Abstract: Compositions, methods, and kits for treating dry eye and related diseases are provided. In one aspect, the present disclosure relates to administering thermoresponsive polymeric compositions to the tear duct of the subject. Administering a thermoresponsive polymeric composition to the tear duct of the subject may be useful in treating dry eye and related conditions.

Abstract: Provided are systems, dressings, and methods suitable for treating a tissue site, such as an incision or linear wound. The systems, dressings, and methods relate to a dressing assembly that may include a dressing bolster, sealing members that cover the tissue site and contain the dressing bolster, and a dressing attachment device. The dressing assembly also includes a base layer comprising a sealing member and a base attachment device for releasably coupling the base layer to the epidermis, wherein the dressing attachment device that may releasably coupled to the sealing member base layer. The dressing assembly may also include sealing ring that may be adapted to provide a fluid seal around the tissue site, and to absorb fluids from the tissue site. Other systems, apparatuses, and methods are disclosed.

Abstract: A device for reducing agent penetration at an insertion site is provided that has a porous inner sleeve fluidly connected to a conduit. A vacuum or hydrodynamic source is fluidly connected to the conduit. The device is stabilized by fibroblast in-growth and inhibits bacterial colonization. A device is also provided that has a conduit having a bore and an outer conduit surface. The outer conduit surface is optionally nanotextured to promote fibroblast adhesion and limit bacterial residency. A sleeve is provided in fluid communication with the bore of the conduit, and is formed from materials characterized by a pore matrix through which vacuum or hydrodynamic draw is achieved in a process to promote stabilization and reducing bacterial colonization by draw fluid from an area around the surrounding the site of the device. The sleeve optionally has a distal nanotextured surface.

Abstract: A wound care device for the treatment of wounds is disclosed by means of atmospheric negative pressure in the wound region, including a wound-covering element that can be attached to the skin of a patient as well as a connection device for the suctioning of fluid media, wherein the wound-covering element includes a window that can be opened, which window is arranged on the wound-covering element by means of a gas-tight closure.

Abstract: A length adjustable cannula includes: a pipe-like main body having a through hole formed therein and an outer circumferential surface on which a screw thread is formed; a base grip provided at an end of the main body; an inner support plate provided at another end of the main body; and an outer support plate thread-coupled with the outer circumferential surface of the main body, the outer support plate being movable along the screw thread in a lengthwise direction of the main body. A position of the outer support plate is adjusted based on a distance from an outside skin to a medical treatment region of a human body, such that the outer support plate is brought into contact with the outside skin and the inner support plate is brought into contact with and supported by an inside skin of the human body.

Abstract: An example medical device for occluding the left atrial appendage includes an expandable member having a first end region, a second end region and an inflation cavity. The medical device also includes a plurality of spine members coupled to the expandable member, the plurality of spine members spaced circumferentially around an outer surface of the expandable member. Additionally, the medical device includes a valve member extending at least partially into the inflation cavity, wherein the plurality of spine members are configured to position the medical device within an opening of the left atrial appendage and wherein the expandable member is configured to expand and seal the opening of the left atrial appendage.

Abstract: In some embodiments, an apparatus includes a handle, an actuator, a pusher device, and a puncture member. A distal anchor is disposed at a distal end portion of an artificial chorda, or suture, and is in a delivery configuration. The artificial chorda, or suture, is coupled to the actuator and extends through a lumen of the puncture member. The actuator can be actuated to move the puncture member distally a preset distance, and to move the pusher device distally such that at least a portion of the distal anchor is moved distal to the distal end of the puncture member and the distal anchor is moved from its delivery configuration to a deployed configuration.

Abstract: The present invention relates to a left atrial appendage occluder having a sealing disc and a fixing bracket which is connected to the sealing disc and located at one side of the sealing disc; the fixing bracket comprising a connecting portion connected to the sealing disc, and a plurality of supports. After radiating out distally from the connecting portion, the plurality of supports are bent to extend proximally to form a plurality of spaced suspended supporting segments. The left atrial appendage occluder further includes a thin film, with all the supports being connected through the thin film.

Abstract: The present invention relates to a surgical instrument (1) for deploying a prosthesis (200) and includes a first layer and second layer assembled together so as to define an internal space accessible to said surgical instrument (1) by means of an opening provided in said first layer, said surgical instrument including at least one sheet (2) made of a flexible resilient material, said sheet continuously overlapping itself one or more times so as to define a plurality of levels forming a spiral (3). The invention also relates to a kit including such a surgical instrument and such a prosthesis.

Abstract: A medical dressing configured to be applied to a chest wound, the dressing including: a flexible main membrane including a front surface configured to face a chest of a patient and a back surface opposite to the front surface, wherein the flexible main membrane includes an opening; an adhesive layer on the front surface of the main membrane wherein the adhesive layer extends entirely around the opening; a flexible sealing membrane entirely covering the opening of the flexible main and overlapping at least a portion of the main membrane; an annular array of joints sandwiched between the sealing membrane and the main membrane, wherein the array of joints extends around the opening; and vent passages sandwiched between the main membrane and the sealing membrane, wherein vent passages each extend between an adjacent pair of the joints and defines an air passage from the opening and to an outer edge of the sealing membrane.

Abstract: A vented chest wound seal for a penetrating chest wound including a flexible sheet including a bottom surface, and an adhesive layer covering a portion of the bottom surface of the flexible sheet, the adhesive layer including an inner perimeter and an outer perimeter, the inner perimeter defining a chamber, wherein the chamber includes a vent channel extending radially outward from a central portion of the chamber, wherein the flexible sheet includes a vent hole aligned over the vent channel, and wherein the inner perimeter and the outer perimeter are separated by a minimum hydrogel width.

Abstract: A device for treating fecal incontinence in a subject is provided. The device includes a plug configured for positioning mostly within an anal canal of the subject.

Abstract: A device for closing an aperture in a vessel wall comprising a covering member having a longitudinal axis and positionable inside the vessel against the internal opening of the aperture and a first spherical retainer positionable external of the vessel. The covering member has a dimension to prevent egress of fluid through the aperture.

Abstract: A closure device for sealing a percutaneous puncture in a wall of a body passageway, the closure device including at least one of a toggle configured to engage an interior surface of the body passageway or a plug configured to engage an exterior surface of the body passageway and a guide wire configured to extend from an outside of the body to inside the body passageway, wherein at least one of the toggle and the plug is associated with the guide wire.

Abstract: A group of dental implants for the two-step implantation in the alveolar process is presented aiming to protect reliably the implantation area from ingress of the infection from the oral cavity due to the tight connection of the precervical side of the implant with the periodontal tissue. The set aim is achieved in the dental implant with the support to fix the dental prosthesis and the screw part for installation in the bone tissue, as well as with the ring head located between the dental prosthesis support and the screw part, made from the porous three-dimensional structure of the polymeric material and intended for ingrowth of the gum tissues, by means of the fact that the mentioned ring head is equipped with the reinforcing element made as a hollow body of revolution with apertures and located over the ring head.

Abstract: A device for closing an aperture in a vessel wall comprising a covering member having a longitudinal axis and positionable inside the vessel against the internal opening of the aperture and having a dimension to prevent egress of fluid through the aperture and having a first opening. A first retainer is positionable external of the vessel. A flexible connecting member operatively connects the covering member and the first retainer, wherein the first opening of the covering member is configured to restrict movement of the connecting member.

Abstract: A left atrial appendage occluder comprises an elastic closure disc, and a supporting structure connecting with the closure disc and being located on one side of the closure disc, with the supporting structure comprising a central end connecting with the closure disc and a plurality of interconnected and bent struts, wherein at least one anchoring thorn is set near the end of at least one strut with the anchoring thorn toward the closure disc. The left atrial appendage occluder has a stable structure, a good positioning and sealing effect on the cavity wall in the left atrial appendage, and it is easy to position repeatedly; it can also be recycled before separating from a conveyor. When in surgical operation, the left atrial appendage occluder can select the position area based on the actual shape and size of the patient's left atrial appendage, so the surgical risk is lowered.

Abstract: A medical implantable occlusion device is disclosed comprising a fabric of at least one thread and a structural formation thereof having a collapsed and an expanded shape, the formation comprises a proximal and a distal portion, a longitudinal axis extending between the proximal and distal portion, wherein at least one of the proximal and distal portions comprises a peripheral edge having a first and a second radius of curvature in a direction substantially perpendicular to the longitudinal axis, wherein the first radius of curvature is different from the second radius of curvature.

Abstract: A retention device for anchoring indwelling catheters, sheath introducers, feeding tubes, ostomy bags or other medical devices beneath the skin of a patient includes an deployable section coupled to a medical device; following introduction into a patient, the deployable section is subcutaneously deployed, securely anchoring the device and coupled medical device for the duration of treatment.

Abstract: A device for closing an aperture in a vessel wall, the aperture having an external opening in an external region of the vessel wall and an internal opening in an internal region of the vessel wall. The device includes a covering member positionable inside the vessel against the internal opening of the aperture and having a dimension to prevent egress of fluid through the aperture. A securing member is positionable external of the vessel and has a plurality of pores extending therethrough. A flexible connecting member operatively connects the covering member and securing member and moves the securing member toward the covering member.

Abstract: A perianal support device is provided that is configured to inhibit the formation and/or progression of tissue damage in the perianal region of the body. A method is provided to apply the perianal support device to patients during childbirth to inhibit the formation and/or progression of tissue damage in the perianal region of the body.

Abstract: A medical device implant for the left atrial appendage of a patient's heart, to prevent strokes. The device includes a cap that overlies the opening of the LAA connected to a bulb in the LAA. Dis-continuous segmented sails attached to the cap promote tissue growth over the device.

Abstract: An implant device to provide an artificial fluid path in fluid communication with the lacrimal apparatus is implanted through a fistula opening into the lacrimal apparatus using a working member disposed through the implant device and a break-away sheath. Implantation kits and tool assemblies including the working member, implant device and break-away sheath facilitate implantation of the implant device.

Abstract: A paranasal sinus access implant device to provide an artificial fluid path in fluid communication with the lacrimal apparatus may be implanted through a fistula opening into the lacrimal apparatus. The implant device may have a conduit with a first longitudinal portion having a larger minimum wall thickness than a minimum wall thickness of a second a second longitudinal portion of the conduit located distal of the first longitudinal portion. Various kits may include a paranasal sinus access implant device and one of more other components for a procedure involving implantation. A method involves use of a cutting tool to cut away tissue to prepare a fistula sized for implantation.

Abstract: A plug for use in a passage or conduit of a human body is provided. The plug includes a plug body with a first end and a second end. The plug body has a protrusion on an exterior wall. The plug also includes an attaching member at the first end to attach the plug to the passage or conduit. The plug further includes an axial retention tube within the plug body. The plug further includes a reservoir. The reservoir connects to the retention tube at a third end thereof. The reservoir and the retention tube are configured to regulate the flow of fluid in the passage or conduit.

Abstract: A hernia repair implant includes a first layer for facing a body structure having a hernia defect to cover the defect while promoting tissue growth into the first layer from the body structure. The implant also includes a second layer opposed to the first layer and made of anti-adhesion material to prevent growth of tissue into the second layer from body structures contacting the second layer. Furthermore, the implant includes at least one engagement strap connected to the first layer and extending therefrom to terminate at a free end. The engagement strap defines opposed thin edges and opposed flat surfaces extending between the edges. At least one barb extends from at least one edge and/or at least one flat surface of the strap and is configured to impede motion of the strap in only a single direction.

Abstract: A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity is adapted to tissues having different thicknesses. The surgical apparatus includes an anchor member and a flexible sleeve integrated with the anchor member. The anchor member defines at least one longitudinal port for reception of a surgical instrument. The surgical apparatus defines an adjustable length to accommodate tissues with different thicknesses.

Abstract: A device for containing emboli within a left atrial appendage of a patient includes a frame that is expandable from a reduced cross section to an enlarged cross section and a slider assembly. There is provided in accordance with various embodiments of the present invention methods of preventing retention anchors from projecting outside of the native diameter of the frame, thus facilitating recapture of the device.

Abstract: Each of a flange and an end cap have at least two magnets or magnetic pieces arranged in complementary fashion to removably attached the end cap to the flange. The end cap removably seals an orifice of the flange by magnetic attraction between the at least two magnets or magnetic pieces of the end cap and the at least two magnets or magnetic pieces of the flange. This seal between the end cap and flange provides for pressure relief as pressure from within the orifice exceeds the force of magnetic attraction between the magnets or magnetic pieces of the end cap and the magnets or magnetic pieces of the flange.

Abstract: The invention comprises an apparatus (10) for covering an exposed end of a severed sternum, comprising a strip (12) operative to cover the exposed end and pliable portions (14) which are able to be manually deformed over sides of the exposed end so as to retain the strip (12) against the exposed end to stop or at least reduce flow of blood from the exposed end.

Abstract: A system for occluding a physical anomaly. One embodiment comprises a shape memory material body wherein the shape memory material body fits within the physical anomaly occluding the physical anomaly. The shape memory material body has a primary shape for occluding the physical anomaly and a secondary shape for being positioned in the physical anomaly.

Abstract: A biomaterial mass is inserted through a punctum into a canaliculus in the lacrimal outflow system with a syringe. The mass has an outer cross section that is less than the inner cross section of the canaliculus. The mass absorbs liquid to swell to form a lacrimal filler or sealing mechanism. The lacrimal filler has an external cross section that conforms to the internal cross section of the canaliculus and a soft outer surface relative to the surrounding tissues to prevent erosion of the canaliculus lining. The lacrimal filler forms an occlusion that prevents the outflow of liquid through the lacrimal outflow system to retain tears within the eye to maintain eye lubrication and wetness. The mass and syringe are provided in kit with a rubber stopper and, optionally, a punctal dilator, an injecting catheter, and an enzyme for dissolving or degrading the lacrimal filler at a later time.

Abstract: A device (surgical aid) for assisting wound closure in a surgical procedure setting. A flat plastic sheath (retainer) is inserted into the wound to retain the viscera organs and protect them from cuts or punctures while closing the wound after abdominal surgery or any large body cavity surgery. Just before completion of the wound closure, the device is pulled out of the body via a pull cord and then the wound closure is finished.

Abstract: An endoluminal device for repairing an aortic dissection and preventing future aortic dissections, the device including a plurality of struts with at least one of the plurality of struts having a mid-strut portion having two or more secondary struts, the device being configured to be secured within a false lumen of the aorta and contain filler material in order to encourage thrombosis within the false lumen.

Abstract: A device for use during a procedure for inserting a medical device into an esophagus of a patient has a first shield attached to a bite block to protect health care providers from fluids emanating from the patient during the procedure.

Abstract: An orifice insertion device includes a stent and a plurality of sealing elements where each sealing element is operatively attached to the stent. Two sealing elements of the plurality of sealing elements include an expandable section configured to be disposed within the orifice and to exert a pressure on an orifice wall sufficient to seal the orifice without appreciable deformation of the orifice wall. The two sealing elements are formed from different materials and a further one of the plurality of sealing elements is configured to seal an opening of the orifice. Other embodiments are disclosed.

Abstract: A device for occluding the fallopian tube including a wire composed of a shape memory material and an outer material encapsulating at least a portion of the wire. The device has a first elongated configuration for delivery and a second configuration for placement. In the second configuration, the wire moves toward its shape memory position and has a U-shape defined by a curved portion and first and second leg portions extending from the curved portion, the first and second leg portions extending downwardly from the curved portion and laterally outwardly.

Abstract: The devices and methods shown provide for the minimization of extravasation during arthroscopic surgery. The anti-extravasation surgical portal plug allows a surgeon to drain excess fluids from the soft tissue surrounding the surgical field during arthroscopic surgical procedures.

Abstract: Devices, methods and kits for reducing the likelihood of exposure to bodily fluid from a patient during the process of intubation and/or extubation of a tubular surgical device. Some of the bodily fluid guards can be used in conjunction with previously existing devices, while others are designed to be integrated with devices during manufacture of the devices. The bodily fluid guards has opposite superior and inferior ends with a wall that is configured to capture fluid and debris from the tubular surgical device, thereby preventing the bodily fluid and debris from contacting the patient, caregivers and surrounding equipment. In some embodiments, the bodily fluid guard includes a flexible, extendible sleeve wall to contain or substantially contain the device during extubation, thereby capturing any fluid and debris present on the device, wherein the wall can be releasably fixed to the device and to the patient to facilitate use.

Abstract: A meatal plug, comprising a stem and a bulb arranged at one end of the stem, the bulb protruding laterally over said stem, a hole being formed in the plug, and the hole opening at the end of the stem opposite the bulb and said hole extending at least into the bulb, characterized in that the ratio of the height dimension of the stem, measured along its longitudinal axis to the length dimension along this same bulb axis is greater than 1, preferably greater than 2.5, the ratio of the width dimension of the bulb to its length, i.e. measured in a direction perpendicular to the stem axis, is greater than 1, preferably greater than 2.5.

Abstract: A multi-piece punctal plug has one a superficial plug removably connected to an anchor plug deeper in the naso-lacrimal canaliculus. The anchor is fixed to the wall of the lacrimal duct while the superficial plug is axially and detachably secured to the anchor plug so that the multi-plug complex may be inserted or removed together as one, or the superficial plug may be detached separately and replaced securely without disturbing the anchor. Removal and insertion is accomplished by a specific tool having an end for reversibly engaging the plugs.

Abstract: The HemZem Anal Pile Driver Medical Device is a nonabsorbable medical minipad made from 16 ply layered facial tissue paper. The minipad is novel in that it is employed as an anal pessary using the body's own distinct anatomy, physiology, and chemistry to remain in place, and prevent the prolapse of anatomical hemorrhoids. When inserted into the anal canal, the HemZem Anal Pile Driver prevents medical complications such as itching, burning, or pain associated with, or secondary to prolapsing hemorrhoids. The HemZem Anal Pile Driver also serves as an absorbent minipad for anal mucus, and prevents soiling of clothing from such mucus, or topical ointments, creams, and gels commonly used to treat hemorrhoids. The US Food and Drug Administration classified the HemZem Anal Pile Driver as a Class I medical device on Aug. 23, 2012.

Abstract: Methods and apparatus for the treatment of a body cavity or lumen are described where a heated fluid and/or gas may be introduced through a catheter and into treatment area within the body contained between one or more inflatable/expandable members. The catheter may also have optional pressure and temperature sensing elements which may allow for control of the pressure and temperature within the treatment zone and also prevent the pressure from exceeding a pressure of the inflatable/expandable members to thereby contain the treatment area between these inflatable/expandable members. Optionally, a chilled, room temperature, or warmed fluid such as water may then be used to rapidly terminate the treatment session.

Abstract: A perianal support device is provided that is configured to inhibit the formation and/or progression of tissue damage in the perianal region of the body. A method is provided to apply the perianal support device to patients during childbirth to inhibit the formation and/or progression of tissue damage in the perianal region of the body.

Abstract: A device for treating fecal incontinence in a subject is provided. The device includes a plug configured for positioning mostly within an anal canal of the subject.

Abstract: A method of occluding a defect in a patient is provided. The method includes inserting a placement member, such as a wire guide, into a defect; advancing the placement member to a desired location; inserting the placement member into a lumen in an occluding member, such as a plug or a graft; and advancing the occluding member to the desired location by inserting the placement member into a lumen in a pusher member and pushing the occluding member with the pusher member until the occluding member reaches the desired location. Medical devices and systems for occluding defects are also provided.

Abstract: An implantable device for containing emboli within an atrial appendage may include an expandable frame having a plurality of supports projecting distally from a proximal hub, a mesh barrier provided on proximal sections of the supports, and a plurality of tissue anchors provided on the supports for engaging tissue when the device is positioned in an atrial appendage.

Abstract: A lacrimal insert such as a punctal plug may incorporate a balloon or other similar structure to facilitate anchoring of the punctal plug within the lacrimal canaliculus. The balloon may be inflated once it is positioned and deflated if removal is required or desired. The balloon may be affixed to an external portion of the punctal plug or incorporated into a chamber within the punctal plug.

Abstract: Sealing device for sealing externally debouching, natural or artificial body canals of animals or human beings, the device enabling liquid tight sealing against the inner wall of the bowel system of the animal or human being, the device further being made from a resilient material. The device is soft and resilient and may thus not trigger the analreflex, but is still able to provide a fluid-tight seal.

Abstract: Disclosed herein are methods for administering an IL-1 or IL-17 antagonist for treating ocular surface disorders, e.g., a dry eye disorder. The antagonists can be administered topically using an opthalmic composition.