Abstract: A medical device that may include an elongate member having a proximal end and a distal end, and a lumen disposed through the elongate member is disclosed. The medical device may also include an opening disposed at the distal end of the elongate member in communication with the lumen, and a pushing element disposed with the lumen. The medical device may also include at least one fiducial disposed within the lumen and distal to the pushing element, and a separating mechanism disposed at the distal end of the elongate member. The separating mechanism may be configured to apply a separating force to deploy the at least one fiducial.

Abstract: A hemostatic clip assembly for mounting on a delivery device comprises a capsule and a clip slidably mounted within the capsule so that, when the clip is drawn proximally into the capsule, arms of the clip are drawn together to a closed position, an abutting surface of at least one of the arms contacting a corresponding surface of the capsule when the clip is drawn to a predetermined position within the capsule to provide a first user feedback indicating closure of the clip in combination with a tension member connected to the clip arms and biasing the clip arms toward an open, tissue receiving configuration and a yoke slidably received within the capsule and releasably coupled to the tension member, the yoke including a ball cavity for receiving a ball connector of a control element of the delivery device to maintain the clip assembly coupled to the delivery device, wherein the control element is frangible to detach the yoke from the delivery device and to provide a second user feedback and, wherein release

Abstract: An end effector apparatus for a surgical instrument is disclosed. The apparatus includes a first jaw mounted on a first revolute joint, the first jaw having a manipulating portion extending forwardly from the first revolute joint and a lever arm projecting rearwardly from the first revolute joint. The apparatus also includes a second jaw having a manipulating portion generally opposing the manipulating portion of the first jaw, and a coupler having an actuation end disposed overlapping the lever arm of the first jaw, the first and second jaws being laterally spaced apart to provide clearance for the actuation end of the coupler. The apparatus further includes a linkage extending rearwardly between the actuation end of the coupler and the lever arm of the first jaw, the linkage being operable to cause opening and closing movements of the first jaw about the first revolute joint in response to reciprocating movement of the coupler.

Abstract: A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a shaft extending therefrom with opposed jaws formed on a distal end thereof. A formed tube can extend along the shaft and it can be configured to advance over the jaws to move the jaws from an open position to a closed position to crimp the clip positioned therebetween. The surgical clip applier can include a variety of features to facilitate use of the device, including engagement features formed between the former tube and the jaws to prevent scissoring and misalignment of the jaws to ensure proper closure of the jaws.

Abstract: The present invention includes a surgical stapler having a staple cartridge, an anvil, a cutting member having a cutting surface, and a driver operably engaged with the cutting member to move the cutting member relative to the anvil and the staple cartridge. In at least one embodiment, one of the anvil and the staple cartridge defines a slot which is configured to receive at least a portion of the cutting member and guide the cutting member as it is moved relative to the anvil and the staple cartridge. In these embodiments, the slot can also be configured to receive a portion of the driver operably engaged with cutting member and support the driver when it moves the cutting member. In at least one embodiment, the slot is defined by at least one radius of curvature.

Abstract: An endoscope treatment tool includes: a sheath; a clip unit; a biasing member arranged between a distal end part of the sheath and the clip unit; and a first rotation preventing part capable of preventing the clip unit from rotating relative to the distal end part of the sheath about a longitudinal axis. The clip unit includes: a clip body; a holding tube; and a second rotation preventing part capable of preventing the clip body from rotating relative to the holding tubes about the longitudinal axis. The biasing member biases the holding tube so as to separate from the distal end part of the sheath. When a proximal end part of the holding tube comes into contact with the distal end part of the sheath against the biasing force of the biasing member, the first rotation preventing part prevents the relative rotation of the clip unit.

Abstract: An intraluminar method of treating obesity of a patient, having a stomach with a food cavity, is disclosed. The method comprises the steps of creating a pouch made of a stomach wall portion of the patient, closing the pouch by sutures, staples or a fixation device, and placing a volume filling device in the pouch before or after closing the pouch, and thus investigating the volume filling device in the pouch such that an outer surface of the volume filling device rests against an outer surface of the stomach wall.

Abstract: A medical clip cartridge (1) for connecting a medical clip (22) to a line member (25) having a connection part (31) on a distal part thereof, comprising an insertion port (2) for inserting a line member (25), an insertion path (3) extending distally from the insertion port (2), and a storing part (4) for storing a clip (22), that is connected to a distal end of the insertion path (3), wherein the insertion path (3) has a protrusion (5) projecting from an inner surface of the insertion path, and the protrusion (5) has a part whose top surface widens toward a distal end thereof and whose height from the inner surface of the insertion path increases toward the distal end.

Abstract: A clip unit including: a clip main body having a first arm portion, a second arm portion, and a middle portion; a pressing tube formed in a tube shape to be capable of accommodating the clip main body, the pressing tube being provided to deform the clip main body so as to make a distal end of the first arm portion and a distal end of the second arm portion to approach to each other, as the middle portion, the first arm portion, and the second arm portion are moved toward a proximal end side of the clip unit; a locking portion configured to protrude from an inner circumferential surface of the pressing tube on the proximal end side of the pressing tube; and a first locked portion configured to protrude from a lateral surface of the first arm portion.

Abstract: A handle assembly for use with a surgical instrument includes a housing defining a contact wall, a movable handle, a plunger, a linkage, and a feedback mechanism. The plunger is disposed at least partially within the housing and defines a longitudinal axis. The linkage interconnects the movable handle with the plunger such that actuation of the movable handle results in longitudinal translation of the plunger relative to the housing. The feedback mechanism is configured to provide audible feedback to a user, and includes an indicator snap wire and a track defined by a wall of the housing. The snap wire is configured to move along the track in response to longitudinal translation of the plunger. The snap wire is configured to engage the contact wall of the housing to create a sound that is audible to a user when the movable handle has been actuated a predetermined amount.

Abstract: An object of the present invention is to provide a connector that facilitates a connecting operation with a clip, prevents an unintended release of the clip, and suppresses a misoperation of the clip in a holding operation; a medical clip device including the connector; and a method for producing the medical clip device. A connector (20) for connecting a medical clip for holding a target site with a line member for moving the clip comprises: a through hole (21) whose depth direction is nonparallel to an axial direction; and a thin part that is formed at least at a part distal to the through hole and is thinner than a distal end of the through hole (21).

Abstract: An actuator is movable between a first position and a second position to move a drive mechanism between a first configuration and a second configuration relative to a housing. A cartridge assembly configured to be removably coupled to the housing to couple such that the cartridge assembly is coupled to the drive mechanism. A first member of the drive mechanism moves a first member of the cartridge assembly to advance a surgical clip of the cartridge assembly in a distal direction when the drive mechanism is placed in the first configuration. A second member of the drive mechanism moves a second member of the cartridge assembly relative to the clamp mechanism when the drive mechanism is placed in the second configuration to transition the clamp mechanism from a first configuration to a second configuration. The clamp mechanism is configured to clamp the surgical clip when in the second configuration.

Abstract: An apparatus for deployment of a hemostatic clip includes a clip assembly releasably coupled to a distal portion of a shaft, wherein the clip assembly includes a capsule releasably coupled to the shaft, clip arms slidably received within the capsule and cooperating with the capsule to provide a first user feedback indicating a decision configuration of the clip assembly and a yoke slidably received within the capsule, the yoke including proximal and distal portions releasably and rotatably connected to one another via a first control wire, a distal end of the distal portion being connected to proximal ends of the clip arms. A second control wire extends from the handle assembly and is coupled to a proximal end of the second portion to move the clip assembly between open and closed configurations.

Abstract: Apparatus and methods for delivering a surgical clip to a patient during a minimally invasive surgical procedure are disclosed herein. An exemplary apparatus for isolating an atrial appendage of a patient includes a surgical clip that locks onto the atrial appendage of the patient, and a surgical clip applicator that releasably engages the surgical clip. The surgical clip can include a top portion and a bottom portion. The surgical clip applicator can include a first flexible flap and a second flexible flap. The first and second flexible flaps can be sufficiently rigid to prevent the surgical clip from falling off of the surgical clip applicator when the surgical clip is engaged to the surgical applicator and the surgical clip applicator is in a relaxed state, and sufficiently flexible to facilitate separation of the surgical clip from the surgical clip applicator when the surgical clip is locked onto the atrial appendage.

Abstract: A surgical clip applier is provided and includes a ratchet mechanism having a rack member connected to a drive channel such that axial translation of the drive channel results in axial translation of the rack member, the rack member defining a first set of teeth along a first side thereof and a second set of teeth along a second side thereof. The ratchet mechanism including a first pawl and a second pawl each tiltably supported in the housing and disposed on respective opposed sides of the rack member; and a buckling spring interposed between the first pawl and the second pawl and constrained in a slot formed in the rack member, wherein the buckling spring is dimensioned so as to bow in one of a proximal direction and a distal direction.

Abstract: A medical device includes (a) a capsule including a lumen extending therethrough, a proximal end of the capsule including at least one window extending therethrough; (b) a bushing including a channel extending therethrough, a distal end including at least one arm extending distally therefrom such that a corresponding one of the arms is releasably engagable with a corresponding one of the windows; and (c) a core member including a locking portion and at least one engaging element. The locking portion is sized and shaped to be received within the channel of the bushing to apply a pressure to the arm such that the arm engages the windows. The engaging element extends laterally outward from a portion of the core member such that the engaging element engages a corresponding one of the arms to deform the arms radially inward and out of engagement with the windows.

Abstract: An assembly for restoring a gastroesophageal flap valve includes a restoration device substantially free for rotation. The assembly comprises an elongated member configured to be fed through a throat, down an adjoining esophagus and into an associated stomach. The elongated member has a distal end. The assembly further comprises a gastroesophageal flap valve restoration device carried on the distal end of the elongated member for placement in the stomach, and an invaginator carried by the elongated member. The invaginator is configured to grip the esophagus and the elongated member and invaginator are coupled for restricted relative axial movement and substantially free relative rotational movement.

Abstract: A device for treating a tissue opening includes a capsule extending longitudinally from a proximal end to a distal end and including a lumen extending therethrough; a pair of arms movably housed within the lumen of the capsule such that the pair of arms are movable between an open configuration and a closed configuration, the pair of arms being biased toward the open configuration such that when the pair of arms are moved distally with respect to the capsule, distal ends of the pair of arms are separated from one another to receive target tissue therebetween; a needle releasably connected to a first one of the pair of arms, the needle extending laterally inward toward a second one of the pair of arms and including a connecting structure extending along a portion thereof, the second one of the pair of arms including an opening located so that, when the pair of arms are moved to the closed configuration, the connecting structure of the needle engages the opening; and a suture extending from a portion of the nee

Abstract: A vascular closure system for sealing an opening in a blood vessel may include an introducer sheath extending through the opening, the introducer sheath having a lumen extending through the introducer sheath, wherein partial withdrawal of the introducer sheath from the opening everts tissue of the blood vessel at the opening, and a shaping sheath slidably disposed over the introducer sheath, the shaping sheath having a split distal portion configured to engage the everted tissue.

Abstract: Systems and methods for forming a handle apparatus may include shaping a strip of composite material with a flexible central portion, two grips, and two end portions. The strip may be bent onto itself such that the end portions are fastened together by a fastening device. The handle apparatus may also include a hole disposed in the flexible central portion through which a tool actuator may be passed.

Abstract: A surgical clip applier is provided that includes first and second jaws on a distal end of an elongate shaft, a clip advancing assembly extending through the shaft and configured to advance a distal-most clip from a plurality of clips in the shaft into the first and second jaws. The jaws have opposed inward facing surfaces, and each inward facing surface has a clip track defined therein for receiving and guiding legs of a clip into the first and second jaws. The clip track of at least one of the jaws has at least one deflectable clip retention member disposed therein and configured to apply a biasing force to a leg of a clip disposed within the jaws to thereby retain the clip within the jaws and maintain alignment of the clip with respect to the jaws. The clip track of at least one of the jaws may also have at least one recess or protrusion designed to be complementary to and mate with a protrusion or recess in a clip.

Abstract: A surgical clip applier includes a counter assembly including a counting wheel with a plurality of actuation features, a locking spring assembly, a driver, and a pin assembly. The counting wheel includes indicia visible through the handle assembly. The locking spring assembly is positioned within the counting wheel and is configured to prohibit multidirectional rotation of the counting wheel. The driver includes a grasping protrusion and a positioning protrusion. The driver translates between a proximal position and a distal position, wherein the grasping protrusion engages the plurality of actuation features to rotate the counting wheel to change the indicia. The pin assembly is configured to engage with the positioning protrusion of the driver, wherein during transitioning of the driver from the proximal position to the distal position, the positioning protrusion engages the stationary pin to pivot the driver, whereby the driver disengages from the plurality of actuation features.

Abstract: A surgical clip applier includes a drive housing, an elongate shaft that extends from the drive housing, and an end effector operatively coupled to a distal end of the elongate shaft. The end effector includes jaws that comprise a one-piece body having opposed first and second jaw members. The first jaw member provides a first inner surface and the second jaw member provides a second inner surface opposite the first inner surface. The first and second inner surfaces remain parallel to each other as the first and second jaw members move from an open position to a closed position.

Abstract: A counter assembly is supported in a handle assembly of a clip applier. The counter assembly includes a counting mechanism, a ratchet mechanism, and an actuator. The counting mechanism is positioned to rotate within the handle assembly and includes indicia visible through the handle assembly. The ratchet mechanism is rotationally coupled to the counting mechanism and prohibits multidirectional rotation of the counting mechanism. The actuator includes a protrusion projecting therefrom. The actuator is positioned to translate between a proximal position and a distal position, wherein the protrusion of the actuator engages the counting mechanism to rotate the counting mechanism, in a first direction, to adjust the indicia of the counting mechanism, which is visible through the handle assembly. In the proximal position, the protrusion of the actuator is disposed proximal of the counting mechanism. In the distal position, the protrusion of the actuator is disposed distal of the counting mechanism.

Abstract: A surgical cutting and fastening instrument comprises an end effector, a shaft connected to the end effector, and a handle connected to the shaft. The handle comprises an electric, DC motor connected to a drive train for powering the drive train and a plurality of series-connected DC power source connected to the motor for supplying electrical power to the motor. The handle also comprises a power source selection switch for connecting, when in a first state, all of the DC power sources to the motor, and, when in a second state, a subset of the DC power sources to the motor. Also disclosed are means for actuating a RF electrode in the end effector and means for indicating actuation of the RF electrode.

Abstract: A shaft assembly of an apparatus for applying surgical clips to body tissue includes a pair of jaws movable between a spaced-apart position and an approximated position, an elongated spindle, a shaft, a slidable member, and a pusher bar fixed to the slidable member. The slidable member is movable through longitudinally-extending channels of the spindle and the shaft. The pusher bar is configured to load a distal-most surgical clip into the pair of jaws during distal movement of the slidable member, via distal movement of the spindle, and remain in a distally advanced position during approximation of the pair of jaws.

Abstract: Release mechanism for medical device includes a bushing having a proximal end, a distal end and a channel extending therethrough. Plurality of extend proximally from the distal end are biased toward a release configuration in which engagement surfaces at distal ends thereof retract radially into the channel. A core pin insertable through the channel applies a radially expansive pressure to move the arms radially outward to a locking configuration. Engagement surfaces of the first and second arms connect to a retaining surface of a tissue treatment device containing capsule, which extends at an angle relative to the engagement surfaces selected so that a first portion of a force transmitted along an axis of the bushing moves the arms radially inward toward the release configuration before a second portion of the force exceeds a threshold level associated with the removal of a tissue treatment device from gripped tissue.

Abstract: A device for treating a tissue opening includes a proximal portion including an elongated flexible member, a capsule releasably coupled to a distal end of the flexible member and including a lumen extending therethrough and a clip including a pair of arms movably housed within the capsule. A suture extending along a first one of the pair of arms and including a loop at a distal end thereof extending across an opening extending through the first one of the pair of arms. A suture grabbing element extending laterally from a second one of the pair of arms and including a hook so that, when the pair of arms are moved toward a closed configuration, the hook extends through the opening to grab the loop and draw the distal end of the suture from the first one of the pair of arms toward the second one of the pair of arms.

Abstract: Apparatus for percutaneously occluding a hollow structure, said apparatus comprising: an occluder, said occluder comprising a first component and a second component, wherein said first component is configured so that it may assume (i) a diametrically-reduced configuration for disposition within the lumen of a hollow tube, and (ii) a diametrically-expanded configuration for disposition adjacent to the hollow structure, whereby to occlude the hollow structure, and further wherein said second component percutaneously connects said first component to a site remote from said first component.

Abstract: Methods and devices for the treatment of cardiac valve dysfunction through the placement of lines and anchors. The lines and anchors can form artificial chordae between valve leaflets and the ventricular wall or papillary muscles or connect the two valve leaflets together. The methods and devices offer a mechanism for performing this technique with the heart still beating, and allows for the placement of multiple lines with a single device.

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

Abstract: A surgical clip applier includes a housing, a channel assembly, jaw assembly, and a first insert. The channel assembly extends distally from the housing and the jaw assembly is disposed at the distal end of the channel assembly. The jaw assembly includes a first and second jaws constructed of a first material. Each of the jaws defines a recess extending longitudinally along opposing inner surfaces thereof. The first insert is disposed in the recess of at least one of the first or second jaws. The first insert is constructed of a second material different from the first material.

Abstract: A jaw member for a tubular shafted surgical instrument includes a first branch having a first active region and a second branch having a second active region. The first branch and/or the second branch has a respective link member, and the branches are held in the axial direction. A cam support member is slideable relative to the at least one link member in the axial direction. The at least one link member and the cam support member are formed substantially planar and are arranged substantially layerlike one above the other. A corresponding jaw member can be assembled onto a tubular shaft.

Abstract: An end effector assembly adapted to couple to an electrosurgical instrument, the end effector assembly including a plurality of spaced apart small seal plates on opposing jaw members where each seal plate forms a pair of seal plates with the corresponding seal plate on the opposing jaw member. Each pair of seal plates is individually activatable, and the pair of seal plates are activated in sequence. When the opposing jaw members are in an approximated position, the pairs of seal plates around the periphery of each jaw member define a gap therebetween that is larger than the gap between pairs of seal plates along the center of each jaw member.

Abstract: Controls systems and methods are provided for controlling a surgical clip applier for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In an exemplary embodiment, a control system is provided for controlling at least one motor coupled to a drive system on a surgical clip applier device for driving one or more drive assemblies and thereby actuating one or more actuation assemblies. The control system can be configured to communicate with the drive system of the clip applier tool and to control and modify movement of one or more drive assemblies and actuation assemblies based on certain feedback.

Abstract: An end effector for use by a surgeon to staple an anatomical structure of a patient during a minimally invasive procedure, the anatomical structure having a first side and a second side, the end effector including an anvil that includes a first end, a second end, and a face, and a cartridge that is configured to house a plurality of staples and that includes a first end, a second end, and a face, and an engagement element that movably couples the first end of the anvil to the first end of the cartridge, and a knife, the knife having a first flange, a second flange, and a web including a cutting edge, and where the second end of the anvil is movably coupled to the second end of the cartridge, each of the anvil and the cartridge is insertable through a trocar, and the end effector is remotely operable from outside the patient.

Abstract: A medical insertion device includes an elongated shaft extending from a proximal end to a distal end and having flexibility sufficient for insertion through a working channel of an endoscope along a tortuous path. The elongated shaft includes a coil extending from the proximal end to the distal end and having a channel extending longitudinally therethrough and a braided portion extending around a portion of the coil, the braided portion including a plurality of lines wound together such that first and second ones of the lines intersect to enclose a predetermined angle therebetween, the angle being between 25 and 55 degrees.

Abstract: A forceps includes a pair of shafts each having a jaw member disposed at a distal end thereof. One (or both) of the shafts is moveable relative to the other about a pivot pin between a spaced-apart position and an approximated position to move the jaw members between an open position and a closed position. A knife assembly includes a knife blade mechanically keyed to the pivot pin and moveable between an initial position, wherein the knife blade is disposed within one of the jaw members, and an extended position, wherein the knife blade extends between the jaw members. An actuator arm(s) is mechanically keyed to the pivot pin and extends therefrom. The actuator arm(s) is moveable between an un-actuated position and an actuated position to rotate the pivot pin relative to the jaw members to move the knife blade between the initial position and the extended position.

Abstract: Controls systems and methods are provided for controlling a surgical clip applier for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In an exemplary embodiment, a control system is provided for controlling at least one motor coupled to a drive system on a surgical clip applier device for driving one or more drive assemblies and thereby actuating one or more actuation assemblies. The control system can be configured to communicate with the drive system of the clip applier tool and to control and modify movement of one or more drive assemblies and actuation assemblies based on certain feedback.

Abstract: A jaw assembly for a surgical tubular shaft instrument includes a supporting component, a first arm and a second arm, the first arm and/or the second arm each having one link element. The arms are held by the supporting component in the axial direction. A cam carrier element is axially movable relative to the supporting component and carries at least two cams. Each link element is designed to be in contact with at least two cams when there is a relative axial movement between the supporting component and the cam carrier element, the cams being provided on the cam carrier element. Each link element is further designed to slide off of the cams to effect an opening or closing of the jaw assembly.

Abstract: A blood vessel dissecting device includes: a dissecting device which, when inserted into a living body along a blood vessel, dissects tissue in a direction of alignment of the dissecting device with the blood vessel; and a cutting device which, when inserted into the living body along the blood vessel, cuts tissue surrounding the blood vessel in a direction of alignment of the cutting device with the blood vessel. A blood vessel dissecting method includes: inserting a dissecting device into a living body along a blood vessel so as to dissect tissue in a direction of alignment of the dissecting device with the blood vessel; and inserting a cutting device into the living body along the blood vessel while guiding the cutting device with the dissecting device so as to cut tissue surrounding the blood vessel in a direction of alignment of the cutting device with the blood vessel.

Abstract: A ligation device comprises a clamp and a conveying unit. The clamp comprises a clip and a tightening tube to tighten a rear end of the clip therein, the clip comprises two clamping arms. The conveying unit comprises a traction line, a conveying tube and a control handle, the traction line runs through the conveying tube, the control handle is connected with a rear end of the conveying tube and a rear end of the traction line. At least one bearing piece is arranged at a tail of the clip and can be deformed or broken under a certain pressure, the bearing piece is assembled to form a hole, the traction line runs through the hole and a front end of the traction line is blocked by the bearing piece.

Abstract: An endoscopic forceps includes a housing, a monopolar element, and first and second actuators. The housing has a shaft that is affixed to the housing and includes first and second jaw members at a distal end. The first actuator is operably associated with the housing and is configured to move the first and second jaw members relative to one another between a first position and a second position. The monopolar element is housed within the first jaw member and is selectively moveable from a first position within the first jaw member to a second position extending from a distal end of the first jaw member. The monopolar element can be selectively activated independent of the first and second jaw members. The second actuator is operatively associated with the housing and is configured to extend the monopolar element from the first position to the second position.

Abstract: A clip device for an endoscope of the present invention comprises an outer tubular body 70; an inner tubular body 80 provided in the outer tubular body 70; a line member 50 placed in the inner tubular body 80; and a pinching part 20, for holding an indwelling clip, connected to a distal side of the line member 50; wherein the pinching part 20 has two pinching base plates 30a and 30b, a blade part 40a is provided at a distal end of the pinching base plate 30a and formed toward an inside of the pitching base plate 30a, a blade part 40b is provided at a distal end of the pinching base plate 30b and formed toward an inside of the pinching base plate 30b, a Young's modulus of the blade part 40a is smaller than that of the pinching base plate 30a, and a Young's modulus of the blade part 40b is smaller than that of the pinching base plate 30b.

Abstract: A method for accessing a mitral valve that includes forming an incision and inserting a first catheter comprising a lumen. The first catheter is adapted to be directed towards a left atrium and the first catheter has a working length of approximately 15 cm to approximately 52 cm. The method further includes utilizing a trocar in the first catheter to penetrate a pericardium and utilizing the trocar to penetrate the left atrium. The method further includes accessing the mitral valve from an antegrade direction.

Abstract: A bariatric clamp may include substrate members overmolded in polymer forming first and second elongated portions with insert portions, and a bight portion having a flexible hinge wherein the inserts are engaged via a magnetic force to retain the clamp in a closed position to partition the stomach. In another embodiment, the bariatric clamp may include substrate members overmolded in polymer forming first and second elongated portions and a bight portion having a flexible hinge, wherein the first and second elongated portions are curved to conform to a curvature of a patient's stomach. In another embodiment, the bariatric clamp may include substrate members overmolded in polymer forming first and second elongated portions each having one or more suture portions formed via one or more recesses formed in the substrate members.

Abstract: An apparatus for application of surgical clips includes a lockout system selectively engagable with a pusher bar to prevent the pusher bar from returning to a home position and to prevent a trigger from completing a full stroke when a plurality of clips are substantially exhausted. The apparatus may include a trip mechanism including a trip lever biased into contact with the pusher bar, wherein distal movement of the drive bar moves the trip mechanism until the trip lever engages a lip of the pusher bar and in turn distally moves the pusher bar. The apparatus may include a wedge plate including a distal end placeable between spaced-apart jaw members, wherein the wedge plate is moved proximally to withdraw the distal end thereof from between the jaw members when a drive channel is moved in a distal direction.

Abstract: The present disclosure relates to an apparatus for endoscopic application of surgical clips to body tissue. The apparatus includes a handle portion, an elongated tubular member, one or more surgical clips, a jaw assembly and a locking cam driver. The elongated tubular member extends distally from the handle portion and defines a longitudinal axis. The surgical clips are disposed within the tubular member. The locking cam driver includes a bifurcated distal end portion that has a pair of angled camming surfaces to facilitate closure of the jaw assembly.

Abstract: A system for treating tissue includes a clip assembly including a pair of clip arms, each of the clip arms extending from a proximal end to a distal end, the proximal end of the clip arms connected to one another via a central member slidably received within a channel of a capsule to be moved between a tissue receiving configuration and a closed configuration, a cartridge for encasing the clip assembly including a groove formed therein to accommodate the clip assembly and an opening extending thereinto in communication with a portion of the groove such that the groove is open to an exterior of the cartridge via the opening, and an applicator releasably connectable to the clip assembly to move the clip assembly between the open and closed configurations, a distal portion of the applicator insertable through the opening of the cartridge to be connected to the clip assembly.

Abstract: A ligation clip applier is provided. The clip applier includes: a pair of jaws; a distal clevis tube to which the jaws are pivotally mounted; a proximal clevis tube located behind the distal clevis tube, wherein the distal clevis tube and the proximal clevis tubes move axially with respect to each other; a clip lock actuator fixed to one of the proximal and distal clevis tubes; and a distal pushrod extending through the distal and proximal clevis tubes and forming a camming connection with the jaws configured to close and move the jaws toward a proximal direction toward the clip lock actuator when the distal pushrod is moved in the proximal direction. A method for applying a clip on a vessel is disclosed.