Abstract: A mucous membrane lifting instrument includes: a tubular hood having a proximal end attachable to a distal end of an endoscope; a first band having an elasticity, and arranged on an outer peripheral surface of the hood in a stretched state; a second band having an elasticity, and arranged on the outer peripheral surface of the hood in a stretched state at a position proximal of the first band; and a linear member that is connected to the first band, and passes between the outer peripheral surface of the hood and the second band.

Abstract: A device includes including an elongated hollow member with a window for receiving tissue in an interior of the hollow member; a rigid member slidably coupled to the hollow member; and an actuation mechanism configured to move the rigid member longitudinally along a longitudinal axis through at least part of the window. When a ligation band is adjacent to the window and the rigid member is moved relative to the hollow member, the rigid member deforms the ligation band from an open position into a closed position around tissue received in the window.

Abstract: Devices, methods, and systems are provided for consistent and effective delivery of ligating bands. In one embodiment, a crisscross orientation of pull cords along an exterior surface of a ligation barrel can be used to ensure consistent delivery of ligation bands to tissue, resulting in better results for patients and an easier, safer operation for users.

Abstract: A tracheotomy device includes a head with a head proximal end and a head distal end. The head has a dilating member, and the dilating member has a first dilating member side piece and a second dilating member side piece. The dilating member is moveable between a closed configuration in which the first and second dilating member side pieces are adjacent, and an open configuration in which the first and second dilating member side pieces are spaced apart. The dilating member tapers in cross-sectional area going in a direction from the head proximal end to the head distal end. A sharp tip is at the head distal end. A gripping member is connected to the head proximal end, and is actuatable to move the dilating member between the closed configuration and the open configuration.

Abstract: A system (1100) includes an ultrasound imaging probe (304) with an elongate shaft (312) including an outer perimeter housing (331), two ends (328, 330) and a long axis (320). The system further includes a channel (326) that extends along the direction of the long axis, is part of the outer perimeter housing, and is configured as a recess of the outer perimeter housing. The system further includes a handle (310) affixed to one of the ends of the elongate shaft. The system further includes a transducer array (322) disposed at another of the ends of the elongate shaft. The transducer array includes one or more transducer elements (324).

Abstract: A device for deploying a suture clip onto a suture can include a proximal handle portion that includes an actuation mechanism. The device can also include an outer shaft defining an inner lumen. A crimping assembly can be at least partially disposed within a distal end of the outer shaft. The crimping assembly can include a plurality of crimping members configured to receive and radially compress a suture clip. The actuating mechanism can be configured to move the plurality of crimping members radially inwardly from a first position, where the crimping members are configured to receive a suture clip, to a second position where the plurality of crimping members are configured to radially compress the suture clip, causing the suture clip to plastically deform and become secured around one or more sutures.

Abstract: A device, an instrument and a belt for tying the cervix are provided. The device includes the belt and the instrument. The belt is used to tie the cervix. The instrument includes a first outer pipe, a second outer pipe and two fork structures. The first outer pipe and the second outer pipe are rotatable to each other. The two fork structures are connected individually to corresponding axial ends of the first outer pipe and the second outer pipe, respectively, and insert into the belt detachably.

Abstract: The present invention relates to an endoscope. The present invention may include an endoscope main body; and a guide cap that is mounted to be fixed to a front end of the endoscope main body when inserting the endoscope main body into a human body and slides to protrude toward the front of the endoscope main body when withdrawing the endoscope main body inserted into the human body. An object of the present invention is to facilitate insertion of the endoscope by freely varying a length of the cap from the front end of the endoscope, and to enhance the detection rate of polyp.

Abstract: An improved system for attaching devices to the distal end of endoscopic instruments is described. An attachment adapter comprises a distal stop, such as a complete or partial loop or cylinder, which limits the penetration of an endoscope into the adapter. The adapter has at least one flange protruding proximally along the endoscope. The adapter is secured on the endoscope by a securing means, which compresses the flange or flanges sufficiently to provide a friction fit. The flexibility of the inventive adapter system allows the adapter to work reliably with endoscopes that are used, damaged or repaired. The adapter may further provide a slit or window allowing viewing of the vessel wall by a lens on an endoscope, thereby improving the operator's ability to understand the location of the endoscope during operation. The adapter may carry any of a variety of devices, including devices for closing a surgical incision, or treating or manipulating tissue.

Abstract: An electromechanical surgical system is disclosed including a hand-held surgical instrument, an end effector configured to perform at least one function, and a shaft assembly arranged for selectively interconnecting the end effector and the surgical instrument. The shaft assembly includes a linkage having a proximal housing and a distal housing at least partially received within the proximal housing. The distal housing is rotatable relative to the proximal housing and configured to selectively interconnect the end effector to the shaft assembly. The shaft assembly further includes a wire extending through the linkage having a central portion disposed within an annular groove defined between the proximal and distal housings. The central portion of the wire is annularly wound within the annular groove to define a coil. The coil is configured to at least one of radially expand and contract upon rotation of the distal housing relative to the proximal housing.

Abstract: Devices, systems, and methods are disclosed for inverting and closing a left atrial appendage. Certain methods include the steps of inverting a distal portion of a left atrial appendage and constraining the inverted portion using at least a snare device configured to be fit around the inverted portion of the left atrial appendage and closed, so that the inverted portion is securely circumscribed and closed. Devices and systems related to such methods are also described and include a catheter system comprising a vacuum tube and a snare slidably disposed within a catheter.

Abstract: A housing includes a first tubular portion being tubular, arranged to extend along a central axis extending in a vertical direction, and having a first cavity defined radially inside of the first tubular portion; and a second tubular portion being tubular, connected to a lower portion of the first tubular portion directly or indirectly, and having a second cavity defined radially inside of the second tubular portion. The first cavity is arranged to define a light path along which the incoming light travels, and is connected to the second cavity. The second tubular portion is arranged to house at least a portion of the optical component therein. The first and second tubular portions are defined by a single monolithic member.

Abstract: According to an embodiment of the present disclosure, a medical device for deploying a ligation band may include a tubular body. The tubular body may include a proximal end, a distal end, a radially inner surface defining a lumen through the tubular body, and a radially outer surface. The radially outer surface may include protrusions arranged in rows extending at least partially around a proximal region of the radially outer surface. Protrusions in adjacent rows may be separated by a first distance. Surface features may extend at least partially around a distal region of the radially outer surface. Adjacent surface features may be separated by a second distance larger than the first distance.

Abstract: An apparatus applicable for the ligation of internal tissue in a created or natural cavity in animals or in the human body, for example varicose veins in the gullet or a duodenal diverticulum, by means of an elastic band (19) while observing the ligations through an endoscope. The apparatus includes an automatic trigger unit (1) mounted firmly on the handle of the endoscope which can release a number of elastic bands (19) with the aid of a single-stranded trigger cord (11). Only a single elastic band (19) is released for each ligation thereby establishing a one-man-operated apparatus.

Abstract: A multiple band endoscopic ligation device comprises a single pull string and a plurality of beads positioned on said pull string and between each successive band. The device is configured to be coupled to the distal end of an endoscope and is used to deploy multiple elastic bands around target tissues to be ligated. The device includes a tapered cylindrical body about which a plurality of elastic bands are stretched and positioned. The pull string includes multiple sets of two beads fixed to the string wherein one bead is placed directly behind and in contact with the other. The string is wrapped around the device's body and under each band such that at least one pair of beads is positioned between the elastic bands and one pair of beads is positioned proximally to the most proximal band. As the string is pulled, the beads push the bands sequentially off the distal end of the device and around a tissue to be ligated.

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

Abstract: A banding apparatus and method. One embodiment is a unitary or integrated hemorrhoidal single hand-held and single hand-operated ligator, which can, in some embodiments, enable direct visualization and release of multiple bands. The ligator has a gun-shaped handle extending from a vacuum generating trigger tube, with a fixed band bearing barrel extending from the vacuum generating trigger tube. A vacuum generating tube extends through the band bearing barrel from the rear of the gun ligator to the band bearing barrel end of the ligator gun, and is in air movement communication with the vacuum generating tube and band bearing barrel end of the ligator gun. A band actuating barrel is threadably mounted to surround a portion of the band bearing barrel, and rotation of the barrel cause the barrel to move laterally and force one or more ligating bands along and off of the band bearing barrel end. A light source can be included to illuminate the band bearing barrel end.

Abstract: A ligating system having a ligating apparatus configured to attach to a distal end of a scope and to hold a ligating band thereon; an activating cord configured to extend down a working channel of the scope and attach to the ligating apparatus; and a line pulling assembly including: a central body; an attachment mechanism on the central body configured to attach the line pulling assembly to a proximal end of the scope; an access channel through the central body and in communication with the working channel of the scope, the access channel providing an open inlet to the working channel of the scope when the line pulling assembly is attached to the proximal end of the scope; and a winding mechanism attached to the central body, wherein the winding mechanism is configured to pull the activating cord proximally such that the ligating band is removed from the ligating apparatus.

Abstract: A multiple band endoscopic ligation device comprises a single pull string and a plurality of beads positioned on said pull string and between each successive band. The device is configured to be coupled to the distal end of an endoscope and is used to deploy multiple elastic bands around target tissues to be ligated. The device includes a tapered cylindrical body about which a plurality of elastic bands are stretched and positioned. The pull string includes multiple sets of two beads fixed to the string wherein one bead is placed directly behind and in contact with the other. The string is wrapped around the device's body and under each band such that at least one pair of beads is positioned between the elastic bands and one pair of beads is positioned proximally to the most proximal band. As the string is pulled, the beads push the bands sequentially off the distal end of the device and around a tissue to be ligated.

Abstract: Systems, methods, apparatus and devices for performing improved gynecologic and urologic procedures are disclosed. The system and devices provide simplified use and reduced risk of adverse events. Patient benefit is achieved through improved outcomes, reduced pain, especially peri-procedural pain, and reduced recovery times. The various embodiments enable procedures to be performed outside the hospital setting, such as in a doctor's office or clinic.

Abstract: A delivery assembly includes a ring sleeve that fits snugly over a main endoscope on the distal end of the endoscope. An extension tube projects distally away from the ring sleeve and may be made integrally with the sleeve. The extension tube is off-axis from the ring sleeve and endoscope. A tube-like inner carrier is reciprocatingly disposed inside the extension tube. One or more resilient tissue compression rings are placed in a stretched configuration on the inner carrier. To push the rings off the carrier, the carrier is pulled proximally within the extension tube and the compression ring is thus pulled into contact with the distal end of the extension tube. Continued pulling of the carrier causes the compression ring to be pushed off the assembly onto target tissue, at which point the ring is relaxed to assume a small configuration and clamp the target tissue.

Abstract: A ligating band dispenser for attachment to an endoscope having sliding elements that are positioned on the outer surface of a support structure of the ligating band dispenser. The sliding elements may be slidably engaged to the support structure. For example, the sliding elements may slide along a groove on the outer surface of the support structure. The sliding elements are advanced forward along the groove, causing the sliding elements to impact a ligating band and push the ligating band forward until it is deployed off the dispenser.

Abstract: An access device adapted and configured to be inserted through a natural biological orifice, and related surgical methods are provided. The access device includes a body, a nozzle means and means for delivering a pressurized flow of fluid to the nozzle means. The body is configured and dimensioned to be inserted through a natural bodily orifice and has proximal and distal end portions and defines at least one lumen therethrough to accommodate passage of one or more surgical instruments. The nozzle means is operatively associated with the body for directing pressurized fluid into the lumen to develop a pressure differential in an area within a region within the lumen to form a fluid seal around the one or more surgical instruments passing therethrough.

Abstract: A cover for an electrosurgical instrument having a wrist structure and an end effector is provided. The cover includes a hollow elongated structure, which includes a tip cover portion and a base cover portion integrally connected to the tip cover portion. The tip cover portion has a distal end with an opening therethrough sized to receive the end effector of the electrosurgical instrument and is composed of a first, electrically insulative material having a flexibility sufficient to allow the end effector to be manipulated while the end effector is received in the opening. The base cover portion is composed of a second material having a higher tear strength than the first material. The tip cover portion and the base cover portion overlap at an overlap region configured to receive the wrist structure of the electrosurgical instrument when the end effector is received in the opening.

Abstract: Embodiments of the invention may be directed to apparatuses for securing and sealing tissue and related methods of use. The apparatus may include an outer housing defining a first lumen, an elongate member defining a second lumen, the elongate member being configured to be disposed in the first lumen, and a securing mechanism configured to secure tissue around a distal portion of the elongate member. The elongate member and the outer housing may be longitudinally moveable relative to each other.

Abstract: An access device adapted and configured to be inserted through a natural biological orifice, and related surgical methods are provided. The access device includes a body, a nozzle means and means for delivering a pressurized flow of fluid to the nozzle means. The body is configured and dimensioned to be inserted through a natural bodily orifice and has proximal and distal end portions and defines at least one lumen therethrough to accommodate passage of one or more surgical instruments. The nozzle means is operatively associated with the body for directing pressurized fluid into the lumen to develop a pressure differential in an area within a region within the lumen to form a fluid seal around the one or more surgical instruments passing therethrough.

Abstract: A device for discharging at least one band onto a tissue is provided. The device includes a housing; a suction assembly coupled to said housing; a dispensing assembly coupled in flow communication to said suction assembly; a discharge assembly coupled in flow communication to said dispensing assembly; and a first manual actuator coupled to said suction assembly and configured to move said suction assembly between a retracted position and an extended position wherein said suction assembly, in said retracted position, is configured to draw the tissue into said discharge assembly.

Abstract: A compression ring to grip and compress body structure such as diverticulum, hemorrhoids, and tissue adjacent a hole. A resilient ring-shaped body defines a compression channel, and one or more axially rigid elongated spikes extend from the body into the channel. The body defines a first axial segment surrounding the compression channel and a second axial segment surrounding the compression channel, with the spike being engaged only with the second axial segment. The first axial segment more tightly compresses the body structure than the second axial segment.

Abstract: A method for ligating an internal body tissue using an outer cylinder member and an inner cylinder member including the processes of projecting the inner cylinder from a front end of the outer cylinder member; attaching a ligation band member to an outer peripheral surface of the inner cylinder member; contacting a front end of the inner cylinder member with an internal body tissue; suctioning an inside of the inner cylinder member via a channel communicated with the inside of the inner cylinder member such that the internal body tissue is drawn into the inner cylinder member; and ligating the internal body tissue with the ligation band member by disconnecting the ligation band member from the front end of the inner cylinder member when the inner cylinder member is drawn into the inside the outer cylinder member at a position where the ligation band member is disconnected.

Abstract: A ligating apparatus and method. One embodiment includes a barrel-shaped ligator attached to the penetrating end of a structure, such as an endoscope, and cord pulling assembly at the opposed end of the structure. In the case of use with an endoscope, a pullable cord is wound on the cord pulling assembly and then extends through a working channel in the endoscope to penetrate the ligator. The barrel-shaped ligator is coaxial with the penetrating end of the endoscope, and a practitioner can look through the operating end of the endoscope and see through the endoscope and ligator to observe flesh, for example, in front of the ligating end of the ligator. The ligator includes coaxial inner and outer barrels that rotate with respect to each other upon pulling of the cord by the cord pulling assembly. This relative rotation causes one barrel to move laterally with respect to the other barrel and eject a ligature from the ligating end of the ligator.

Abstract: Provided herein is a clamp device that can be used in minimally invasive procedures, including surgeries such as laparoscopic surgeries, for clamping a tissue or an organ or a portion of a tissue or organ. Also provided herein are methods of clamping a tissue or an organ or a portion thereof during minimally invasive surgery using the clamp device provided herein. Also provided are systems for performing a minimally invasive surgery that include the clamp device for minimally invasive surgery provided herein and an injection device configured to access an endoscopic port for the minimally invasive surgery.

Abstract: An elastic band ligation device for treatment of hemorrhoids including an inner tubular member for retaining a stretched elastic band over the front end thereof, a plunger in the tubular member with a handle extending away from the front end of the inner tubular member, the handle for sliding the plunger away from the rear end of the inner tubular member to provide a suction for drawing hemorrhoidal tissue into the inner tubular member through the opening at the front end. An obturator is disposed within the inner tubular member having a rounded end, the end of the obturator and the inner surface of the inner tubular member defining an anti-pinch structure. An outer tubular pusher sleeve is configured to provide a limited friction fit over the inner tubular member, with an external end of the outer tubular pusher sleeve adjacent the stretched elastic band.

Abstract: An elastic band ligation device for treatment of hemorrhoids including an inner tubular member for retaining a stretched elastic band over the front end thereof, a plunger in the inner tubular member with a handle for sliding the plunger to generate a suction for drawing hemorrhoidal tissue into the inner tubular member. An obturator connected to the plunger is provided within the inner tubular member. An outer tubular pusher sleeve with a limited friction fit is provided over the inner tubular member, the end of outer tubular pusher sleeve being adjacent the stretched elastic band. The outer pusher sleeve has a thumb pusher to allow the operator to push the outer pusher sleeve towards the front end of the inner tubular member or to secure the outer pusher sleeve and withdraw the inner tubular member, which deploys the elastic band on the hemorrhoidal tissue.

Abstract: Elastic band ligation device for treating hemorrhoidal tissue, including an inner tube for retaining an elastic band, a plunger in the inner tube for drawing hemorrhoidal tissue into the inner tube, and an outer tube pusher sleeve disposed over the inner tube. A thumb pusher on the sleeve allows the operator to push the sleeve towards the front of the inner tube to deploy the elastic band from the front end of the inner tube onto hemorrhoidal tissue drawn into the inner tube. The sleeve has a locking mechanism including a tab for locking the sleeve to the inner tube to prevent relative movement of the sleeve and inner tube until the sleeve is unlocked by the user, thereby preventing premature deployment of an elastic band.

Abstract: An apparatus applicable for the ligation of internal tissue in a created or natural cavity in animals or in the human body, for example varicose veins in the gullet or a duodenal diverticulum, by means of an elastic band (19) while observing the ligations through an endoscope. The apparatus includes an automatic trigger unit (1) mounted firmly on the handle of the endoscope which can release a number of elastic bands (19) with the aid of a single-stranded trigger cord (11). Only a single elastic band (19) is released for each ligation thereby establishing a one-man-operated apparatus.

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

Abstract: A medical device for use in hemorrhoid treatment is an elongate unitary body having a conical portion at one end and a cylindrical portion at an opposite end. The cylindrical portion is truncated along a longitudinal plane to provide the cylindrical portion with a planar outer surface area extending parallel to a longitudinal axis of the body. A coupling structure is provided on a side of the cylindrical portion opposite the conical portion for releasably attaching the body to a band-holding cylinder of a hemorrhoid ligator.

Abstract: According to an embodiment of the present disclosure, a medical device for deploying a ligation band may include a tubular body. The tubular body may include a proximal end, a distal end, a radially inner surface defining a lumen through the tubular body, and a radially outer surface. The radially outer surface may include protrusions arranged in rows extending at least partially around a proximal region of the radially outer surface. Protrusions in adjacent rows may be separated by a first distance. Surface features may extend at least partially around a distal region of the radially outer surface. Adjacent surface features may be separated by a second distance larger than the first distance.

Abstract: The present invention concerns an actuating device for actuating a mechanical adjustment element of surgical implant, said mechanical adjustment element allowing to modify the functional shape and/or the functional size of the surgical implant when actuated, said actuating device comprising transmission means linked with one end to the mechanical adjustment element and able to move the mechanical adjustment element when said transmission means are actuated, connecting means (7) mounted on the other end of the transmission means and able to actuate the transmission means, said connecting means (7) comprising coupling means and driving means (24) comprising complementary shaped coupling means, said driving means (24) being designed to be removable and fitted into the coupling means for moving the mechanical adjustment element by driving into movement a movable part of the connecting means (7).

Abstract: A ligating instrument is provided, including an elongate member, such as a tube, having a lumen, the elongate member extending from a proximal actuator member to a distal ligating band dispenser. A pull line may extend through the lumen of the elongate member, with a proximal end of the pull line connected to the actuator member and a distal end of the pull line connected to the ligating band dispenser, wherein actuation of the actuator member draws the pull line in a proximal direction through the elongate member to deploy the ligating bands. The ligating band dispenser may be adapted to be mounted on the distal tip of an endoscope, and the elongate member may be adapted to be positioned outside of the endoscope from the ligating band dispenser to the actuator member.

Abstract: A medical device for resecting a tissue. The medical device includes an elongate shaft having a distal end, a proximal end, and a plurality of channels extending therebetween. The medical device also includes a cap assembly disposed at the distal end of the elongate shaft. The cap assembly includes a housing having a proximal portion, a distal portion, and a cavity extending therebetween. The housing is configured to be transparent and includes a friction surface pattern disposed over a portion of an outer surface of the housing. The cap assembly further includes one or more ligation bands disposed on the proximal portion of the housing. The cap assembly also includes a wire interwoven between the ligation bands. The wire is further configured to roll at least one ligation band at a time towards the distal end of the distal portion.

Abstract: A ligating instrument is provided, including an elongate member, such as a tube, having a lumen, the elongate member extending from a proximal actuator member to a distal ligating band dispenser. A pull line may extend through the lumen of the elongate member, with a proximal end of the pull line connected to the actuator member and a distal end of the pull line connected to the ligating band dispenser, wherein actuation of the actuator member draws the pull line in a proximal direction through the elongate member to deploy the ligating bands. The ligating band dispenser may be adapted to be mounted on the distal tip of an endoscope, and the elongate member may be adapted to be positioned outside of the endoscope from the ligating band dispenser to the actuator member.

Abstract: A lung volume reduction system includes a percutaneously, laparoscopically or thorocospically insertable delivery element comprising a control end which remains outside the body and an insertion end which, when in an operative position, is adjacent to an external surface of a target portion of a lung and a constriction element deployable from the distal end of the delivery element to apply compressive force to an external surface of the target portion of the lung to constrict at least one airway therein and collapse the target portion of the lung.

Abstract: A ligating band dispenser for attachment to an endoscope having sliding elements that are positioned on the outer surface of a support structure of the ligating band dispenser. The sliding elements may be slidably engaged to the support structure. For example, the sliding elements may slide along a groove on the outer surface of the support structure. The sliding elements are advanced forward along the groove, causing the sliding elements to impact a ligating band and push the ligating band forward until it is deployed off the dispenser.

Abstract: The present invention regards an apparatus for selectively and accurately deploying one or more sequentially positioned medical appliances from a portable medical device. The apparatus includes a body having a channel, a string passing through the channel, and a mechanism for moving the string predetermined distances to deploy medical appliances. The medical appliances may be, but are not limited to, ligation bands.

Abstract: A multiple band endoscopic ligation device comprises a single pull string and a plurality of beads positioned on said pull string and between each successive band. The device is configured to be coupled to the distal end of an endoscope and is used to deploy multiple elastic bands around target tissues to be ligated. The device includes a tapered cylindrical body about which a plurality of elastic bands are stretched and positioned. The pull string includes multiple sets of two beads fixed to the string wherein one bead is placed directly behind and in contact with the other. The string is wrapped around the device's body and under each band such that at least one pair of beads is positioned between the elastic bands and one pair of beads is positioned proximally to the most proximal band. As the string is pulled, the beads push the bands sequentially off the distal end of the device and around a tissue to be ligated.

Abstract: Devices and methods for percutaneously treating and removing aneurysms or other anomalous tissue associated with vascular, intestinal, or other body tissue.

Abstract: A ligating band dispenser for attachment to an endoscope having sliding elements that are positioned on the outer surface of a support structure of the ligating band dispenser. The sliding elements may be slidably engaged to the support structure. For example, the sliding elements may slide along a groove on the outer surface of the support structure. The sliding elements are advanced forward along the groove, causing the sliding elements to impact a ligating band and push the ligating band forward until it is deployed off the dispenser.

Abstract: A device for stretching a plastic ring which comprises pushing means (2) and a loading body (5) which are reciprocally slidable across a plurality of ribs (4) solidly constrained to the pushing means (2), and a plurality of grooves (6) afforded on the loading body (5). The loading body (5) exhibits a first substantially conical portion (7) exhibiting a base (7a), having an external diameter (D) and an apex (7b). The loading body (5) further comprises a second portion (8), contiguous to the first conical portion (7) and exhibiting a proximal end (8a) and a distal end (8b).

Abstract: Elastic band ligation device for treating hemorrhoids and treatment method are provided. The device includes an inner tubular member for retaining an elastic band over the front end. The inner tubular member is arcuate and is insertable into the rectum of a patient. A plunger in the tubular member when pulled generates a suction for drawing hemorrhoidal tissue into the inner tubular member through the front end. A plastic outer tubular pusher sleeve has an arcuate configuration corresponding to the arcuate inner tubular member to provide a limited friction fit over the inner tubular member. The pusher sleeve has a thumb pusher to allow the outer tubular pusher sleeve to be pushed towards the front end of the inner tubular member and release the elastic band from the front end of the inner tubular member to engage hemorrhoidal tissue extending through the opening in the inner tubular member.