Abstract: Disclosed herein are gender-specific implantable mesh for inguinal hernia repair in a patient, comprising: a fabric layer comprising a side defining a surface area wherein the fabric layer is configured to enable tissue adhesion to said mesh; an anti-adhesive barrier comprising a shape configured to prevent direct contact between the fabric layer and both a spermatic cord and a genital nerve upon implantation, wherein the shape covers a part of the surface area on the side of the fabric layer, the part being less than 25%, and wherein the shape is oblique to a horizontally-oriented centerline and a vertically-oriented centerline; and a keyhole configured to fit the genital nerve and the spermatic cord of the patient therethrough without constriction, wherein the keyhole is oblique and inferior to a horizontally-oriented centerline and medial to a vertically-oriented centerline.

Abstract: A device for treating tricuspid regurgitation includes a shaft and a first fixation mechanism disposed on a distal end of the shaft. The first fixation mechanism is configured to anchor the device to a first cardiac tissue. The device includes a second fixation mechanism disposed on a proximal end of the shaft. The second fixation mechanism is configured to anchor the device to a second cardiac tissue. The device includes an approximation mechanism connecting the first fixation mechanism and the second fixation mechanism, wherein the approximation mechanism causes the second fixation mechanism to move along the shaft toward the first fixation mechanism to approximate the first cardiac tissue and the second cardiac tissue.

Abstract: The present invention provides a sternal closure and ribs approximator device, the device comprising: a substantially C-shaped shaft/bracket, said bracket comprising: a linear shaft and a pair of curvilinear arms at either ends of the shaft, respectively; and a pair of claw shaped clamping elements, each claw shaped clamping element coupling with an arm of the C-shaped shaft/bracket, near its end portion, said claw shaped clamping element being positioned such that the concavity of the claw faces the inner area determined by the arms of the C-shaped clamping shaft/bracket, the coupling being provided by means of a fastening mechanism such that angular displacement of the claw shaped clamping element about the pivoted fastening mechanism is provisioned, said claw shaped clamping elements adapted to be angularly displaced towards each other or away from each other.

Abstract: An apparatus and method for connecting two tubular vessels together in a side-by-side or tangential manner is disclosed. The apparatus has an annulus and at least one series of fingers connected to and extending away from the annulus. Each finger is preferably heat-formed into an arcuate shape. In use, a deployment apparatus is used to constrain the fingers of the apparatus to be in a relatively planar configuration. The deployment apparatus containing the apparatus is placed between and in contact with the two tubular vessels so that one tubular vessel is above the device and one tubular vessel is below the device and so that the fingers of the device come into contact with the tissue of the vessels. As the fingers penetrate the vessels the constraint on the fingers is removed so that the fingers can assume their unbiased, heat-formed arcuate shape. In this way, the fingers penetrate and grasp the tissue of the vessels so that the apparatus grasps the vessels and pulls the vessels toward each other.

Abstract: A one-way loop locking suture assembly, that includes suture material, defining a lumen, with the suture material being comprised of a first terminal portion extending from the first end to a first broaching point, a medial portion extending from the first broaching to a second broaching point and a second terminal portion extending from the second broaching point to the second end. The first terminal portion enters into the lumen of the medial portion at the second broaching point, extends through the lumen of the medial portion and exits the lumen of the medial portion through the first broaching point, thereby forming a loop, wherein the medial portion includes the first terminal portion extending through the lumen of the medial portion. Accordingly, when the loop is tightened about a pair of pins, the lumen of the medial portion narrows, thereby retaining the first terminal length and preventing loosening.

Abstract: A towing device for endoscopy including a connecting portion connected to a wire of an endoscope to be moved, wherein a body of the connecting portion is broken when a set amount of tension or more is applied to the connecting portion; a guide portion including an inner path through which the connecting portion moves; a clip portion positioned at an opposite direction of the wire with respect to the guide portion and hooked by the connecting portion to be closed and grip body tissues; and an extension portion configured to move together with the guide portion and having a magnetic force.

Abstract: Embodiments disclosed herein are directed towards an endovascular clip comprising a proximal anchoring member and a distal self-expanding member. The proximal anchoring member and distal self-expanding member are configured to extend across opposite sides of a neck of an aneurysm.

Abstract: Various surgical introducer needle and anchor systems are provided. The systems can include an introducer needle and a tissue support implant or sling device. The implant device can include one or more anchoring devices. The introducer needle device can include a handle assembly and a needle assembly. The needle assembly can include a generally hollow needle, and a wire traversable therein. The wire can include a distal tip adapted to selectively retract or withdraw from the engaged anchoring device upon deployment of the anchor and/or implant.

Abstract: The present disclosure relates to a tissue repair device. The device includes a handle, a knob coupled to the handle, and a needle coupled to the handle. The needle includes a proximal end and a distal end, the distal end including a slot, wherein a first anchor is housed within the distal end and a second anchor is housed within the slot and located proximal to the first anchor. An actuator disposed within the needle and operatively coupled to the knob, wherein advancement of the knob allows for engagement of the actuator with the first anchor and subsequent advancement of the first anchor via the actuator. A method of tissue repair is also disclosed.

Abstract: Devices are used to modify a metabolic pathway of a digestive system by creating a pathway within the intestinal tract through an anastomosis between a proximal location within the intestinal tract and a distal location within the intestinal tract. An anastomosis compression assembly includes a first portion and a second portion, each including two or more segments securely fixed together by a pair of degradable joining members, and each further including interlocking mechanisms. The first portion and second portion are configured to be coupled together from different locations within the intestinal tract by the application of force. Once aligned, the first and second portions are securely attached to one another by engaging their respective interlocking mechanisms. After completion of the anastomosis procedure, the degradable links degrade and separate the anastomosis compression assembly into smaller fragments for ease of passage through the patient's intestinal tract.

Abstract: A surgical fastener for anchoring medical devices to tissue includes first and second legs lying in a first plane, and third and fourth legs lying in a second plane that is orthogonal with the first plane. A bridge interconnects proximal ends of the four legs for forming a closed end of the surgical fastener. Each leg has a proximal end, a distal end, and an insertion tip with a distal point located at the distal end of the leg. Each leg has an insertion tool alignment guide that extends between the proximal and distal ends of the leg and along a longitudinal axis that is aligned with the distal point of the insertion tip.

Abstract: A device and method for selectively engaging or penetrating a layer of a luminal organ wall where the luminal organ wall has a plurality of layers including an outermost layer and an innermost layer adjacent to the lumen of the organ. The device and method select one of the plurality of layers of the organ wall other than the innermost layer and deploy from within the lumen of the organ a tissue device through the innermost layer to a specific depth to engage or penetrate the selected one of the plurality of layers. The device and method may be employed to create luminal pouches or restrictive outlets. In a stomach organ, the device and methods may be employed to treat obesity by forming a gastric pouch with or without a restrictive outlet.

Abstract: In one embodiment, an implant includes a body member, a first arm member and a second arm member. The body member is formed of a first material and has a first side portion and a second side portion. The body member has a first stiffness and includes multiple apertures through the body member. The first arm member is formed of a second material and is coupled to and extends from the body member. The second arm member is formed of the second material and is coupled to and extends from the body member. The first arm member and the second arm member have a second stiffness, the second stiffness being more than the first stiffness.

Abstract: A tissue defect closure system includes an endoscopic surgical fixation device and an implant. The endoscopic surgical fixation device includes a handle assembly and an elongated outer tube having a distal end and including a plurality of fasteners disposed therein. The implant includes an elongated hollow body having a proximal end and a distal end, and defines an elongated pocket therein. The elongated pocket is dimensioned to engage the elongated outer tube of the endoscopic surgical fixation device.

Abstract: The present disclosure relates to skirted hernia repair devices which includes at least a first mesh layer having a first side, a second side, and an outer peripheral edge, a skirt mesh layer positioned on the first side of the first mesh layer, the skirt mesh layer having an inner peripheral edge defining an opening in the skirt mesh layer, and, at least one reinforcement member that prevents the skirt mesh layer from inverting.

Abstract: The invention relates to a fastening device for implant device, the fastening device comprising at least two fastening sections, where a first fastening section is arranged with a through hole, a second fastening section is arranged with a protruding part, and where said protruding part is in place in said through hole in a fastening device locking state, where the protruding part on the second fastening section is arranged with a through channel having an inlet and an outlet, said through channel being arranged to receive an implant device feed member, said inlet and outlet being accessible from the exterior of the fastening device in said fastening device locking state, wherein the first fastening section is securely locked to the second fastening section when, in said fastening device locking state, said implant device feed member is in place in the through channel and protrudes from both the inlet and the outlet of said through channel.

Abstract: A prosthesis for repairing a hernia defect includes a patch body, a hoisting frame releasably attachable to the patch body, and a tether attached to the hoisting frame with a free end extendable through the thickness of the patch body and accessible from the side of the patch body opposite to where the hoisting frame is releasably attached. The patch body and/or the hoisting frame includes a self-expanding support member. The hoisting frame includes a frame body with an outer frame component and a force translation component for directing pulling forces on the tether across the frame body. The outer frame component has a loop configuration to generally follow the patch periphery with overlapping end portions or a gap between free ends thereof. The force translation component is separable into multiple segments to facilitate withdrawal of the hoisting frame through an opening when released from the patch.

Abstract: The present disclosure provides a variety of methods and compositions useful for making, sterilizing, and preserving tissues. The disclosure also features the acellular tissue matrices made by the methods.

Abstract: Absorbable polyester fibers, braids, and surgical meshes with prolonged strength retention have been developed. These devices are preferably derived from biocompatible copolymers or homopolymers of 4-hydroxybutyrate. These devices provide a wider range of in vivo strength retention properties than are currently available, and could offer additional benefits such as anti-adhesion properties, reduced risks of infection or other post-operative problems resulting from absorption and eventual elimination of the device, and competitive cost. The devices may also be particularly suitable for use in pediatric populations where their absorption should not hinder growth, and provide in all patient populations wound healing with long-term mechanical stability. The devices may additionally be combined with autologous, allogenic and/or xenogenic tissues to provide implants with improved mechanical, biological and handling properties.

Abstract: A surgical instrument is provided including a handle portion and a body portion extending distally from the handle portion and defining a longitudinal axis. The surgical instrument also includes an end effector assembly disposed at a distal end of the body portion, the end effector assembly including an electromagnetic manipulator in cooperation with an ultraviolet (UV) light source for performing tacking of an implant. In an alternative embodiment, the end effector assembly includes an electromagnetic manipulator in cooperation with at least one tack for performing tacking of an implant. The implant may be a mesh having a ferromagnetic coating activated by the electromagnetic manipulator. The tissue may have a UV coating activated by UV light applied by the UV light source.

Abstract: Various exemplary composite adjunct materials for delivering medicants are provided. In general, the adjunct material can be configured to be delivered to tissue by deployment of staples from a cartridge body of a surgical stapler. The adjunct material includes a conformable region and a distinct reinforcing region that form the composite structure. An effective amount of at least one medicant can be disposed within and releasable from at least one of the conformable region and the reinforcing region and can provide a desired effect on tissue in-growth in a predetermined manner.

Abstract: Methods, systems and apparatus are provided for facilitating financial transactions using an IC type financial card via a terminal. A user is provided a list of transaction types, such as PIN-based, signature-based, etc., and a requested transaction is processed via a first selected transaction type. If the transaction is unsuccessful, the terminal automatically presents a list of remaining available transaction types from which the user may select and the transaction is processed by the next selected transaction type. If the transaction is successful, funds are provided to the user, such as in the form of currency/coins or funds transfer.

Abstract: An anchorage in tissue is produced by holding a vibrating element and a counter element against each other such that their contact faces are in contact with each other, wherein at least one of the contact faces includes a thermoplastic material which is liquefiable by mechanical vibration. While holding and then moving the two elements against each other, the vibrating element is vibrated and due to the vibration the thermoplastic material is liquefied between the contact faces, and due to the relative movement is made to flow from between the contact faces and to penetrate tissue located adjacent to outer edges of the contact faces. For liquefaction of the thermoplastic material and for displacing it from between the contact faces, no force needs to act on the tissue surface which is to be penetrated by the liquefied material.

Abstract: A surgical stapling apparatus includes a housing and an end effector secured to the housing. The housing supports a knife assembly including a knife. The end effector has first and second jaw members. One or both of the first and second jaw members define a knife channel. The first jaw member defines fastener slots and the second jaw member defines fastener pockets. One or more of the knife channel, the fastener slots, and the fastener pockets includes lateral recesses. Fasteners are disposed in the fastener slots and formed by the fastener pockets. One or more surgical buttresses have a body that overlies one or both of the fastener slots and the fastener pockets. Portions of the body of the one or more surgical buttresses are disposed within the lateral recesses to secure the one or more surgical buttresses to one or both of the first jaw member and the second jaw member.

Abstract: An implant delivery system for delivering a sheet-like implant is disclosed. The implant delivery system includes a distal guidewire port for receiving the proximal end of guidewire after the guidewire distal end has been affixed to a first point on bone or other tissue. The implant delivery system is tracked over the guidewire to a selected position defined by the guidewire attachment. The device includes an implant spreader assembly disposed proximate the distal end of a delivery shaft. The implant spreader assembly includes a first arm and a second arm. The arms are coupled to the delivery shaft such that the first arm and second arm are moveable between a closed position and an open position. When pivoting to the open position the distal end of each arm travels in a generally transverse direction to spread a sheet-like implant.

Abstract: A gastric constriction device comprises a sheet extending over part of the wall of the stomach. Five bands extend around the stomach to fix the sheet in position relative to the stomach. The lower two bands extend from the first side of the sheet around the stomach only partially towards the second side. These lower two bands are not fixed to the second side. This arrangement results in an unconstricted portion of the stomach. In this manner, the device restricts expansion of the majority of the stomach wall while facilitating expansion of this unconstricted portion. The unconstricted portion is therefore free to expand or bulge outwardly upon ingestion. This expansion may trigger the feeling of satiation due to the presence of the vagal nerves in this portion of the stomach.

Abstract: Devices and methods for treating an abdominal incision or hernia are described. An implant for the restoration or prophylactic treatment of an abdominal wall comprises an elongate element and at least one sheet connected to the elongate element along a longitudinal axis of the elongate element. The elongate element is positioned along the line of incision, and the at least one sheet is secured to the abdominal muscles surrounding the incision.

Abstract: A prosthesic valve for implantation in a body duct that can cover a range of target sizes by a single device. The valve comprises of three main elements: 1) a support cylindrical frame structure that can be collapsed to a small diameter for insertion into the body and that can expand to a large diameter when positioned in the target implantation site, the expansion of the frame being limited by the native valve diameter, which the valve is implanted within. In some cases this may be self-expandable; 2) A frustoconical leaflet support frame that has an inflow side and an outflow side.

Abstract: The present invention is a device that is used in squint surgeries which contains two parts: the first part is fixated to the insertion and the second part is fixated to the muscle/muscle tendon, and the two parts are connected to each other with two threads at both sides, in this device the distance between the two parts can be adjusted; hence the magnitude of muscle resection or recession. Also a new procedure (alternative to resection procedure) is provided; in which we shorten the muscle without resecting it. In addition to the main device, there is a tiny sclera screws that can fixate any device implanted on the sclera.

Abstract: Catheter-delivered endovascular medical devices are described. The devices may include a pull wire attached to a distal body. The distal body may be formed of a basket or other lattice that has a plurality of cells and an impermeable or permeable film that prevents a clot captured by the basket from escaping distally out of the basket. Methods of using and making the devices are also described.

Abstract: Tissue anchoring devices in the form of microanchors that partially penetrate tissue, thereby avoiding full thickness penetration of the tissue, yet are secure enough to enable reliable device fixation and easy removal of the device while maintaining normal GI tract functions.

Abstract: In a wireless network such as Wi-Fi, a wireless access point connected to a client device monitors the quality of the link to the client device. When the client device sends probe frames indicative of the link to the connected access point being too low for continued data connectivity, the access points forwards connection data to a management server. When other access points receive the probe requests, they consult the management server to obtain the low channel quality data and use it as a threshold for determining whether to respond to the client device's probe request.

Abstract: A surgical clamp jaw is disclosed, having an inner profile and a deflection control profile opposite the inner profile. In one embodiment, the inner profile has a first substantially concave profile in an unclamped position and a second substantially flat profile in a clamped position. In one embodiment, the deflection control profile has one or more sets of corresponding abutment surfaces, at least one set of which is not contacting each other when the inner profile is in the unclamped position and which is contacting each other when the inner profile is in the clamped position. In one embodiment, the surgical clamp jaw defines one or more flexion assistance voids, wherein at least one of the one or more flexion assistance voids is in contact with a gap between one of the one or more sets of corresponding abutment surfaces.

Abstract: A deployment device for a flexible implant includes a housing and one or two chambers formed therein. When two chambers are included, the housing can have two elongate openings formed in its outer sides, each providing side access to one of the chambers, and the flexible implant can be rolled into a double-rolled configuration and placed in the chambers of the deployment device in such a way that a middle portion of the flexible implant is external to the housing. When the flexible implant is rolled and loaded in the deployment device, the flexible implant can extend out through open end(s) of the chamber(s) or can be encapsulated within the chamber(s). The flexible implant can be provided separate from the deployment device. The flexible implant can include a flexible base sheet including a body portion and a tab. A flexible separable layer can be removably disposed on the body portion.

Abstract: A spinal fusion system may include an interbody fusion cage, a fixation plate, and an implanter. The interbody fusion cage may include a proximal region, a distal region opposite the proximal region, a superior region, an inferior region opposite the superior region, and an open volume between the proximal and distal regions. The superior and inferior regions are located between the proximal and distal regions and are configured such that, when the interbody fusion cage is implanted in the disc space, the superior region contracts the inferior end plate and the inferior region contacts the superior end plate. The fixation plate is receivable in the open volume of the interbody fusion cage and includes a superior blade and an inferior blade. At least one of the blades includes a first opening defined therein. The fixation plate is displaceable between a non-deployed state and a deployed state.

Abstract: A delivery vehicle for delivering biological products to a surgical site is provided that includes a container for housing the biological product and a fastener that extends from the container for securing the container at a location adjacent to the surgical site. The container is a flexible container having an access that is moveable between an open position and a closed position prior to and after being secured to the surgical site.

Abstract: An electrosurgical instrument, in particular for argon plasma coagulation, includes a handpiece 10, an electrode (11) connected to the handpiece (10), a shaft (12) which surrounds the electrode (11) and is held in the handpiece (10), and an operating mechanism (13), which comprises at least one rotary knob (14) arranged on the handpiece (10). The shaft (12) is axially movable relative to the electrode (11) and a shear force can be applied to it by operating the rotary knob (14). The handpiece (10) has a brake device which exerts a braking force on the shaft (12), and the operating mechanism (13) forms a transmission gear (15) which is connected to the shaft (12) for transferring the shear force.

Abstract: A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

Abstract: An endoscopic bipolar forceps includes a housing, a shaft affixed to the housing,. and a pair of jaw members attached to a distal end of the shaft. The forceps also includes a tubular reciprocating sleeve for moving one of the jaw members relative to the other jaw member from a first position in which the jaw members are disposed in spaced relation to each other to a second position in which the jaw members are closer to one another for manipulating tissue. The forceps is connected to a source of electrosurgical energy connected to each jaw member such that the jaw members are capable of conducting bipolar energy through tissue held therebetween to effect a tissue seal.

Abstract: A system, method and fabric having a dimensionally stabilized pore. The system has a mesh fabric having a pore, such pore having a first pore perimeter. The system has a support having a support outer perimeter. The support is received into the pore so that the pore perimeter is in contact with the outer support perimeter. When the fabric is thermoset, the pore permanently assumes the shape of the outer support perimeter.

Abstract: The present disclosure includes a soft material anchoring system including an elongate, tubular braided soft anchoring implant. The implant has a first elongate state where the implant may easily slide within a bone tunnel, and a second axially compressed state where the implant is wedged within the bone tunnel. The implant also includes at least one suture pathway that extends along and through an implant side wall; this pathway receives at least a portion of a length of suture that is also attached to soft tissue. This length of suture may slide along the suture pathway and transition the implant from the first elongate state to the second compressed state. The system also includes a binding element that at least partially extends within the implant, the binding element having both a first larger binding portion and a second smaller sliding portion.

Abstract: An occlusion assembly comprising: (a) a tissue occlusion device comprising a first linear clamping portion and a second linear clamping portion, the first and second linear clamping portions oriented to overlap and be parallel to one another in a clamped position, the tissue occlusion device further including a spring concurrently coupled to and interposed by the first and second linear clamping portions to bias the first and second linear clamping portions toward the clamped position; and, (b) an endoscopic rein coupled to the tissue occlusion device and configured to facilitate repositioning of the tissue occlusion device toward an occlusion position where the first and second linear clamping portions are interposed by tissue, where the endoscopic rein includes a flexible wire coupled to the clamping device and configured to facilitate repositioning of the tissue occlusion device toward the occlusion position.

Abstract: The invention concerns delivering paired magnetic anastomosis devices to either side of tissues to be joined. The magnetic anastomosis devices are coupled to a guide element that facilitates delivery and manipulation of the devices when using minimally-invasive techniques such as endoscopy and laparoscopy. Elongated manipulators and guide tubes are also disclosed that improve a user's dexterity with the devices during placement.

Abstract: A medical device is disclosed that reinforces weakened or degenerated areas of at least a portion of a leaflet (24) of the heart valve. Function of a heart valve is thus improved. The medical device comprises at least a first partly flexible leaflet reinforcement patch (30) having an extension between an inner section (34) and an outer section (32), wherein said outer section (32) is configured to be oriented towards said annulus, and said inner section (34) is configured to be oriented towards said inner section of said valve tissue, and at least a portion of said inner section (34) of said flexible leaflet reinforcement patch (32) having at least one of said plurality of leaflets (24) in juxtaposition to said portion of said inner section (34), and said portion of said inner section (34) being positioned to provide reinforcement to said plurality of leaflets (24).

Abstract: An embodiment of the present invention provides an apparatus and method for expanding skin capable of expanding autologous skin to the maximum extent and performing a tissue culture of skin at the outside of the body. While an apparatus for expanding autologous skin of body's outside in general takes a form of expanding skin by applying a certain amount of constant force for a period of time regardless of the skin properties, the apparatus and method for expanding skin according to the embodiment of the present invention expands the skin to the maximum extent without rupturing the skin based on measurements of elasticity of the skin to find the maximum expanded area reachable just before rupturing of the skin.

Abstract: A prosthesis for repairing a hernia defect includes a patch body, a hoisting frame releasably attachable to the patch body, and a tether attached to the hoisting frame and having a free end extendable through the thickness of the patch body and accessible from the side of the patch body opposite to the side where the hoisting frame is releasably attached. The patch body and/or the hoisting frame includes a self-expanding support member. The hoisting frame includes a frame body and a translation component for directing pulling forces on the tether to the frame body.

Abstract: A hernia repair device is provided which may include a soft tissue repair prosthesis and an expandable device configured to be removably connected with the soft tissue repair prosthesis. Attachment components may be used to removably connect the soft tissue repair prosthesis with the expandable device. The hernia repair device may be manipulated into a reduced configuration for insertion into the body. When expanded, the expandable device may be configured to position the soft tissue repair prosthesis adjacent a hernia defect. The expandable device and/or the attachment components may be shaped and/or configured to minimize the maximum dimension of the hernia repair device in its reduced configuration.

Abstract: The present invention relates to a device for intermittently obstructing a bodily opening, such as a gastric opening, and includes a proximal member connected to a distal member by a tether. The proximal member includes an apron member surrounding a first occluding member, which is formable from an elongated and narrower configuration to a contracted or expanded but wider configuration. When employed in the stomach, the device of the present invention is arranged transluminally, with the distal member disposed in the duodenum and the proximal member disposed against the pyloric valve, intermittently occluding the pyloric valve and preventing or delaying the flow of gastric contents through the pyloric valve. In certain embodiments, a reservoir may be included for releasing a substance of interest, for example for releasing insulin from a reservoir disposed in the distal member. Sensors, actuators, and data transmission devices may also be included.

Abstract: A clamp having at least first and second elongate clamping portions adapted to be placed on opposite sides of the hollow anatomical structure. The first and second elongate clamping portions respectively include ends coupled together with respective resilient urging members configured to urge at least one of the first and second elongate clamping portions toward the other of the first and second elongate clamping portions from an open position into a clamping position to occlude the hollow anatomical structure. The clamp includes tissue ingrowth structure on the clamping portions.

Abstract: The invention relates to a levelling device comprising a first substantially flat body (1), provided with an appendage (11), in the top part, which has, on a first end, close to the first body (1), a first fracture zone (12) for the separation thereof from the first body (1) and, on a second end, at a distance from the first body (1), a hook (13) for attaching an actuating tool and a second fracture zone (15) with a lower fracture resistance than that of the first fracture zone (12); and a second, upper body (2) containing a passage (21) for mounting said body on the appendage (11) such that it can move into an operative position in which it presses the covering parts (P) against the first body (1).