of struts that form a second body upon the clot retrieval device transitioning from the constrained delivery configuration to the clot engaging configuration. In the clot engaging configuration, the first body can be configured to move from a first position to a second position in relation to the second body. Upon moving from the first position to the second position, the clot retrieval device can pinch the clot between the first body and the second body.

Abstract: A steering gear for a surgical instrument includes two motorized drives and spatially orients a swash plate by way of the adjustment angles of the two drives, in order to control a deflection mechanism of the surgical instrument. The swash plate is arranged in a steering ring and each of the two motorized drives has a drive shaft driven by a motor and are operatively connected with the steering ring via a respective force transmitter. The first force transmitter contacts the steering ring on a first active portion, and the second force transmitter contacts the steering ring on a second active portion, wherein the steering ring is mounted cardanically around a gimbal center, wherein the active portions have a common sphere center at which a first tilt axis and a second tilt axis is defined by a contact point at a respective first transmitter and second transmitter.

Abstract: A surgical instrument is provided having an actuator mechanism with an integrated extension element. The surgical instrument comprises a handle assembly, an elongate shaft, and an end effector. The end effector can comprise a jaw assembly having atraumatic pads positioned thereon to reduce force on grasped tissue. An actuator is movable within the elongate shaft to actuate jaws of the jaw assembly responsive to movement of a movable handle of the handle assembly. The actuator can have an integrated extension element that allows the actuator to translate within the elongate shaft upon application of a relatively low force and translate and extend upon application of a relatively higher force to the actuator to limit the force applied by the jaw assembly. The actuator is also able to utilize force stored with the integrated extension element to provide a dynamic amount of force used to grasp the tissue in scenarios where the tissue volume decreases while in the jaws.

Abstract: Methods of operating a surgical instrument are disclosed herein.

Abstract: An apparatus for use in preparing the intervertebral disc space. The apparatus includes a powered disc cutter that can be inserted through a tube and into the disc space. Once inside the disc space, the cutter can be rotated on its axis and articulated through the disc space to break up and disconnect the disc tissue from the surrounding disc tissue and disc annulus. The device is powered by a handheld driver that utilizes a motor to impart motion, such as rotary motion, to an elongated shaft assembly having a cutting tool or assembly pivotably attached to the distal end thereof. The cutting tool is mounted to the end of the drive shaft assembly by a linkage so that the shaft may be inserted in a straight configuration down a narrow access port. The cutting assembly can spin on its axis while being articulated providing access to the intervertebral space.

Abstract: An ultrasonic surgical system includes an ultrasonic transducer configured to receive an electrical drive signal and produce ultrasonic mechanical motion that is output along an ultrasonic horn of the ultrasonic transducer. The ultrasonic horn defines a transverse cam slot. A blade extends from the ultrasonic horn. The blade receives the ultrasonic mechanical motion from the ultrasonic horn for treating tissue. A jaw member is movable relative to the blade between a spaced-apart position and an approximated position for clamping tissue. A cam pin is slidably disposed in the cam slot and is operably coupled to the jaw member. Slidably advancing the cam pin in the cam slot actuates the jaw member between the spaced-apart position and the approximated position.

Abstract: The present invention discloses a ball probe ultrasonic bone removal device that is designed to assist surgeons with foraminotomy procedures. The device comprises a shaft at a first end of the device and a spherical ball tip at a second end of the device. In between the shaft and the ball tip is a foot piece that connects to the shaft through an angle. On the foot piece, serrations or a coarse surface cover a portion of the circumference of the foot piece. In some embodiments, serrations or a coarse surface may also cover a portion of the circumference of the shaft. The spherical ball tip is smooth and designed to cause no damage to the sensitive nerves and tissue in the intervertebral foramina, but the surface with the serrations or the coarse protrusions are designed to remove bone and tissue under ultrasonic movement (e.g., vertical vibration, rotational oscillation).

Abstract: A handling device is provided for hair transplantation operations. The device includes a main body provided with incision elements and with explantation and implantation elements for the transplantation of at least one follicular unit from the scalp of a patient to a tissue to be treated. The main body includes at least one distal section and at least one proximal section which are detachably mutually associated. The proximal section encloses drive elements inside which are associated with the incision elements and with the explantation and implantation means for their functional movement. The incision elements and the explantation and implantation elements are associated with the distal section. Between the interface surfaces of the proximal section and of the distal section there are mechanical interconnection elements for the kinematic association of the drive elements with the incision elements and with the explantation and implantation elements.

Abstract: The invention is directed towards an endoscopic snare net retrieval device with a perpendicular-deploying snare loop and a mesh for efficiently capturing and extracting esophageal obstructions or tissue growths, significantly reducing the risk of perforation and procedure time.

Abstract: A medical device includes a hub having an output port, a distal balloon inflation port, a proximal balloon inflation port, a distal balloon, a flexible inner inflation shaft with a proximal end coupled to the distal balloon inflation port and a distal end coupled to the distal balloon to carry a gas, liquid or solution that enters the distal balloon inflation port and flows to and inflates the distal balloon. The device further comprises a proximal balloon and a flexible outer inflation shaft coaxially aligned with the inner inflation shaft with a proximal end coupled to the proximal balloon inflation port and a distal end coupled to the proximal balloon to carry a gas, liquid or solution that enters the proximal balloon inflation port and flows to and inflates the proximal balloon.

Abstract: A cutting instrument includes a cutting wedge. The cutting wedge can include a leading edge and one or more cutting fasciae terminating at the leading edge. The one or more cutting fasciae can include an approximately concave recess. Other embodiments are disclosed.