КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ, ИМЕЮЩИЙ УЛУЧШЕННУЮ ВИДИМОСТЬ

Изобретение относится к медицинской технике и может быть использовано со скобочным хирургическим сшивающим инструментом. Корпус кассеты имеет опорную часть с множеством гнезд с отверстиями для скоб. По меньшей мере часть каждой скобы съемно хранится внутри гнезда для скобы. Каждая скоба выполнена с возможностью перемещения между неактивированным положением и активированным положением и деформации между неактивированной конфигурацией и активированной конфигурацией. Сжимаемый компенсатор толщины ткани включает средство визуализации, выполнен для захвата внутри скоб и по меньшей мере частично покрывает отверстия гнезд для скоб. Компенсатор толщины ткани имеет возможность принимать разные значения высоты в сжатом состоянии внутри разных скоб. 2 н.п. ф-лы, 258 ил.

КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ, СОДЕРЖАЩИЙ КАНАЛЫ

Изобретение относится к медицине. Компенсатор толщины ткани содержит поверхность, которая контактирует с тканью, и сеть каналов. Каналы обозначены в контактирующей с тканью поверхности. Каналы выполнены с возможностью размещения в них по меньшей мере одного лекарственного средства. Каналы могут обозначать захватывающие поверхности, выполненные с возможностью захвата ткани. Контактирующая с тканью поверхность может содержать продолжающиеся от нее гребни. 3 н. и 17 з.п. ф-лы, 258 ил.

КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ, СОДЕРЖАЩИЙ ЭЛЕМЕНТЫ ВРАСТАНИЯ В ТКАНЬ

Группа изобретений относится к медицинской технике, а именно к хирургическим рассекающим и сшивающим инструментам и используемым в них компенсаторам толщины ткани, содержащим элементы врастания в ткань. Компенсатор, прикрепляемый к упорному элементу сшивающего аппарата, причем упорный элемент содержит формирующую поверхность, и при этом компенсатор содержит крепежный слой, выполненный с возможностью крепления к упорному элементу, и каркас, прикрепленный к крепежному слою. При этом каркас содержит множество каркасных слоев из биосовместимого материала и множество полостей, причем слои и полости образуют матрицу, способствующую врастанию тканей и клеток. Множество каркасных слоев содержит первый слой и второй слой, причем первый лекарственный препарат поглощается в первом слое, а второй лекарственный препарат поглощается во втором слое, при этом первый лекарственный препарат отличается от второго лекарственного препарата. Сшивающий узел для использования с крепежным инструментом содержит ...

КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ, СОСТОЯЩИЙ ИЗ МНОЖЕСТВА МАТЕРИАЛОВ

Изобретение относится к медицинской технике, а именно к хирургическим рассекающим и сшивающим аппаратам и используемым в них компенсаторам толщины ткани, состоящим из множества материалов. Предложен компенсатор, прикрепляемый к упорному элементу сшивающего аппарата, в котором упорный элемент содержит формирующую поверхность, при этом компенсатор содержит первый слой, второй слой и соединительную часть. Первый слой содержит первые волокна и вторые волокна, причем первые волокна состоят из первого материала, а вторые волокна состоят из второго материала. Первый материал отличается от второго материала, и при этом первые волокна и вторые волокна находятся в первом слое в первом соотношении. Второй слой содержит первые волокна и вторые волокна, причем первые волокна и вторые волокна находятся во втором слое во втором соотношении, и при этом первое соотношение отличается от второго соотношения. Вторые волокна вплетены в первые волокна в первом слое, и первые волокна вплетены во вторые волокна ...

ИЗОГНУТЫЙ КОНЦЕВОЙ РАБОЧИЙ ОРГАН ДЛЯ СШИВАЮЩЕГО ИНСТРУМЕНТА

Группа изобретений включает кассету со скобками и концевой рабочий орган хирургического сшивающего инструмента, относится к области медицинской техники и предназначена для использования в области хирургии. Кассета со скобками включает корпус, содержащий пластину, множество первых и вторых полостей для скобок, множество приводных устройств, искривленный продольный проход и сжимаемый компенсатор толщины тканей. Множество первых полостей для скобок расположены вдоль первой кривой, причем указанная первая кривая определяется первым радиусом кривизны, и при этом каждая указанная первая полость для скобок содержит отверстие в указанной пластине. Множество вторых полостей для скобок расположены вдоль второй кривой, причем указанная вторая кривая определяется вторым радиусом кривизны, при этом указанный первый радиус кривизны отличается от второго радиуса кривизны, при этом каждая указанная вторая полость для скобок включает отверстие в указанной пластине. Множество приводных устройств для скобок ...

ИМПЛАНТИРУЕМЫЕ КОНСТРУКЦИИ ДЛЯ ХИРУРГИЧЕСКИХ КАРТРИДЖЕЙ СО СКОБКАМИ

Изобретение относится к медицине и может быть использовано для наложения хирургического скобочного шва. Картридж содержит корпус, панель с покрывающим слоем и съемные крепежные элементы, которые хранятся внутри корпуса. Корпус имеет продольный паз для приема режущего элемента. Слой включает первый слой и второй слой. Первая часть слоя проходит над пазом. Вторая часть расположена латерально по отношению к первой части и пазу. Характеристики первой части и второй части отличаются. Первая часть может быть толще, чем вторая часть или первая часть может быть жестче, чем вторая часть. Первая часть жестко поддерживает ткани, которые примыкают к продольному разрезу, проходящему через ткани и выполненному с помощью режущего элемента. Вторая часть, расположенная дальше от продольного разреза в тканях, может гибко поддерживать такие ткани. 5 н. и 22 з.п. ф-лы, 90 ил.

КОМПЕНСАТОРЫ ТОЛЩИНЫ ТКАНИ

... 1. Хирургический сшивающий инструмент, содержащий:картридж со скобками, содержащий корпус картриджа, содержащий множество полостей для скобок и множество скобок, расположенных внутри полостей для скобок;упорный элемент, выполненный для взаимодействия с корпусом картриджа, содержащую по меньшей мере одну формирующую скобку поверхность;первый компенсатор толщины ткани, прикрепленный к корпусу картриджа с возможностью снятия, причем первый компенсатор толщины ткани содержит первую толщину; ивторой компенсатор толщины ткани, прикрепленный к упорному элементу с возможностью снятия, причем второй компенсатор толщины ткани содержит вторую толщину, при этом первый и второй компенсаторы толщины ткани выполнены с возможностью быть захваченными внутри скобок и принимать разные высоты в сжатом состоянии, внутри разных скобок, причем сумма первой толщины и второй толщины равна по меньшей мере минимальной толщине, обеспечивающей должную компенсацию толщины ткани внутри скобок.2. Хирургический сшивающий ...

СШИВАЮЩИЙ АППАРАТ

... 1. Сшивающий аппарат, содержащий корпус, две рабочие губки на его дистальном конце, расположенные перпендикулярно корпусу, одна из которых неподвижна, а вторая связана с корпусом с возможностью перемещения относительно неподвижной губки параллельно ее рабочей поверхности, сшивающие элементы, размещенные в одной из рабочих губок, и средства управления относительным положением рабочих губок и проталкиванием сшивающих элементов через ткани, отличающийся тем, что в нем в качестве сшивающих элементов использованы прямые атравматические иглы, установленные в неподвижной губке перпендикулярно ее рабочей поверхности, при этом неподвижная губка снабжена толкателем перемещения игл в прямолинейном направлении, связанным с подвижным звеном средства управления проталкиванием сшивающих элементов, а на подвижной губке установлен приемник игл после прошивания, оснащенный средством фиксации игл и средством натяжения и закрепления нитей. ! 2. Сшивающий аппарат по п.1, отличающийся тем, что атравматические ...

УСТРОЙСТВО ЗАХВАТА СТВОРКИ КЛАПАНА СЕРДЦА

ХИРУРГИЧЕСКИЙ СШИВАЮЩИЙ ИНСТРУМЕНТ С ЗАМЕНЯЕМЫМИ КАССЕТАМИ СО СКОБКАМИ

... 1. Хирургический инструмент, включающий:узел рукоятки;удлиненный узел штока, смонтированный на указанном узле рукоятки и выступающий из нее, причем указанный удлиненный узел штока включает:удлиненный центральный элемент, который имеет дистальный конец, предназначенный для съемного присоединения концевого эффектора, а такжепусковую трубку, способную аксиально перемещаться вдоль указанного удлиненного центрального элемента, и взаимодействовать с пусковой системой, которая поддерживается указанным узлом рукоятки, чтобы заставлять указанную пусковую трубку избирательно двигаться на указанном центральном элементе таким образом, что указанная пусковая трубка может выборочно перемещаться в аксиальном направлении из неактивного положения, в котором дистальный конец центрального элемента съемным образом соединяется с частью концевого эффектора, в положение зацепления, в котором дистальная часть указанной пусковой трубки удерживает указанную часть указанного концевого эффектора в зацеплении с указанным ...

РАСПОЛОЖЕНИЕ СЛОЕВ ДЛЯ ХИРУРГИЧЕСКИХ КАРТРИДЖЕЙ СО СКОБКАМИ

КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ ДЛЯ ХИРУРГИЧЕСКОГО СШИВАЮЩЕГО ИНСТРУМЕНТА, СОДЕРЖАЩИЙ РЕГУЛИРУЕМЫЙ УПОР

... 1. Хирургический сшивающий инструмент, содержащийкассету со скобками, содержащую:корпус кассеты, содержащий множество гнезд для скобок; имножество скобок, расположенных внутри указанных гнезд для скобок;узел упора, содержащий:раму упора;упор, содержащий позиционирующую поверхность и по меньшей мере одну поверхность для формирования скобок, причем указанный упор удерживается с возможностью перемещения по указанной раме упора; ирегулирующий элемент, выполненный с возможностью перемещения и установки между указанной рамой упора и указанным упором, причем указанный регулирующий элемент содержит первую ступень, имеющую первую высоту, и вторую ступень, имеющую вторую высоту, причем указанная вторая высота отличается от указанной первой высоты, и причем указанный регулирующий элемент выполнен с возможностью перемещения между первым положением и вторым положением избирательно для расположения одной из указанной первой ступени и указанной второй ступени между указанной рамой упора и указанной позиционирующей ...

КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ, СОДЕРЖАЩИЙ КАПСУЛУ ДЛЯ СРЕДЫ С НИЗКИМ ДАВЛЕНИЕМ

... 1. Картридж со скобками, содержащий:корпус картриджа, содержащий полости для скобок;скобки, размещенные с возможностью извлечения в полостях для скобок, при этом скобки могут выталкиваться из полостей для скобок; икомпенсатор, содержащий емкость, причем емкость образует герметичную внутреннюю полость, причем герметичная внутренняя полость содержит внутреннюю атмосферу, при этом внутренняя атмосфера имеет давление ниже атмосферного давления, если емкость находится в неповрежденном состоянии, причем скобки выполнены с возможностью разрыва емкости, когда скобки выталкиваются из полостей для скобок.2. Картридж со скобками по п. 1, причем компенсатор выполнен с возможностью расширяться между смятым состоянием и расширенным состоянием, когда емкость разрывается скобками.3. Картридж со скобками по п. 2, в котором емкость ограничена стенкой емкости, причем стенка емкости изогнута, например является круглой, когда компенсатор находится в расширенном состоянии, и при этом стенка емкости сплющена, ...

КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ, СОДЕРЖАЩИЙ МНОЖЕСТВО КАПСУЛ

... 1. Способ производства компенсатора толщины ткани, включающий:получение раствора, содержащего гидрофильный материал;растворение лекарственного средства в указанном растворе;смешивание раствора с гидрофобным материалом;заливание раствора в форму для литья илиофилизацию раствора.2. Способ по п. 1, в котором лиофилизация включает помещение формы для литья в вакуумную камеру, снижение атмосферного давления внутри вакуумной камеры и снижение температуры внутри вакуумной камеры.3. Способ по п. 1 или 2, в котором в результате лиофилизации получают лист материала, и причем способ дополнительно включает разрезание листа материала.4. Способ по п. 1, в котором лекарственное средство растворяют в микрочастицах в растворе.5. Способ по п. 4, в котором микрочастицы суспендируют в гидрофобном материале после смешивания раствора и гидрофобного материала.6. Компенсатор толщины ткани для применения в сшивающем инструменте, содержащий:сжимаемый слой, выполненный с возможностью по меньшей мере частичного захватывания ...

Chirurgisches System zum Verbinden von Körpergewebe

Chirurgisches System (10) zum Verbinden von Körpergewebe, umfassend ein chirurgisches Instrument (12; 120) mit zwei relativ zueinander bewegbaren Werkzeugelementen (14, 16; 138, 140), welche jeweils eine HF-Elektrode (28, 29; 142, 144) umfassen, die in einer Annäherungsstellung der Werkzeugelemente (14, 16; 138, 140) einen minimalen Abstand (58) voneinander definieren, einander gegenüberliegen und aufeinander zu weisen, dadurch gekennzeichnet, dass mindestens eine der HF-Elektroden in mindestens zwei Elektrodensegmente (30, 31; 150, 151) unterteilt ist und dass die mindestens zwei Elektrodensegmente (30, 31; 150, 151) gegeneinander elektrisch isoliert sind.

VORRICHTUNGEN ZUR BEHANDLUNG VON FETTLEIBIGKEIT

CHIRURGISCHER CLIP MIT SELBSTAUSLÖSENDEM FLÜSSIGKEITSBEHÄLTER

GASTROINTESTINALE KOMPRESSIONSKLAMMER

Clamp fastening arrangement for endoscope; has clamp with control wire and clamp fastening arrangement releasably connected to control element to secure clamp

The arrangement (10) has a sleeve (13) that is inserted in an endoscope and a self-opening clamp (5) that can be pulled in and out of the tip of the sleeve. A control wire (4) connected to the clamp fits in the sleeves and can be moved along the sleeve axis. The clamp is closed by a closing component that engages the proximal end of the clamp. A control unit (30) is releasably connected to the closing component and moves axially in the sleeve. The control wire can be moved in the distal direction with respect to the sleeve, to move the clamp out of the sleeve and open it. When the clamp fastening arrangement is engaged with the clamp, the control element (38) can be moved in the distal direction to close the clamp. The clamp and the clamp fastening arrangement can be released from the control wire and the control element. The clamp fastening arrangement is formed so that the clamp can be supplied with high frequency electric current.

Chirurgische Vorrichtung mit einem Zufuhrmechanismus für Befestigungselemente

VORRICHTUNG ZUR ANWENDUNG EINES VERFAHRENS VON ENDOLUMINALER FUNDOPLIKATION

VORRICHTUNG ZUM BEFESTIGEN EINES IMPLANTATS AN EINEM BLUTGEFÄSS

Medical devices and methods useful for applying bolster material

SURGICAL FASTENER AND MEANS FOR APPLYING SAME

Medical devices and methods useful for applying bolster material

APPARATUSES FOR CONNECTING FABRIC LAYERS

DEVICE FOR THE ATTACHMENT OF A CONTAINER ANASTOMOSIS

CARRIER ELEMENT, ANASTOMOSIS DEVICE AND INSTRUMENTS FOR THE EXECUTION A ENDOLUMINALEN AND/OR TRANSLUMINALEN OF AN ANASTOMOSIS

POSITIONING DEVICE FOR THE EMPLOYMENT OF BLOCKAGE ILS OF A ANASTOMOTI DEVICE

EQUIPMENT FOR THE APPROXIMATION OF FABRIC PARTS, THE ONE ANASTOMOSIS FORMS BEING SUPPOSED

REPAIR OF THE MITRAL OR TRIKUSPIDKLAPPE

ADJUSTMENT DEVICE FOR FABRICS

SURGICAL TIE-CLIP WITH SELFRELEASING TANK

DEVICE FOR THE ATTACHMENT OF CONTAINER ANASTOMOSES

VORRICHTUNG ZUR BETÄTIGUNG EINES ENDEFFEKTORS

Die Erfindung betrifft ein medizinisches Instrument mit einem länglichen Element, das vorzugsweise für die transorale Platzierung in einem Magen konfiguriert ist, und einem an einem Ende des länglichen Elements angeordneten Endeffektor (100), wobei der Endeffektor (100) über einen hydraulischen Betätigungsmechanismus (1) betätigbar ist, wobei der hydraulischer Betätigungsmechanismus (1) einen Zylinder (20) mit zumindest einem, vorzugsweise zwei, drei, vier oder fünf Überströmkanälen (21a, 21b, 21c, 21d) für eine Hydraulikflüssigkeit, die über zumindest eine Bohrung (22a, 22b, 22b', 22c, 22c', 22d, 22d') mit dem Zylinderinneren verbunden sind, aufweist, ein in dem Zylinder (20) angeordneter, entlang der Längsachse des Zylinders (20) bewegbarer Kolben (30) vorgesehen ist, wobei der Kolben (30) den Innenraum (23) des Zylinders (20) in einen ersten Zylinderraum (23a) und in einen zweiten Zylinderraum (23b) teilt und über eine Kolbenstange (31) mit dem Endeffektor (100) in Verbindung steht, ...

CHIRURGISCHE KLAMMEREINRICHTUNG

Die Erfindung betrifft eine chirurgische Klammereinrichtung (10) mit einem ersten und einem zweiten Plattenelement (21, 22), sowie zumindest zwei Stiften (31, 31´), über die das erste Plattenelement (21) mit dem zweiten Plattenelement (22) verbindbar ist, wobei die zumindest zwei Stifte (31, 31´) an einem Ende über zumindest einen Faden (40) miteinander in Verbindung stehen, der die Stifte (31, 31) an dem ersten Plattenelement (21) fixiert.

BLIND RIVET FOR THE ADAPTATION OF BIOLOGICAL FABRIC

PROBE COUPLING ARRANGEMENT

DEVICE WITH SEVERAL CLIPS

HÄMOSTATI CLIP DEVICE

SURGICAL MOUNTING DEVICE FROM POLYMERI MATERIAL.

DEVICE SYSTEM TO THE SEAM ANCHORAGE AS WELL AS ATTACHMENT DEVICE FOR IT

SET FOR THE TREATMENT OF CONTAINER DEFORMATIONS

MEDICAL TRANSPLANT LINK OR PLUG AS WELL AS PROCEDURE FOR YOUR PRODUCTION

DEVICE FOR FASTENING AN IMPLANT TO A BLOOD VESSEL

SYSTEM F�R INTERSTITIAL ONE TRANSVASKUL�RE SURGICAL INTERFERENCES

DEVICE FOR THE USE OF A PROCEDURE OF MORE ENDOLUMINALER FUNDOPLIKATION

DEVICE AS WELL AS PROCEDURE FOR FIXING A HEAD BONE COVER

Biceps tenodesis implants and delivery tools

Methods and devices are provided for anchoring a ligament or tendon to bone. In one embodiment, a surgical implant is provided having a sheath and an expander that is received within the sheath. Various delivery tools, including a sheath inserter and a driver, are also provided. In use, the sheath inserter can be used to position a tendon within a prepared bone hole, and it can be used to deliver the sheath with a guidewire coupled thereto into the bone hole. The driver can be provided for delivering the expander into the sheath. A loader can optionally be used to load the driver and expander onto the guidewire coupled to the implanted sheath.

INSTRUMENT FOR APPLYING A SURGICAL FASTENER PARTICULARLY FOR THE TRANSORAL TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE (GERD)

Surgical fasteners and fastening devices

The invention provides a surgical fastener. The fastener has a first element defining an axis of the fastener, and or more prongs attached to the first element at hinge regions. Deploying the fastener involves bending the prongs at the hinges so as to increase the distance of the prong tips from the axis and locking the fastener in this deployed configuration. The invention also provides a surgical fastening device and a method for attaching a surgical fastener to a site of a body tissue.

TISSUE JOINING DEVICES CAPABLE OF DELIVERY OF BIOACTIVE AGENTS AND METHODS FOR USE THEREOF

DEVICES AND METHODS FOR FORMING MAGNETIC ANASTOMOSES BETWEEN VESSELS

Surgical instruments with reconfigurable shaft segments

A surgical instrument having a handle assembly and an elongated shaft assembly protruding therefrom. Various embodiments of the elongated shaft assemblies include reconfigurable shaft segments that have portions that may be selectively arranged in coaxial alignment with each other and in other configurations wherein at least some portions thereof are not in coaxial alignment with each other. Various locking arrangements are disclosed for releasably locking the reconfigurable shaft segments in desired orientations. A movable closure tube is supported on the elongated shaft segment and is oriented to provide actuation motions to an end effector coupled to the distal end of the elongated shaft.

Fastener system comprising a plurality of fastener cartridges

A surgical fastening instrument can comprise a handle and an end effector, wherein the end effector can comprise a first jaw comprising a first cartridge attachment portion and a second jaw comprising a second cartridge attachment portion, and wherein one of the first jaw and the second jaw is movable relative to the other of the first jaw and the second jaw. The surgical fastening instrument can further comprise a first cartridge that is insertable into the first jaw and attachable to the first cartridge attachment portion and, in addition, a second cartridge that is insertable into the second jaw and attachable to the second cartridge attachment portion. In various embodiments, the first cartridge can comprise first fastener portions which are engageable with second fastener portions in the second cartridge.

Fastener system comprising a plurality of connected retention matrix elements

A surgical fastener system can comprise a plurality of fasteners which can be connected to each other by a flexible retention matrix which is assembled to the fasteners in order to capture tissue therebetween. The flexible retention matrix can comprise, one, a plurality of retention matrix elements configured to engage the fasteners and, two, a lattice of connectors which connect one or more retention matrix elements.

Surgical stapler anvil comprising a plurality of forming pockets

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.

Surgical fastener

Apparatus having bowstring-like staple delivery to a target tissue

Devices for attaching a sheet-like implant to a target tissue include a sheath and a staple push rod. The sheath has a distal end configured to be pressed against the target tissue. The staple push rod is disposed within at least a portion of the sheath and is slidable relative thereto. The staple push rod includes a pair of stakes. Each stake is dimensioned to abut a surface of a staple to apply pushing forces thereto. The stakes are biased to assume a bow-like shape such that an intermediate portion of a staple extends tautly between the first stake and the second stake when the stakes are extending beyond the distal end of the tubular member. Methods for attaching a sheet-like implant to a target tissue are also disclosed.

Apparatus for delivering staples to a target tissue

A device for attaching a sheet-like implant to a target tissue includes a pilot member and a staple push rod. In some embodiments, the pilot member has a distal end and at least a pair of prongs extending from the distal end. The prongs are configured to form pilot holes when the distal end of the pilot member is pressed against the target tissue. The staple push rod is disposed within at least a portion of the pilot member and slidable relative thereto. The staple push rod includes at least a pair of stakes. Each stake is dimensioned to engage a surface of a staple to apply pushing forces thereto. Each stake is positioned relative to a prong along an inner surface of the pilot member so that the stakes advance into the pilot holes when the stakes are moved in a distal direction. Methods for attaching a sheet-like implant to a target tissue are also disclosed.

Devices and methods for stomach partitioning

Surgical stabilizer devices and methods

EXPANDABLE FASTENER WITH COMPRESSIVE GRIPS

A device, system and method for interstitial transvascular intervention

PAIRED EXPANDABLE ANASTOMOSIS DEVICE

Apparatus and method for intra-abdominally moving a first internal organ to a position away from a second internal organ and then holding the first internal organ in the position without manual input

An apparatus including a flexible length of cord and three tissue connectors positioned at the opposite ends of the cord and at an intermediate position of the cord is designed to be laparoscopically inserted through the abdominal wall and into the abdominal cavity, and used to move a first internal organ to a position away from a second internal organ where the apparatus holds the first internal organ in the position without further manual input, thereby providing surgical access to the second internal organ.

Surgical strapling instrument having ultrasonic energy delivery

SURGICAL STRAPLING INSTRUMENT HAVING ULTRASONIC ENERGY DELIVERY An end effector (120) includes first and second jaws (122, 124), first and second buttresses, and an ultrasonic blade (154). The first jaw (122) includes a fastener cartridge (130) having a first tissue contacting surface (123) and a plurality of fasteners (132) arranged in rows parallel to a longitudinal axis of the first jaw (22). The first buttress is attached to the first tissue contacting surface (123) and the second buttress is attached to a second tissue contracting surface (125) of the second jaw (124). The first and second jaws (122, 124) are movable relative to one another and are configured to grasp tissue (T) therebetween. The ultrasonic is activatable to weld the first buttress to the second buttress and to subsequently cut the welded first and second buttresses and tissue (T) grasped between the first and second jaws (122, 124).

Stapling device for closing perforations

Medical devices and systems for easily and reliably closing a perforation in tissue. One embodiment of a medical device for use with a scope includes a tubular member having a distal end, an exterior surface and an interior space. A carrier element extends along the exterior surface and around the distal end of the tubular member. An elastic band is positioned on the carrier element around the exterior surface of the tubular member. A staple is positioned within the interior space of a tubular member and includes first and second prongs which are spaced apart and translatable relative to one another. The carrier element is structured to deliver the elastic band beyond the distal end of the tubular member where upon the elastic band contracts and engages the staple to translate the first and second prongs towards each other.

Method and means to attach anchor sutures onto mesh implants

Novel stay suture devices and stay suture combinations with meshes are disclosed. The stay suture devices have a clip and a suture. The clip has leg members that are mounted to a hernia mesh implant such that the leg members are locked in a closed configuration. Also disclosed are novel methods of mounting stay sutures to a surgical mesh implant and repairing a body wall defect such as a hernia defect.

Urethral anastomosis device

Provided herein is a two-part coupling assembly for re-connecting a first hollow body part to a second body part and an instrument (90) and method for emplacement. The coupling assembly comprises coupling parts (2, 52) having securement elements (20, 70) that are actuated by separate deployment mechanisms of the instrument and attach to the first and second body parts. The first and second coupling parts having interconnecting elements (48, 62) that couple the two-part assembly together and re-connect the first and second body parts.

Two-part surgical ligation clip and modular ligation clip applicator

Catheters and related devices for forming passageways between blood vessels or other anatomical structures

Methods and apparatus for bypassing arterial obstructions and/or performing other transvascular procedures

Barrier device for covering the ostium of left atrial appendage

SURGICAL FASTENER MADE FROM GLYCOLIDE-RICH POLYMER BLENDS

Systems and methods for delivering drugs to selected locations within the body

WOUND CLAMP

A wound clamp having two substantially identical halves. The clamp halves are biased together using a spring or elastomeric band. Prongs or needles integrally formed with the halves cause the clamp to be engaged firmly on the conjunctival and scleral tissue about the wound. The biasing of the clamp halves toward each other provide for a tight sealing of the wound.

SKIN LESION EXCISER AND SKIN-CLOSURE DEVICE THEREFOR

A skin lesion exciser including a moving blade, wherein excision of a skin lesion placed in proximity to the blade is effected by movement of the blade against the skin, a moving engagement portion, wherein the blade and the engagement portion have coincident movement, and a skin-closure device having an open condition prior to excision of the skin lesion, and a closed conditions in which the device holds the skin closed after excision of the skin lesion. The device is in engagement with the engagement portion during movement of the blade, and the device is moved from its open to its closed condition in response to movement of the engagement portion. The excision of the skin lesion and the closure of the skin are substantially simultaneous. The present invention also provides a method for excising a skin lesion including: positioning a skin lesion above a moving blade; slicing the lesion from the skin with the blade; and substantially simultaneously with excision of the lesion, closing ...

APPARATUS FOR CLOSING TISSUE PUNCTURES

Apparatus (10) for closing a puncture P in a wall of a vessel V includes an introducer sheath (12) and a housing (16) slidably disposed on an exterior surface of the sheath (12). A clip (62) is releasably disposed within a chamber of the housing (16), the clip (62) being expandable from a deployed configuration wherein tissue engaging portions of the clip (62) are directed inwards towards one another, and an expanded delivery configuration. An actuator (18) is attached to the housing (16) for deploying the clip (16) from the chamber. The clip (62) is preferably biased to the deployed configuration, and may be bioabsorbable. The housing (16) is advanced along the sheath (12) until the clip (62) pierces tissue surrounding a puncture P. The sheath (12) is withdrawn, causing the clip (62) to resiliently return to its deployed configuration and draw tissue together to close the puncture P.

DEVICES AND METHODS FOR TREATING E.G. URINARY STRESS INCONTINENCE

Embodiments of the invention provide a permanent implanted support for e.g. the urethral neck of the bladder, generally preventing urinary leakage caused by transmission of intra-abdominal pressure pulse waves. The support is implanted in a straightforward manner without the significant complexity and invasiveness associated with known surgical techniques. Pelvic trauma is dramatically reduced. Embodiments of the invention can be used in treatment of stress incontinence, and other types of incontinence, in both males and females.

TISSUE APPROXIMATION DEVICE AND A METHOD OF USING IT

A tissue approximation device and processes for using the device are provided. The device is an implantable, biodegradable construct (except for hernia repairs) that has attachment points emanating from a supportive backing. The device improves the mechanical phase of wound healing and evenly distributes tension over the contact area between the device and tissue. Processes for using the device include wound closure, vascular anastomoses, soft tissue attachment and soft tissue to bone attachment. Several variations are particularly applicable to facilitating tissue approximation in surgical cosmetic applications including, for example, orbital rim reconstruction and tissue suspension.

APPARATUS FOR SEALING SURGICAL PUNCTURES

Apparatus is provided for sealing a puncture within a vessel or tissue to provide hemostasis, comprising a first disk coupled to either a second disk or a spring, and sealingly engaged to the vessel or tissue surrounding the puncture. At least the first disk is preferably configured to substantially conform to the profile of the vessel or tissue when deployed. In one embodiment, the disks may be released from engagement with the vessel or tissue to reposition the disks after deployment.

PROBE COUPLER ASSEMBLY

An assembly for joining two vessel segments of a patient comprises a coupler formed of adjoining coupler halves, and a cuff. Each coupler half includes an aperture for receiving an end of one of the vessel segments. One coupler half comprises a connector element sized and shaped for connection to the other coupler half. The vessel segments are alignable in the respective coupler halves such that a path for fluid flow is formed therebetween upon connection of the coupler halves. A large diameter portion of the cuff is positioned over at least a portion of the coupler, and a small diameter portion of the cuff is positioned over one of the vessel segments. The cuff further includes a probe positioned at the small diameter portion. The probe is positioned within the cuff in a manner such that a signal is receivable therein corresponding to fluid flow through the vessel segment.

DEVICES AND METHODS FOR STOMACH PARTITIONING

A device and method for remodeling or partitioning a body cavity, hollow organ or tissue tract includes graspers operable to engage two or more sections of tissue within a body cavity and to draw the engaged tissue between a first and second members of a tissue remodeling tool. The two or more pinches of tissue are held in complete or partial alignment with one another as staples or other fasteners are driven through the pinches, thus forming a four-layer tissue plication. Over time, adhesions formed between the opposed serosal layers create strong bonds that can facilitate retention of the plication over extended durations, despite the forces imparted on them by stomach movement. A cut or cut-out may be formed in the plication during or separate from the stapling step to promote edge-to-edge healing effects that will enhance tissue knitting/adhesion.

MEDICAL INSTRUMENT

The invention relates to a medical instrument comprising an elongated element, which is preferably configured for transoral placement in a stomach, and an end effector (100) arranged at one end of the elongated element, wherein the end effector (100) can be operated by means of a hydraulic operating mechanism (1), wherein the hydraulic operating mechanism (1) comprises a cylinder (20) having at least one, preferably two, three, four, or five, overflow channels (21a, 21b, 21c, 21d) for a hydraulic fluid, which are connected to the cylinder interior by means of at least one bore (22a, 22b, 22b', 22c, 22c', 22d, 22d'), a piston (30) arranged in the cylinder (20) and movable along the longitudinal axis of the cylinder (20) is provided, wherein the piston (30) divides the interior (23) of the cylinder (20) into a first cylinder chamber (23a) and a second cylinder chamber (23b) and is connected to the end effector (100) by means of a piston rod (31), and at least one connection (41) for introducing ...

SYSTEMS, IMPLANTS, TOOLS, AND METHODS FOR TREATMENTS OF PELVIC CONDITIONS

Described are various embodiments of surgical procedure systems, devices, tools, and methods, useful for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to tissue, devices and tools for transvaginally accessing a posterior region of pelvic anatomy, devices (including certain types of implants, anchors, and tools) for connecting (e.g., adjustably) a vaginal apex to a region of sacral anatomy to provide support to the vaginal apex, and related methods.

APPARATUS HAVING BOWSTRING-LIKE STAPLE DELIVERY TO A TARGET TISSUE

Devices for attaching a sheet-like implant to a target tissue include a sheath and a staple push rod. The sheath has a distal end configured to be pressed against the target tissue. The staple push rod is disposed within at least a portion of the sheath and is slidable relative thereto. The staple push rod includes a pair of stakes. Each stake is dimensioned to abut a surface of a staple to apply pushing forces thereto. The stakes are biased to assume a bow-like shape such that an intermediate portion of a staple extends tautly between the first stake and the second stake when the stakes are extending beyond the distal end of the tubular member. Methods for attaching a sheet-like implant to a target tissue are also disclosed.

POLYMER OVERMOLDED BARIATRIC CLAMP AND METHOD OF INSTALLING

A bariatric clamp may include substrate members overmolded in polymer forming first and second elongated portions, a bight portion having a flexible hinge, a fastener portion, and an engagement portion for retaining the clamp in a closed position to partition the stomach. A method for installing may include creating an opening in a patient's abdominal cavity to access the stomach, removing tissue connected to the stomach adjacent areas the clamp is to be positioned, positioning the clamp in an open position wherein first ends of the first and second elongated portions are open relative to one another, inserting the clamp into the abdominal cavity in the open position and the first and second elongated portions of the clamp separately pass through the opening in the abdominal cavity, positioning the first and second elongated portions adjacent firt and second sides of the stomach, and closing the clamp to partition the stomach.

SURGICAL FASTENER RETAINER MEMBER ASSEMBLY

SURGICAL FASTENER RETAINER MEMBER ASSEMBLY A unitary assembly of surgical fastener retainer members is disclosed. The assembly includes a plurality of retainer members, preferably of a resinous material, arranged in a surgically useful configuration and connected by flexible or frangible links preferably of the same material. The assembly facilitates handling of the retainer members and loading them into fastener applying apparatus.

FASCIA CLIP

The fascia clip is of two-piece construction having an elongated base and a flexible strap. The base is sized to bridge over an incision in fascia tissue and has openings at opposite ends. The strap has a pointed distal end for passage through the opening at the proximal end of the base so as to pierce through the fascia tissue. After being directed under the incision, the strap can again pierce the tissue to pass through the opening at the distal end of the base in order to be gripped therein. The strap has an enlarged head at the proximal end to prevent complete passage through the opening at the proximal end of the base. Resilient teeth are used at the distal end of the strap to engage with a web about the opening at the distal end of the base.

INSTRUMENT FOR APPLYING SURGICAL FASTENING DEVICES

An instrument for surgically fastening tissue using a pronged fastener engageable in a retainer has an elongate rigid piercing member slidable through channels in the fastener prongs for piercing openings for the prongs in the tissue. Cam operated mechanisms are provided for firstly displacing the piercing member through the tissue to form the openings and then urging the prongs through the openings into engagement with retainer holes in the retainer.

SURGICAL FASTENING DEVICE AND METHOD FOR MANUFACTURING

SURGICAL FASTENING DEVICE AND METHOD FOR MANUFACTURE A tissue fastening device comprising (a) a fastener member having a pair of legs extending from the same side of a connecting cross piece, said fastener member adapted to be placed on one side of the tissue to be joined with the legs penetrating the tissue, said fastener member being an oriented crystalline polymeric material, whereby the fastener member has sufficient inherent strength and stiffness so said legs can penetrate the tissue to be fastened, and (b) a receiver member to secure said fastener member in place.

COMPRESSION PLATE ANASTOMOSIS APPARATUS AND RELATED SYSTEMS

Compression plate apparatus (300) enables vessels to be joined together in various anastomosis configurations. The compression plates (310a, 310b) are guided to each other in a parallel orientation by guides (330). The compression plate apparatus (300) may be utilized with an intraluminally directed anvil apparatus or an externally positioned anvil apparatus. One of the compression plates assists in the eversion of the anastomosis fenestra contour. One of the compression plates enables a graft vessel to be pre- everted so that the anastomosis fenestra contours are everted. The apparatus provides a structure that enables the vessels to be joined without being penetrated.

STRIP TISSUE FASTENERS, MESH TISSUE FASTENERS, AND APPLICATION METHODS THEREFOR

DEVICE FOR ATRIAL APPENDAGE EXCLUSION

A surgical applicator for a fastener, the surgical applicator comprising: a handle; a trigger movable relative to the handle between an initial position, an actuated position, and an intermediate position between the initial position and the actuated position; and a lockout mechanism movable relative to the trigger between a locked position and an unlocked position, the lockout mechanism operatively arranged to: lock the trigger in the intermediate position when the trigger is moved from the initial position toward the actuated position; and permit movement of the trigger from the intermediate position toward the initial position or the actuated position when the lockout mechanism is moved from the locked position to the unlocked position.

DEVICES AND METHODS FOR FORMING MAGNETIC ANASTOMOSES AND PORTS IN VESSELS

Methods and devices for forming magnetic anastomoses between hollow bodies. End-to-side, side-to-side and end-to-end anastomoses can be created with or without a mechanical connection between the components. The anastomotic components (542) may have various constructions and may be secured to a vessel in various manners, for example, magnetically, mechanically or adhesively. Also provided are alternative delivery devices (550), as well as devices (770, 730) for checking the position of a component on a loaded delivery device (772), and for checking the seal between a vessel and an anastomotic component (774, 776) secured thereto.

SYSTEMS FOR INTRALUMINALLY DIRECTED VASCULAR ANASTOMOSIS

Anastomosis procedures are achieved through the use of a system adapted for use with an intraluminally directed anvil apparatus having an anvil pull (230) from an anvil. The system has an engager for engaging the anvil pull so that a vessel can be distended by the anvil as the anvil pull is pulled. The system has a cutter (400) for forming an opening in a vessel. The system is adapted for use with a compression plate apparatus (300) used to eversion and holding everted surfaces around the opening together. The system can also be used with an externally positioned anvil apparatus.

IMPROVED INTUSSUSCEPTION AND ANASTOMOSIS APPARATUS

Apparatus (200) for intratubular intussusception and anastomosis of a hollow organ portion includes a cylindrical enclosure (202) and a coaxial intratubular intussusception device (208), and a clamping means (218,220). The apparatus also includes an intratubular anastomosis apparatus (216) for joining organ portions after intussusception thereof with an anastomosis ring (212) and a crimping support element (214). The ring (212) is formed of a shape memory alloy wire for crimping adjacent organ portions against the crimping support element (214) so as to cause anastomosis therebetween. The ring (212) assumes a plastic or malleable state, at a lower temperature and an elastic state at a higher temperature. The apparatus (200) additionally includes a surgical excising means (234) for excising an intussuscepted organ portion, after crimping adjacent intussuscepted organ walls against the crimping support element (214) with the anastomosis ring (212).

GERD TREATMENT APPARATUS AND METHOD

An elongated member is configured for transoral placement into a stomach and includes a distal end effector having first and second members configured to engage stomach tissue. The first and second members are movable relatively toward one another generally in a first plane and the distal end effector is movable relative to the elongated member in a second plane generally transverse to the first plane. A third member of the distal end effector is configured to engage stomach tissue and is movable in a distal direction relative to the first and second members. A tissue securement member of the apparatus is coupled to at least one of the first and second members for securing together tissue engaged thereby.

Fastener system comprising a retention matrix

A surgical fastener system can comprise a plurality of fasteners which can be connected to one another by a retention matrix which is assembled to the fasteners in order to capture tissue therebetween. In various embodiments, each fastener can comprise a base and the distance in which the retention matrix is seated relative to the fastener bases can be selectively determined by a surgeon in order to apply a desired pressure to the tissue. In certain embodiments, each fastener can further comprise a fastener leg and the retention matrix can comprise a first layer configured to engage the fastener legs. The retention matrix can further comprise a second layer mounted to the first layer which can comprise one or more encapsulations containing a medicine therein. The encapsulations can be aligned with retention apertures in the retention matrix such that they can be punctured by the fastener legs.

Compressible fastener cartridge

A fastener cartridge can comprise a compressible, collapsible, and/or crushable cartridge body and fasteners embedded within the cartridge body 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 the first jaw can be positioned opposite a second jaw, or anvil. The anvil can be engaged with the fastener cartridge to compress, collapse, and/or crush the cartridge body and deform, or otherwise deploy, the fasteners contained therein. As the fasteners are deformed or deployed, the fasteners can capture at least a portion of the cartridge body therein along with at least a portion of the tissue being fastened. In various embodiments, the cartridge body can comprise a plurality of layers wherein at least one of the layers can be detached from the other layers and removed from the surgical site.

Tissue thickness compensator comprising portions having different properties

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.

Compressible staple cartridge assembly

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.

Implantable fastener cartridge having a non-uniform arrangement

A fastener cartridge can comprise a compressible, collapsible, and/or crushable cartridge body and fasteners embedded within the cartridge body 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 the first jaw can be positioned opposite a second jaw, or anvil. The anvil can be engaged with the fastener cartridge to compress, collapse, and/or crush the cartridge body and deform, or otherwise deploy, the fasteners contained therein. As the fasteners are deformed or deployed, the fasteners can capture at least a portion of the cartridge body therein along with at least a portion of the tissue being fastened. In various embodiments, the cartridge body can comprise a thickness which is not uniform thereacross. In at least one embodiment, the fasteners can comprise different unformed heights and/or different formed heights.

Surgical stapler with floating anvil

A surgical instrument can include an anvil and, in addition, a staple cartridge support configured to support a staple cartridge. In various embodiments, the jaw can be moved toward the staple cartridge to deform staples contained within the staple cartridge. The anvil can be configured to be translated and/or rotated as the anvil is moved toward the staple cartridge. In certain embodiments, the anvil can be configured to float and adjust such that the anvil is moved downwardly in a level manner.

Staple cartridge comprising a releasable portion

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.

Method for Fastening a Hinged Surgical Fastener on Tissue

A method for fastening a two-piece surgical fastener to bodily tissue whereby the surgical fastener has a safety position. The method comprises inserting first and second piercing posts through at least two layers of tissue and attaching a receiving portion to the coupling ends of the first and second piercing posts. Each of the first and second piercing posts have a fixed end and a coupling end, the first piercing post being fixedly-attached at its fixed end to a first base portion, the second piercing post being fixedly-attached at its fixed end to a second base portion, the first and second base portions being foldably coupled to one another by a hinge, where a bias device imparts a bias force on at least one of the first base portion and the second base portion in a direction toward the other and substantially perpendicular to a longitudinal axis of the hinge.

Devices, systems and methods for tissue repair

Devices, systems and methods are disclosed for repairing soft tissue. The surgical system allows for the creation of tissue repair by grasping, aligning and sewing or fixing tissue. For example, this system may be used for clipping together excessive capsular tissue and reducing the overall capsular volume. The deployment device includes a central grasping mechanism and an outer clip delivery system. The clip embodiments may be single or multi-component (penetration and locking base components) that penetrate tissue layers and deploy or lock to clip the tissue together. An example of the system is used to reduce the joint capsule tissue laxity and reduces the potential for subluxation or dislocation of the joint by either restricting inferior laxity (anterior or posterior) and resolving or eliminating pathologic anterior or posterior translation.

Method and apparatus for anastomosis

Apparatus and methods for performing a surgical anastomotic procedure are disclosed herein. Apparatus according to the present disclosure include at least one fastener including a first fastener portion having an anchoring leg portion, a second fastener portion including an anchoring leg portion, wherein the first and second fastener portions are operatively associated with one another to selectively fix the position of the first fastener portion relative to the second fastener portion.

Surgical fastener instruments

Surgical instruments and cartridges for cutting and fastening tissues and organs such as vessels are disclosed. In various non-limiting forms, the surgical instrument includes a first jaw that operably supports a substantially flexible elongated tissue closure assembly therein. A second jaw is movably supported relative to the first jaw and is selectively movable between open and closed positions in response to opening and closing motions applied thereto. A closure retraction assembly is configured to selectively apply cinching motions to the substantially flexible elongated tissue closure assembly.

Tissue thickness compensator comprising structure to produce a resilient load

A fastener cartridge assembly for an end effector of a surgical instrument can comprise a cartridge body, a deformable tube, and a fastener moveable between an initial position and a fired position. The deformable tube can be longitudinally positioned along a length of the cartridge body. When the fastener is moved to the fired position, the fastener can compress a portion of the deformable tube. The deformable tube can comprise a resilient material such that deformation of the deformable tube generates a restoring force. The deformable tube can comprise a lattice of strands woven together to form a tube wall. Further, the deformable tube can be bioabsorbable and can hold a therapeutic agent. The fastener cartridge assembly can comprise multiple, substantially parallel deformable tubes positioned side-by-side and/or within each other.

Probe coupler assembly

An assembly for joining two vessel segments of a patient includes a coupler formed of adjoining coupler halves. Each coupler half includes an aperture for receiving an end of one of the vessel segments. One of the coupler halves includes a connector element configured for connection to the other coupler half. The vessel segments are alignable in the respective coupler halves such that a path for fluid flow is formed therebetween upon connection of the coupler halves. A probe is aligned in engagement with a coupler half for generating a signal corresponding to fluid flow through the path.

Catheter-based annuloplasty using ventricularly positioned catheter

The present invention relates to a minimally invasive method of performing annuloplasty. According to one aspect of the present invention, a method for performing annuloplasty includes accessing a left ventricle of a heart to provide a discrete plication element to the left ventricle, and engaging the plication element to tissue near a mitral valve of the heart. Engaging the plication element includes causing the plication element to gather a portion of the tissue to create a plication. In one embodiment, accessing the left ventricle of the heart to provide the plication element includes accessing the left ventricle of the heart using a catheter arrangement.

Actuator for releasing a tissue thickness compensator from a fastener cartridge

A fastener cartridge assembly for use with a surgical end effector. The fastener cartridge assembly can comprise a cartridge body having fastener cavities, fasteners removably positioned in the fastener cavities, a layer of material releasably secured relative to the cartridge body, a connector configured to secure the layer of material to the cartridge body at a location distal to at least one fastener cavity, and an actuator. The layer of material can be a tissue thickness compensator. When actuated, the actuator can overcome the connector, and can overcome the connector prior to the removal of the fasteners from the fastener cavities. The actuator can be actuated at a location proximal to at least one fastener cavity, and can extend distally past at least one fastener cavity toward the connector.

Method and apparatus for occluding a blood vessel

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.

Anchoring system

The present disclosure relates to an anchor assembly. The anchor assembly includes an anchor defining a cavity and an opening to the cavity and an insertion member including a body having a proximal end portion and a flat distal end portion, and a head coupled to the proximal end portion of the body. The insertion member is configured for arrangement within the anchor cavity. A method of tissue repair and other anchor assemblies are also disclosed.

Tissue thickness compensator comprising a plurality of medicaments

In various embodiments, a compensator can comprise a compensator body comprising a plurality of first packets and a plurality of second packets wherein, in at least one embodiment, each second packet is positioned intermediate two or more first packets. The compensator can further comprise a first medicament positioned within each first packet and a second medicament positioned within each second packet, wherein the first medicament is different than the second medicament.

Lock Bar Spring and Clip for Implant Deployment Device

A system for closing an aperture in a biological tissue includes an implant deployment device having at least one frame arm. At least one clip is connected to the at least one frame arm and configured to releasably retain a surgical implant to the frame arm. A lock bar including at least one spring member is disposed on the at least one frame arm and is configured to bias the clips towards a closed position.

Clip for Implant Deployment Device

An instrument for deploying a surgical implant includes a handle, an elongated shaft extending from the handle, and a frame arm. The frame arm includes a clip pair for releasably attaching the surgical implant to the frame arm. The clip pair includes first and second clips operably coupled by a spring member. The first and second clips are repositionable from a closed position to an open position. The spring member biases the first and second clips towards the closed position. A lock bar is coupled to the frame arm and translatable between an unlocked position and a locked position. In the locked position, the lock bar maintains the first and second clips in either the open or the closed position. When the lock bar is in the unlocked position, the first and second clips are freely rotatable between the open and closed positions.

Lock Bar Spring and Clip for Implant Deployment Device

A system for closing an aperture in a biological tissue includes an implant deployment device having a frame arm, a clip connected to the frame arm, and a lock bar including a protrusion. The protrusion extends away from the frame arm and is configured for selectively holding the clip in an open position or a closed position. A surgical implant is releasably attached to the frame arm. The clip retains the surgical implant in contact with the frame arm when the clip is in the closed position and the clip allows the surgical implant to be separated from the frame arm when the clip is in the open position.

Methods, devices and systems for approximation and fastening of soft tissue

Devices and tissue fasteners for approximating and fastening tissue using minimally invasive techniques are disclosed. Methods for approximating and fastening tissue by application of one or more tissue fasteners are also provided. In one embodiment, spaced apart tissue locations are engaged by tissue penetrating members of a deformable fastener, one of more of the engaged tissue locations is moved toward another engaged tissue location to approximate the spaced apart locations, and the deformable fastener is deployed to secure the approximated tissue locations. These methods may be used in laparoscopic plication gastroplasty procedures for forming an invaginated tissue fold, to close holes in the gastrointestinal lumen, and in a variety of interventional procedures.

Staple for use in surgical procedures

A staple is provided having a backspan and a first and second legs extending distally from the backspan. Each of the first and second legs includes a bend dividing each leg into a traversing leg portion and a substantially linear clenching leg portion. A staple plate is positionable over the first and second legs between the backspan and the first and second clenching leg portions. An anvil assembly has first and second movable members which move toward to one another to engage outer surfaces of the first and second clenching leg portions. There is further disclosed a method of forming the staple through tissue.

ENDOSCOPIC IMPLANT SYSTEM AND METHOD

Disclosed is a system for endoscopically implanting a medical implant, including an anchor, within a body cavity such as adjacent the gastroesophageal junction in a human stomach. The system includes one or more anchors positionable within one or more openings formed in tissue within the body cavity, such as cutouts formed in plicated body tissue. Tools are disclosed for positioning the anchors within the openings, and for coupling a food restrictor to the anchors. 1. A medical implant system for use in the stomach of a patient , comprisingan intraoral plication device for forming in the patient's stomach, by intraoral access, a tissue plication having an opening surrounded by a plurality of staples,an anchor having a base, an elastically deformable head, and a stem connecting the base and head, said base and said head in its undeformed state having dimensions larger than that of the plication opening formed by said device, allowing the anchor to be attached to said plication, with the anchor stem extending through said opening, by pulling the anchor head in a deformed state through said opening, anda grasper tool adapted, with said anchor delivered into a patient's stomach adjacent said plication to: (i) be manipulated through said plication opening, (ii) grasp the anchor head, (iii) pull the anchor head through said opening, by deforming the anchor head, thereby to attach the anchor to the tissue plication, and (iv) detach from the anchor.2. The medical implant system of claim 1 , wherein said anchor head includes an elastically deformable ring and struts connecting the ring to the stem claim 1 , and said grasper tool engages said ring as it pulls the anchor head through said opening.3. The medical implant system of claim 1 , wherein said anchor head includes an elastically deformable ring claim 1 , struts connecting the ring to the stem claim 1 , and a loop connected to said ring claim 1 , and said grasper tool engages one of said ring or loop as it pulls the ...

TISSUE THICKNESS COMPENSATOR COMPRISING RESILIENT MEMBERS

A tissue thickness compensator comprising at least one woven lattice can be positioned in the end effector of a surgical instrument. A fastener cartridge that is positioned in the end effector can comprise at least one cavity configured to receive a fastener. The fastener can be moveable between an initial position, wherein the fastener is at least partially position in a cavity, and a fired position, wherein the fastener is configured to compress a woven lattice of the tissue thickness compensator. The woven lattice can comprise a resilient material such that compression of the woven lattice generates a restoring force. The woven lattice can also comprise an axis that can laterally traverse the fastener cartridge, diagonally traverse the fastener cartridge, or intersect a deck surface of the fastener cartridge. The woven lattice can comprise a hydrophilic substance, which can expand when the woven lattice is severed by a cutting element. 114-. (canceled)15. A fastener cartridge assembly for a surgical instrument , the fastener cartridge assembly comprising:a cartridge body comprising a first longitudinal side and a second longitudinal side;a tissue thickness compensator comprising severable lattices, wherein said severable lattices are laterally arranged intermediate said first longitudinal side and said second longitudinal side; anda fastener moveable between an initial position and a fired position, wherein said fastener is configured to engage a portion of said tissue thickness compensator when said at least one fastener is moved between said initial position and said fired position.16. The fastener cartridge assembly of claim 15 , wherein at least one severable lattice comprises a hydrophilic material claim 15 , and wherein said hydrophilic material expands after said severable lattice is severed.17. The fastener cartridge assembly of claim 15 , wherein said fastener is configured to puncture at least one said severable lattice when said fastener is moved to ...

Method and apparatus for treating varicose veins

An apparatus for occluding a blood vessel includes an occluder configured so that at least a portion of the occluder may assume (i) a diametrically-reduced configuration for disposition within the lumen of a tube, and (ii) a diametrically-expanded configuration for disposition adjacent to the blood vessel, such that when the at least a portion of the occluder is in its diametrically-expanded configuration adjacent to the blood vessel, the occluder will cause occlusion of the blood vessel.

DEVICES, SYSTEMS, AND METHODS FOR REPAIRING SOFT TISSUE AND ATTACHING SOFT TISSUE TO BONE

Devices, systems and/or methods for repairing soft tissue adjacent a repair site. In one embodiment, a repair device is delivered with a delivery device system configured to move a cartridge with the repair device disposed therein toward an anvil with soft tissue positioned thereon. The delivery device linearly moves the cartridge toward the anvil with a worm drive positioned within a housing by rotating a thumb wheel disposed around the worm drive. Such linear movement is provided with a finger element extending from the worm drive that is configured to cooperate with an internal surface of the thumb wheel. With this arrangement, upon rotating the thumb wheel, the worm drive rotates with the finger element engaged with the internal surface of the thumb wheel to linearly move the cartridge toward the anvil. 1. A delivery device system for fixating a repair device to soft tissue at a soft tissue repair site , comprising:a deployment mechanism having a handle associated with a trigger, the handle and trigger sized and configured to manually deploy the repair device into soft tissue with a push rod moveable along an axis, the push rod linearly moveable by the deployment mechanism and extending distally from the deployment mechanism;a housing extending longitudinally along the push rod;an anvil and cartridge configured to be coupled to the housing, the cartridge at least partially holding the repair device;a worm drive positioned within the housing;a thumb wheel disposed around the worm drive, the thumb wheel configured to be rotated to linearly move the worm drive with threads defined in at least one of the worm drive and the thumb wheel such that the worm drive is configured to linearly move the cartridge relative to a bed surface of the anvil; anda finger element extending from the worm drive and configured to cooperate with an internal surface of the thumb wheel such that, upon rotating the thumb wheel, the worm drive rotates with the finger element engaged with the ...

TISSUE-ACQUISITION AND FASTENING DEVICES AND METHODS

Devices and methods for acquiring and fastening tissues folds within an internal organ, such as the stomach, and for applying the methods and devices to producing reductions in organ volume or repair of bariatric procedures, are disclosed. An exemplary method for forming a continuous laterally extending tissue fold involves forming a succession of laterally extending folds having adjacent overlapping fold portions. One exemplary tissue-acquisition device has an open-end roller-and-arm structure that allows individual tissue folds to be formed and fastened, then advanced to an adjacent region within the stomach, for capture of a new fold that will form an extension of the existing fold(s). 130-. (canceled)31. A stapling device for fastening tissue , the device comprising:a tube that includes a lumen extending from a proximal end of the tube to a distal end of the tube; anda stapler head coupled to the distal end of the tube, the stapler head including an assembly coupled to an anvil at a first pivot, wherein the assembly includes at least one staple and a first member coupled to a second member at a second pivot different from the first pivot;wherein pivoting the assembly relative to the anvil moves the stapler head between an open configuration and a closed configuration; andwherein pivoting the second member relative to the first member in the closed configuration fastens the tissue with the at least one staple.32. The device of claim 31 , wherein the assembly includes a plurality of staples and a driver configured to engage claim 31 , sequentially claim 31 , each staple of the plurality of staples.33. The device of claim 31 , wherein the second member is disposed between the first member and the anvil.34. The device of claim 31 , wherein the assembly further includes an element disposed between the first member and the second member claim 31 , the element being movable in a proximal-distal direction to pivot the second member relative to the first member.35. The ...

CERVICAL SPINOUS PROCESS STAPLE

Thoracic/lumbar and cervical spinous process staples which staple/fuse adjacent spinous processes are disclosed. Thoracic/lumbar transverse process staples which staple/fuse adjacent transverse processes are also disclosed. Each embodiment has upper and lower claws connected by a ratchet spring mechanism, along with a multiplicity of bone fastener prongs attached to the upper and lower claws. Two sets of prongs on each staple claw are spaced by a distance approximately equal to the distance separating adjacent spinous or transverse processes so as to facilitate stapling/fusion of two adjacent processes. Also disclosed are staple prongs with multiple perforations which enable incorporation of bone fusion material thereby facilitating stapling/fusion of spinal elements. 1. (canceled)2. A spinous process fixation device comprising:a first elongate clamping structure extending from a first end to a second end and having a first spinous process engagement surface between the first end and the second end with a first set of bone fastener prongs extending from the first spinous process engagement surface proximate the first end and a second set of bone fastener prongs extending from the first spinous process engagement surface proximate the second end, wherein the first set of bone fastener prongs is separated from the second set of bone fastener prongs by a first portion of the first spinous process engagement surface that does not include bone fastener prongs;a second elongate clamping structure extending from a third end to a fourth end and having a second spinous process engagement surface between the third end and the fourth end with a third set of bone fastener prongs extending from the second spinous process engagement surface proximate the third end and a fourth set of bone fastener prongs extending from the second spinous process engagement surface proximate the fourth end, wherein the third set of bone fastener prongs is separated from the fourth set of bone ...

SYSTEMS, TOOLS, AND METHODS FOR CONNECTING TO TISSUE

Described are various embodiments of surgical procedure systems, devices, tools, and methods, useful for connecting tissue (e.g., soft tissue, organ tissue) to another tissue or to a surgical device such as an implant; specific methods can be useful for plastic surgery, treating pelvic conditions such as vaginal prolapse, incontinence, and other conditions caused by muscle and ligament weakness, and for general surgical procedures. 1. A soft tissue anchor comprisinga lead end comprising an aperture,a follow end, andan elongate flexible tie comprising a first tie end and a second tie end, the first tie end connected to the lead end and the second tie end connected to the follow end.2. A soft tissue anchor as recited at whereinthe tie has a tie length between the lead end and the follow end,the tie has a first tie cross-section at a location of first tie end connection to the lead end, andthe lead end has a lead end cross-sectional profile that is larger than the first tie cross-section.3. A soft tissue anchor as recited at whereinthe tie has a second tie cross-section at a location of second tie end connection to the follow end, andthe follow end has a follow end cross-sectional profile that is larger than the second tie cross-section.4. A soft tissue anchor as recited at wherein the tie has a length in a range from 0.1 to 1 inch.5. A soft tissue anchor as recited at wherein the aperture has a diameter in a range from about 0.005 inch to about 0.05 inch.6. A soft tissue anchor as recited at wherein the anchor comprises flexible plastic and the anchor does not become permanently deformed when passed through soft tissue.7. A soft tissue anchor as recited at the anchor can be placed through a laparoscopic cannula to be located at a supportive tissue or a supported tissue.8. A soft tissue anchor as recited at whereinthe lead end comprises an elongate leg having a length in a range from about 0.15 to about 0.75 inch,the follow end comprises an elongate leg having a length ...

METHOD FOR INTRA-ABDOMINALLY MOVING AN ORGAN

A surgical tissue connector system for moving a first internal body tissue to a position away from a second internal body tissue and then holding the first internal body tissue in the position. Tissue connectors are secured to cords such that the length of cord between the tissue connectors can be easily adjusted in a laparoscopic work space. 1. A method of retracting an organ within the abdomen of a patient with a cord which may be attached to a first body tissue at a first end , and a second body tissue at a second end , using a retractor system comprising:{'b': 516', '518, 'a first tissue connector (, );'}{'b': 502', '508', '510, 'a base () comprising a first end () secured to the first tissue connector, a second end (), and a bore extending within the base;'}{'b': '514', 'a rod () extending through the bore of the base;'}{'b': '542', 'a lock () slidably disposed within the bore of the base;'}{'b': 532', '534', '528', '530', '530', '510', '532', '510', '528', '534, 'a cord (, , , ) extending from the base secured to said first tissue connector, said cord characterized by a first portion () extending from the rod and out of the base at the second end (), a second portion () extending from the rod and out of the base at the second end (), and an intermediate portion () comprising a sliding knot () wrapped around and engaging the rod;'}{'b': '550', 'an actuator () connected to the lock, and operable to move the lock within the bore of the base;'}the method comprising the steps of:using a grasper to attach the first tissue connector to the first body tissue;{'b': '532', 'routing the cord second portion () proximate the organ;'}{'b': 550', '530', '510', '532', '510, 'with the actuator () in a first position, pulling the cord first portion () from the base second end (), thereby shortening the cord second portion () extending from the base second end (), to retract the organ;'}{'b': 550', '550', '550', '516', '518, 'using a grasper, grasping the actuator () and, while ...

Pre-sized prosthetic chordae implantation system

One aspect of the present disclosure includes a system comprising prosthetic chordae, at least one attachment member including a channel, a female securing member, and a papillary penetration member configured to pass through the channel, the chordae, and the securing member when implanted in a patient's heart. The penetration member includes an axis.

Surgical stapler with floating anvil

A surgical instrument can include an anvil and, in addition, a staple cartridge support configured to support a staple cartridge. In various embodiments, the jaw can be moved toward the staple cartridge to deform staples contained within the staple cartridge. The anvil can be configured to be translated and/or rotated as the anvil is moved toward the staple cartridge. In certain embodiments, the anvil can be configured to float and adjust such that the anvil is moved downwardly in a level manner.

DEVICES AND RELATED METHODS FOR SECURING A TISSUE FOLD

The present invention relates to devices and methods for creating and securing a tissue fold during an endoluminal medical procedure. The devices and methods may be used for folding and securing, for example, a fundus wall onto an esophagus wall. An aspect of the invention includes a two-piece tissue clip configured to be installed through an endoluminal device to secure a tissue fold. The clip includes a female member and a male member configured to engage one another to secure the tissue fold. Another aspect of the invention includes a clipping device comprising a tissue clip magazine. The magazine is configured to hold a plurality of tissue clips and install the plurality of tissue clips in a single actuation of the magazine. A method for using the clipping device together with the tissue clips of the present invention to create and secure a fold of tissue during an endoluminal procedure also is disclosed. 120-. (canceled)21. A method of securing tissue , comprising:delivering an instrument into a patient transorally, the instrument including an elongated tube and a distal member disposed on a distal end portion of the tube;suctioning a portion of tissue into an opening of the distal member to create a fold of tissue having a first exterior surface portion of tissue in contact with a second exterior surface portion of tissue; andmoving a fastener toward the elongated tube and through the tissue fold such that the fastener passes through the first and second exterior surface portions to fasten the tissue fold.22. The method of claim 21 , wherein moving a fastener further comprises:engaging a first portion of the fastener with a second portion of the fastener.23. The method of claim 21 , further comprising providing an endoscope within the elongated tube.24. The method of claim 21 , wherein the tissue fold includes a portion of the fundus.25. The method of claim 21 , further comprising:repositioning the instrument, wherein the tissue fold is a first tissue fold; ...

FASTENER APPLICATOR WITH INTERLOCK

The present disclosure relates to a fastener applicator including a handle, a first trigger coupled rotatably with respect to the handle, and a second trigger coupled rotatably with respect to the handle. An interlock is disposed with the second trigger and comprises a cam follower engaged in a cam channel that selectively prevents rotation of the second trigger relative to the first trigger depending on a location of the cam follower within the cam channel. The location of the cam follower in the cam channel is set by a position of the first trigger. Methods of operating the various embodiments disclosed are also provided. 111-. (canceled)12. A fastener applicator comprising:a handle;a first trigger coupled rotatably with respect to the handle;a second trigger coupled rotatably with respect to the handle; andan interlock disposed with the second trigger, the interlock comprising a cam follower engaged in a cam channel that selectively prevents rotation of the second trigger relative to the first trigger depending on a location of the cam follower within the cam channel, wherein the location of the cam follower in the cam channel is set by a position of the first trigger.13. The applicator of claim 12 , wherein the handle includes the cam channel and the second trigger includes the cam follower.14. The applicator of claim 12 , wherein the cam channel has a first leg that permits tandem movement of the second trigger with the first trigger during closing of the first trigger and a shoulder that prevents movement of the second trigger relative to the first trigger until the first trigger is closed.15. The applicator of claim 14 , wherein the cam channel has a second leg that permits tandem movement of the second trigger with the first trigger during re-opening of the first trigger after the second trigger has been closed relative to the first trigger.16. A fastener applicator comprising:a handle;a shaft extending distally from the handle;a jaw assembly at a distal end ...

SUTURE CLIP STAPLER FOR SOFT TISSUE CLOSURE

A suture clip is comprised of a length of suture material with a male clip on one side and a female clip on the other side. The male clip may contain ratchets that, when engaged with the female clip, hold it in place and allow the male clip to adjustably lit within the female clip or even through it to “tighten” the suture when the male and female clips are engaged. The suture clips are configured to be used in a suture clip applicator that contains paired and opposing needles configured to hold the male clip on one side and the female clip on the other side and to cause the engagement of male and female clips and form a continuous loop through the suture material to enable the closure of fascia or other body tissues. 12-. (canceled)3. A suture clip comprising:a length of suture having a proximal end and a distal end;a first connector coupled to the proximal end of the suture; anda second connector coupled to the distal end of the suture;wherein the first and second connectors being configured to be interconnected to form a continuous loop. The present invention relates to a device, apparatus and method for application of a combination of a suture and a clip for reconnecting body tissues, for example after surgical procedures or trauma. More specifically, a suture clip is comprised of a suture having a male connector on one end and a female connector on other end. Multiple suture clips may be loaded into a suture clip applicator that enables automatic application of the suture clips to body tissue by actuation of the device.The present invention provides a method of saving time and ease of use in closing a layer of body tissue, such as ligaments, fascia, flaps, grafts or even sternal wounds, that result from surgery or trauma. Although the invention may be used in many different contexts, use of the invention during body lifts and abdominoplasty will be described solely for illustration purposes.The fascia is the supportive tissue layers on top of the muscles of the ...

FIXATION DEVICES, SYSTEMS AND METHODS FOR ENGAGING TISSUE

The invention provides devices, systems and methods for tissue approximation and repair at treatment sites. The devices, systems and methods of the invention will find use in a variety of therapeutic procedures, including endovascular, minimally-invasive, and open surgical procedures, and can be used in various anatomical regions, including the abdomen, thorax, cardiovascular system, heart, intestinal tract, stomach, urinary tract, bladder, lung, and other organs, vessels, and tissues. The invention is particularly useful in those procedures requiring minimally-invasive or endovascular access to remote tissue locations, where the instruments utilized must negotiate long, narrow, and tortuous pathways to the treatment site. In addition, many of the devices and systems of the invention are adapted to be reversible and removable from the patient at any point without interference with or trauma to internal tissues. 1. A fixation device for engaging tissue comprising: a pair of fixation elements each having a first end , a free end opposite the first end , and an engagement surface therebetween for engaging the tissue , the first ends being movably coupled together such that the fixation elements are moveable between a closed position wherein the engagement surfaces face each other to an inverted position wherein the engagement surfaces face away from each other; and an actuation mechanism coupled to the fixation elements adapted to move the fixation elements between the closed position and the inverted position.2. A fixation device as in claim 1 , wherein the fixation elements are further moveable to an open position between the closed position and the inverted position.3. A fixation device as in claim 2 , wherein in the open position the engagement surface of one fixation element forms an angle of more than about 5.degree. and less than about 90.degree. with the engagement surface of the other fixation element.4. A fixation device as in wherein in the open position the ...

Apparatus and Methods for Clamping Tissue Layers and Occluding Hollow Vessels

Methods and apparatus for clamping tissue layers and occluding hollow anatomical structures are disclosed. 1. A tissue clamp comprising:an upper implant having a tubular body and a plurality of legs extending radially outward from the tubular body;a lower implant having a tubular body and a plurality of legs extending radially outward from the tubular body, the upper and lower implants being connectable to each other and being adapted to clamp tissue layers disposed between the legs of the upper and legs of the lower implants when the implants are connected, the tubular body having a first locking element;a locking pin adapted to extend through the tubular bodies of the upper and lower implants and through tissue layers disposed between the implants, the locking pin having a second locking element formed thereon, the first and second locking elements being configured to lock together;the upper portion of the locking pin having a portion engageable with the upper implant to secure the position of the implants together.2. A tissue clamp as defined in wherein the portion of the locking pin engageable with the upper implant comprises:the upper end of the locking pin having a head with a diameter greater than the diameter of the lumen of the upper tubular body.3. A tissue clamp as defined in further comprising:the lower end of the locking pin being sharp and adapted to pierce tissue.4. A tissue clamp as defined in further comprising a tissue protector attached to the lower end of the lower implant.5. A tissue clamp as defined in wherein claim 1 , when the legs of the upper and lower implants are locked together claim 1 , the legs of the upper implant are interdigitated with the legs of the lower implant.6. A tissue clamp as defined in wherein tissue disposed between the upper and lower implant is constrained by the interdigitated legs in a serpentine pattern that circumscribes the locking pin.7. A tissue clamp as defined in wherein the upper implant and locking pin ...

Grasping devices, systems, and methods for tissue approximation and apposition

A tissue-manipulating system including a tissue-manipulating device having a tissue grasper assembly with at least one grasper arm movably coupled to a shaft to move between a closed configuration and an open configuration. The at least one grasper arm may be pivotably coupled to the shaft, such as via a collar. A tissue-manipulating device controller is coupled to the tissue grasper assembly to move the at least one grasper arm between the closed and open configurations. The tissue grasper assembly is positionable to move a distal tissue wall closer to a proximal tissue wall. The tissue grasper assembly may be deployable (such as by separating from the shaft) to remain in place holding the distal tissue wall and proximal tissue wall in apposition.

Cervical Spinous Process Staple

Thoracic/lumbar and cervical spinous process staples which staple/fuse adjacent spinous processes are disclosed. Thoracic/lumbar transverse process staples which staple/fuse adjacent transverse processes are also disclosed. Each embodiment has upper and lower claws connected by a ratchet spring mechanism, along with a multiplicity of bone fastener prongs attached to the upper and lower claws. Two sets of prongs on each staple claw are spaced by a distance approximately equal to the distance separating adjacent spinous or transverse processes so as to facilitate stapling/fusion of two adjacent processes. Also disclosed are staple prongs with multiple perforations which enable incorporation of bone fusion material thereby facilitating stapling/fusion of spinal elements. 1. An interarticulating staple for clamping one of a thoracic/lumbar Spinous Process (SP) , a thoracic/lumbar Transverse Process (TP) , and cervical Spinous Process (SP) , the interarticulating staple comprising:a first claw;a second claw;a staple pin pivotally connecting the first claw and the second claw; anda ratchet mechanism that limits an opening force of the first claw with respect to the second claw.2. The staple according to claim 1 , wherein the ratchet mechanism comprises:a ratchet pin pivotably mounted to the first claw,wherein the second claw includes a plurality of ratchet teeth, andwherein the ratchet pin includes a flexure spring engaging the plurality of ratchet teeth.3. The staple according to claim 1 , wherein the ratchet mechanism comprises:a ratchet pin pivotably mounted to the second claw,wherein the first claw includes a plurality of ratchet teeth, andwherein the ratchet pin includes a flexure spring engaging the plurality of ratchet teeth.4. The staple according to claim 1 , wherein the first claw includes a clamping surface and the second claw includes a clamping surface.5. The staple according to claim 1 , wherein the first claw includes a clamping surface having a plurality ...

METHODS AND DEVICES FOR FOLDING AND SECURING TISSUE

The present invention relates to devices, and methods for using the devices, to create and secure a tissue fold during an endoluminal medical procedure. The devices and methods may be used for folding and securing, for example, a fundus wall onto an esophagus), all or esophageal tissue in the region of the lower esophageal sphincter (LES) to reduce the diameter of the esophagus opening in that region. One aspect of the invention includes forming the tissue fold by closing a grasping arm that is pivotably connected to an overtube that has been positioned at the juncture of the fundus wall and esophagus wall. A further aspect of the invention includes tissue clips configured to be inserted and positioned through an endoluminal device. 1119-. (canceled)120. A method of securing tissue comprising:inserting an endoscope, a tube, and an arm through an esophagus, the tube disposed radially outward and around the endoscope, and the arm movably mounted to the tube;engaging tissue between the arm and a portion of the tube;inserting a tissue fastener through a lumen of the tube and an opening in the tube;rotating the arm toward the tube; andsecuring the tissue with the tissue fastener, a first end of the tissue fastener engaging a first outer surface of the tissue and having a free end positioned on a first side of the tissue, and a second end of the tissue fastener engaging a second outer surface of the tissue and having a free end positioned on a second side of the tissue opposite the first side of the tissue.121. The method of claim 120 , further comprising:prior to engaging tissue between the arm and the portion of the tube, pulling the tissue between the arm and the portion of the tube.122. The method of claim 120 , wherein claim 120 , prior to securing the tissue claim 120 , the tissue fastener is at least partially disposed in the tube.123. The method of claim 120 , wherein the tissue fastener is one of a suture claim 120 , clip claim 120 , or staple.124. The method of ...

Fixation devices, systems and methods for engaging tissue

System for fixation of leaflets of a heart valve including a delivery catheter having an elongated shaft, a proximal end portion and a distal end portion configured to be positioned proximate native leaflets of a heart valve from a remote vascular access point, the delivery catheter further includes a rotatable actuator rod having a threaded fastener at a distal end thereof, and a fixation device releasably coupled by a threaded connection to the threaded fastener of the actuator rod. The fixation device includes a first arm moveable between a closed position and an open position, a second arm moveable between a closed position and an open position. The fixation device further includes a first gripping element movable relative to the first arm in the open position, the first gripping element biased toward the first arm to capture a first leaflet of the heart valve therebetween, and a second gripping element movable relative to the second arm in the open position, the second gripping element biased toward the second arm to capture a second leaflet of the heart valve therebetween. The first gripping element and the second gripping element each includes a plurality of barbs extending therefrom, the plurality of barbs of each of the first gripping element and the second gripping element being aligned transversely in at least one row. The fixation device further includes a covering disposed on each of the first gripping element and the second gripping element, wherein the plurality of barbs of the first gripping element and the second gripping element, respectively, protrude through the covering.

MEDICAL IMPLANT WITH A FIXING DEVICE

Embodiments include a medical implant for insertion into the human and/or animal body. The medical implant includes a helical fixing device to fix the implant at a site of implantation, wherein the helical fixing device is one or more of coupled to a locking device on the fixing device and coupled to an implant surface. One or more of the locking device and the implant surface impedes an autonomous detachment of the fixing device. 1. A medical implant configured to be inserted into the human and/or animal body , comprising:a helical fixing device that fixes the medical implant at a site of implantation;a locking device that impedes an autonomous detachment of the helical fixing device from the site of implantation; and,an implant surface;wherein the locking device is one or more of coupled to the helical fixing device and coupled to the implant surface.2. The medical implant as claimed in claim 1 , wherein the locking device comprises one or more barbs on the helical fixing device.3. The medical implant as claimed in claim 1 , wherein the locking device comprises one or more barbs on the implant surface.4. The medical implant as claimed in claim 1 , further comprising at least one barb covered temporarily by a resorbable coating claim 1 , wherein the resorbable coating exposes the at least one barb to fix the medical implant at the site of implantation.5. The medical implant as claimed in claim 4 , wherein the at least one barb comprises a spring force claim 4 , wherein the resorbable coating fixes the at least one barb on one or more of the helical fixing device and the implant surface against the spring force of said at least one barb.6. The medical implant as claimed in claim 1 , wherein one or more of the helical fixing device and the implant surface comprise one or more undercuts claim 1 , wherein the one or more undercuts delimit one or more cavities claim 1 , wherein the one or more cavities are temporarily filled with a resorbable material.7. The medical ...

Tissue fastening system and method

A fastening system includes first and second fastening members and a penetrating member. The first fastening member includes a backspan and a set of lobes that extend from the backspan. The second fastening member includes a backspan and a set of lobes that extend from the backspan. The penetrating member includes a first body which is substantially planar, a set of teeth, and a first trailing wall that extends from the first body orthogonal to a plane that is defined by the first body. The set of teeth extend from a leading edge of the first body which is opposite a trailing edge of the first body and are configured to pierce and spread tissue over the set of lobes of the first fastening member. The first trailing wall is configured to support the backspan of the first fastening member.

LAYER OF MATERIAL FOR A SURGICAL END EFFECTOR

In various embodiments, a layer of material can comprise a body, a proximal end portion, and a distal end portion. The proximal end portion can be releasably secured to a staple cartridge of a surgical end effector, and the distal end portion can be releasably secured to an anvil of the surgical end effector. The layer of material can comprise a tissue thickness compensator. 1. A surgical end effector , comprising:a staple cartridge comprising a staple;an anvil moveable relative to said staple cartridge, wherein said anvil comprises a staple forming surface; and a proximal end portion, wherein said proximal end portion is releasably secured to said staple cartridge; and', 'a distal end portion, wherein said distal end portion is releasably secured to said anvil., 'a layer of material comprising2. The surgical end effector of claim 1 , wherein said layer of material comprises a tissue thickness compensator.3. The surgical end effector of claim 1 , wherein said staple cartridge further comprises a first tissue contacting surface claim 1 , and wherein said layer of material further comprises a second tissue contacting surface.4. The surgical end effector of claim 1 , wherein said staple cartridge further comprises a proximal end and a slot extending from said proximal end claim 1 , and wherein said proximal end portion of said layer of material is releasably received in said slot.5. The surgical end effector of claim 4 , further comprising a firing element configured to move along at least a portion of said slot claim 4 , wherein said firing element is configured to deform said proximal end portion.6. The surgical end effector of claim 1 , wherein said anvil further comprises a distal end and a slot extending from said distal end claim 1 , and wherein said distal end portion of said layer of material is releasably received in said slot.7. The surgical end effector of claim 1 , wherein said proximal end portion further comprises a first deformable clip claim 1 , and ...

SURGICAL END EFFECTOR HAVING BUTTRESS RETENTION FEATURES

A piece of buttress material and an end-effector of a surgical instrument including features which can aid a surgeon in properly and quickly attaching the piece of buttress material to the end-effector. In various embodiments, a piece of buttress material can include retention features which can be engaged with portions of an end-effector to releasably retain the piece of buttress material to at least a portion of the end-effector. Similarly, an end-effector can include features configured to engage portions of a piece of buttress material to releasably retain the piece of buttress material to the end-effector. In at least one embodiment, more than one piece of buttress material can be releasably retained to an end-effector. 1. An end-effector assembly for use with a surgical stapler , the end-effector assembly comprising:a staple cartridge including a deck;an anvil including a face, wherein one of said deck and said face includes an aperture defined therein;a piece of buttress material including an opening, wherein said piece of buttress material is configured to be positioned intermediate said staple cartridge and said anvil such that said opening is substantially aligned with said aperture; anda connection member configured to be positioned within said opening and said aperture to releasably retain said piece of buttress material to one of said staple cartridge and said anvil.2. The end-effector assembly of claim 1 , further comprising a plurality of connection members claim 1 , wherein a plurality of apertures are defined in said one of said deck and said face claim 1 , and wherein said piece of buttress material includes a plurality of openings which are configured to be substantially aligned with said plurality of apertures such that said plurality of connection members can be inserted into said plurality of apertures and said plurality of openings to releasably retain said piece of buttress material to one of said staple cartridge and said anvil.3. The end- ...

ADHESIVE FILM LAMINATE

A surgical stapler, or fastening instrument, may generally comprise a layer, such as a tissue thickness compensator, for example, releasably attached to a fastener cartridge and/or anvil by a flowable attachment portion. The flowable attachment portion may be indefinitely flowable. The flowable attachment portion may be flowable from the time that layer is installed to the fastener cartridge to the time in which the layer is implanted to patient tissue. The flowable attachment portion may comprise a pressure sensitive adhesive. The flowable attachment portion may comprise an adhesive laminate comprising a base layer comprising the tissue thickness compensator and an adhesive layer on at least a portion of a surface of the base layer comprising the pressure sensitive adhesive. Articles of manufacture comprising flowable attachment portion and methods of making and using the flowable attachment portion are also described. 1. A surgical stapler , comprising: a cartridge body comprising a plurality of staple cavities; and', 'a plurality of staples positioned within said staple cavities;, 'a staple cartridge, comprisingan anvil configured for a facing relationship with said cartridge body, said anvil comprising at least one staple forming pocket; anda tissue thickness compensator releasably attached to at least one of said cartridge body and said anvil by an indefinitely flowable attachment portion.2. The surgical stapler of claim 1 , wherein the flowable attachment portion is flowable at body temperature (37° C.) and/or room temperature (25° C.).3. The surgical stapler of claim 1 , wherein the flowable attachment portion comprises a flowable polymeric composition that is solid up to 55° C.4. The surgical stapler of claim 1 , wherein the flowable attachment portion comprises a flowable polymeric composition having an inherent viscosity from 0.6 to 4.0 dL/g in a 0.1 g/dL hexafluoroisopropanol solution at 25° C.5. The surgical stapler of claim 1 , wherein the flowable ...

Adjunct Material to Provide Drug Elution from Vessels

Adjunct material is provided that has multiple reservoirs formed therein and releasably carrying a plurality of vessels that each retain at least one medicant. An implantable adjunct has at least one bioabsorbable polymer configured to maintain the vessels within a reservoir. Disruption of the at least one bioabsorbable polymer allows release of the vessels from at least one of the reservoirs. A rate of the vessels' release can be controlled by a degradation rate of the at least one bioabsorbable polymer. The released vessels are, in turn, disrupted to thereby cause at least one medicant disposed therein to release and thus provide a desired effect on tissue in-growth.

POLYMER OVERMOLDED BARIATRIC CLAMP AND METHOD OF INSTALLING

A bariatric clamp may include substrate members overmolded in polymer forming first and second elongated portions, a bight portion having a flexible hinge, a fastener portion, and an engagement portion for retaining the clamp in a closed position to partition the stomach. A method for installing may include creating an opening in a patient's abdominal cavity to access the stomach, removing tissue connected to the stomach adjacent areas the clamp is to be positioned, positioning the clamp in an open position wherein first ends of the first and second elongated portions are open relative to one another, inserting the clamp into the abdominal cavity in the open position and the first and second elongated portions of the clamp separately pass through the opening in the abdominal cavity, positioning the first and second elongated portions adjacent first and second sides of the stomach, and closing the clamp to partition the stomach. 1. A bariatric clamp comprising: wherein at least a portion of the first elongated portion extends along a first longitudinal axis extending from the distal end to the proximal end when viewed from a first direction,', 'wherein the first longitudinal axis of the first elongated portion lies in a first x-y plane of an x-y-z coordinate system, the proximal end being an outermost first end in a positive-x direction and the distal end being an outermost first end in a negative-x direction;, 'a first elongated portion having a distal end and a proximal end,'} wherein at least a portion of the second elongated portion extends along a second longitudinal axis extending from the distal end to the proximal end when viewed from the first direction,', 'wherein the second elongated portion is positionable so that the second longitudinal axis of the second elongated portion is in a second x-y plane of the x-y-z coordinate system, the proximal end being an outermost second end in the positive-x direction and the distal end being an outermost second end in ...

Urethral anastomosis device and method

Provided herein is an anastomosis assembly for connecting a first tissue portion to a second tissue portion. The anastomosis assembly includes a first anastomosis portion having first tissue engaging structures for deployment, by actuation of a deployment mechanism of a deployment device, to attach to the first tissue portion, and a second anastomosis portion having second tissue engaging structures for deployment, by actuation of a deployment mechanism of a deployment device, to attach to the second tissue portion. During delivery of the anastomosis assembly, the first and second tissue engaging structures are contained within an inner diameter of the first and second anastomosis portions.

Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone

Devices, systems and/or methods for repairing soft tissue adjacent a repair site. In one embodiment, a repair device is delivered with a delivery device system configured to move a cartridge with the repair device disposed therein toward an anvil with soft tissue positioned thereon. The delivery device linearly moves the cartridge toward the anvil with a worm drive positioned within a housing by rotating a thumb wheel disposed around the worm drive. Such linear movement is provided with a finger element extending from the worm drive that is configured to cooperate with an internal surface of the thumb wheel. With this arrangement, upon rotating the thumb wheel, the worm drive rotates with the finger element engaged with the internal surface of the thumb wheel to linearly move the cartridge toward the anvil.

FASTENERS AND FASTENER DELIVERY DEVICES FOR AFFIXING SHEET-LIKE MATERIALS TO BONE OR TISSUE

A fastener for attaching a sheet-like implant to tissue or bone. The fastener includes a first arm having a proximal end and a distal end, a second arm having a proximal end and a distal end, and a bridge extending therebetween. Each of the first and second arms include a trunk portion defining at least a portion thereof, the trunk portion having a cavity therein and an aperture through a wall thereof. A claw is disposed in the cavity which is moveable from a first delivery position to a second deployed position. A pull member engages each claw to move the claw from the delivery position to the deployed position. 1. A method for affixing an implant to tissue comprising:positioning the implant proximate the tissue;penetrating both the implant and the tissue with a multicomponent fastener, the multicomponent fastener comprising:a first elongated trunk portion;a second elongated trunk portion;a bridge portion connecting the first elongated trunk portion and the second elongated trunk portion in a monolithic structure,wherein the first elongated trunk portion and the second elongated trunk portion are spaced apart and extend in a distal direction from the bridge portion,wherein the first elongated trunk portion and the second elongated trunk portion each define an axial lumen surrounded by a wall, each wall including a lateral aperture completely through the wall;a first elongated retention member disposed within the axial lumen of the first elongated trunk portion, the first elongated retention member having a proximal tip and a distal tail;a second elongated retention member disposed within the axial lumen of the second elongated trunk portion, the second elongated retention member having a proximal tip and a distal tail;moving each of the first elongated retention member and the second elongated retention member from a retracted position in which the proximal tip is positioned within the lateral aperture to an extended position in which a portion of the distal tail ...

DEVICES AND METHODS FOR CLOSING A LEFT ATRIAL APPENDAGE

Using a delivery system, a disk is introduced into a left atrium (LA) of a heart of a subject. The left atrial appendage (LAA) is everted into the LA by, the from within the LAA, grasping tissue of the LAA, and pulling the LAA through an ostium of the LAA and into the LA. Within the LA, the disk is expanded, and the perimeter of the everted LAA is sandwiched between a periphery of the disk and the wall around the ostium such that the everted LAA covers the ostium. The everted LAA is secured covering the ostium by anchoring the periphery of the disk around the perimeter of the everted LAA. Other embodiments are also described. 1. A method for use at a left atrial appendage (LAA) of a heart of a subject , the heart having a left atrium (LA) having a wall that defines an ostium that provides fluid communication between the LA and the LAA , the method comprising:using a delivery system, transluminally introducing a disk into the LA;everting the LAA into the LA by, the from within the LAA, grasping tissue of the LAA, and pulling the LAA through the ostium and into the LA; and flattening the everted LAA such that the flattened everted LAA defines a perimeter that circumscribes the ostium;', 'expanding the disk;', 'sandwiching the perimeter of the flattened everted LAA between a periphery of the disk and the wall around the ostium such that the flattened everted LAA covers the ostium; and', 'securing the flattened everted LAA covering the ostium by anchoring the periphery of the disk around the perimeter of the flattened everted LAA., 'within the LA2. The method according to claim 1 , wherein expanding the disk comprises laterally expanding the everted LAA by expanding the disk.3. The method according to claim 1 , wherein the delivery system includes a sheath claim 1 , and wherein expanding the disk comprises retracting the sheath claim 1 , allowing the disk to expand.4. The method according to claim 1 , wherein anchoring the periphery of the disk around the perimeter of ...

ADHESIVE FILM LAMINATE

A surgical stapler, or fastening instrument, may generally comprise a layer, such as a tissue thickness compensator, for example, releasably attached to a fastener cartridge and/or anvil by a flowable attachment portion. The flowable attachment portion may be indefinitely flowable. The flowable attachment portion may be flowable from the time that layer is installed to the fastener cartridge to the time in which the layer is implanted to patient tissue. The flowable attachment portion may comprise a pressure sensitive adhesive. The flowable attachment portion may comprise an adhesive laminate comprising a base layer comprising the tissue thickness compensator and an adhesive layer on at least a portion of a surface of the base layer comprising the pressure sensitive adhesive. Articles of manufacture comprising flowable attachment portion and methods of making and using the flowable attachment portion are also described. 1. A surgical stapler , comprising: a cartridge body comprising a plurality of staple cavities; and', 'a plurality of staples positioned within said staple cavities;, 'a staple cartridge, comprisingan anvil configured for a facing relationship with said cartridge body, said anvil comprising at least one staple forming pocket; anda tissue thickness compensator releasably attached to at least one of said cartridge body and said anvil by an indefinitely flowable attachment portion.2. The surgical stapler of claim 1 , wherein the flowable attachment portion is flowable at body temperature (37° C.) and/or room temperature (25° C.).3. The surgical stapler of claim 1 , wherein the flowable attachment portion comprises a flowable polymeric composition that is solid up to 55° C.4. The surgical stapler of claim 1 , wherein the flowable attachment portion comprises a flowable polymeric composition having an inherent viscosity from 0.6 to 4.0 dL/g in a 0.1 g/dL hexafluoroisopropanol solution at 25° C.5. The surgical stapler of claim 1 , wherein the flowable ...

ANVIL LAYER ATTACHED TO A PROXIMAL END OF AN END EFFECTOR

An anvil-attachable layer for use with a surgical stapler, or fastening instrument, wherein a proximal end portion of the layer is attached to a staple cartridge assembly, for example. The layer may be attached to the staple cartridge assembly by an adhesive, weld, or a staple-cartridge-based clamp, wherein the attachment is weak enough to allow the layer to pull away from the staple cartridge assembly with stapled tissue. Alternatively, the layer can include two or more lateral slits that define a connector region that can be cut by a knife of a surgical stapler to release the layer. 1. A staple cartridge for use with an end effector of a surgical stapler , wherein the end effector includes a staple cartridge channel configured to receive said staple cartridge , an anvil arranged relative to the staple cartridge channel , and a cutting blade that is movable along a longitudinal axis from a proximal end of the end effector toward a distal end of the end effector , wherein at least one of the staple cartridge channel and the anvil is moveable relative to the other , and wherein the anvil includes a staple forming surface facing the staple cartridge channel , said staple cartridge comprising:a cartridge body comprising a plurality of staple cavities;a plurality of staples positioned within said staple cavities, wherein said cartridge body defines a proximal end portion;a layer configured to be arranged relative to a surface of the anvil of the end effector, said layer comprising a proximal end portion; andattachment means for attaching said proximal end portion of said first layer to said staple cartridge.2. The staple cartridge of claim 1 , wherein said layer is a first layer claim 1 , wherein said cartridge body further comprises a staple deck claim 1 , wherein said staple cartridge further comprises a second layer arranged relative to said staple deck claim 1 , and wherein said staple deck is configured to face the anvil when said staple cartridge is installed in ...

TISSUE THICKNESS COMPENSATOR COMPRISING TISSUE INGROWTH FEATURES

In various embodiments, a compensator can be attachable to an anvil of a fastening instrument. The compensator can comprise a support layer configured to be attached to the anvil and a scaffold attached to the support layer. In at least one embodiment, the scaffold can comprise a plurality of scaffold layers comprised of a biocompatible material and a plurality of cavities, wherein the layers and the cavities can define a matrix favorable to tissue and cellular ingrowth. 117-. (canceled)18. A staple cartridge for stapling the tissue of a patient , comprising:a cartridge body, wherein staple cavities are defined in said cartridge body;staples removably positioned in said staple cavities; and a first thickness extending in a first direction;', 'a second thickness extending in a second direction, wherein said second direction is different than said first direction; and', 'cavities defined in said biocompatible tissue thickness compensator, wherein said cavities extend entirely through said first thickness and extend partially through said second thickness., 'a biocompatible tissue thickness compensator releasably secured relative to said cartridge body, wherein said biocompatible tissue thickness compensator comprises19. The staple cartridge of claim 18 , wherein said cavities are oriented in linear pathways.20. The staple cartridge of claim 18 , wherein said cavities comprise an array of capillary channels on a tissue-facing side of said biocompatible tissue thickness compensator.21. The staple cartridge of claim 20 , wherein said capillary channels aid in fluid transport.22. The staple cartridge of claim 20 , wherein the capillary channels aid in tissue in-growth.23. The staple cartridge of claim 18 , wherein said biocompatible tissue thickness compensator further comprises a longitudinal channel configured to store a medicament therein.24. The staple cartridge of claim 20 , wherein said capillary channels are arranged in various directions.25. A staple cartridge for ...

Implantable flow connector

A system for coupling a first space within a body of a patient with a second space within the body of the patient including a flow connector insertable into the first and second spaces within the body and having a conduit having a wall forming a lumen therein and first and second orifices. A first retention member is engageable with a first portion of the first space within the body and has a first opening, and the flow connector is positioned within the first opening. A second retention member is engageable with the second space within the body, the second retention member has a second opening and the flow connector is positioned within the second opening. The second retention member interlocks with the first retention member.

ABDOMINAL CLOSURE METHOD AND DEVICE VARIATIONS FOR CLOSING VENTRAL HERNIAS AND REDUCING RECURRENCE

A combined magnetic and bioabsorbable device for ventral hernia closure and/or tension distribution for maintenance of tissue apposition for healing, while avoiding a long-term footprint of foreign material and precluding materials spanning the interior layer of the abdominal closure where risk to visceral structures exists. 1. A tissue anchoring assembly , comprising:a first platform having one or more prongs extending from a first surface configured for contact against a first tissue region; anda second platform having one or more tines extending from a second surface configured for contact against a second tissue region and further having one or more securement members aligned within a plane of the second platform,wherein the second platform defines one or more openings for receiving the one or more prongs such that the second platform is slidably translated along a length of the one or more prongs while maintaining an orientation of the one or more securement members relative to the first platform.2. The assembly of further comprising a third platform positionable along the one or more prongs to secure a position of the second platform to the one or more prongs.3. The assembly of wherein the first platform further comprises one or more additional tines each having a length which is less than a length of the one or more prongs.4. The assembly of wherein the one or more prongs are deformable for securement to the one or more openings on the second member.5. The assembly of wherein the one or more openings on the second member are deformable for securement to the one or more prongs of the first member.6. The assembly of wherein the one or more openings on the third platform are deformable for securement to the one or more prongs of the first platform.7. The assembly of further comprising one or more engagement members configured to engage with features on the one or more prongs for securing a position of the second platform relative to the first platform.8. The ...

Surgical stapling instrument having a releasable buttress material

An end effector includes an anvil and a staple cartridge. The staple cartridge includes a first deck surface, a second deck surface, a plurality of first staple cavities arranged in a first row extending along the first deck surface, a plurality of second staple cavities arranged in a second row extending along the second deck surface, a plurality of third staple cavities arranged in a third row, a driven element, and a plurality of staples engaged with the driven element and simultaneously deployed into the tissue. The plurality of staples include a first staple removably stored in the first row, a second staple removably stored in the second row, and a third staple removably stored in the third row, the third staple at least partially distal to the second staple and the second staple at least partially distal to the first staple.

Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone

Devices, systems and/or methods for repairing soft tissue adjacent a repair site. In one embodiment, a repair device includes a plate member and an anchor. The plate member having a periphery, the plate member configured to be positioned along an outer surface of the soft tissue. The anchor includes a base and six legs extending from the base, the six legs extending from the base being moveable to a curled configuration such that the six legs wrap around separate portions of the periphery of the plate member with the soft tissue therebetween. In this manner, the repair device may be anchored to the soft tissue.

ACTUATOR FOR RELEASING A TISSUE THICKNESS COMPENSATOR FROM A FASTENER CARTRIDGE

A fastener cartridge assembly for use with a surgical end effector. The fastener cartridge assembly can comprise a cartridge body having fastener cavities, fasteners removably positioned in the fastener cavities, a layer of material releasably secured relative to the cartridge body, a connector configured to secure the layer of material to the cartridge body at a location distal to at least one fastener cavity, and an actuator. The layer of material can be a tissue thickness compensator. When actuated, the actuator can overcome the connector, and can overcome the connector prior to the removal of the fasteners from the fastener cavities. The actuator can be actuated at a location proximal to at least one fastener cavity, and can extend distally past at least one fastener cavity toward the connector. 1. A fastener cartridge assembly , comprising:a cartridge body comprising a plurality of fastener cavities;a plurality of fasteners, wherein each said fastener is removably positioned in a said fastener cavity;a tissue thickness compensator releasably secured relative to said cartridge body;a connector, wherein said connector secures said tissue thickness compensator to said cartridge body at a location, and wherein the location is distal to at least one said fastener cavity; andan actuator configured to overcome said connector when actuated, wherein said actuator overcomes said connector prior to the removal of said fasteners from said fastener cavities.2. The fastener cartridge assembly of claim 1 , wherein said tissue thickness compensator is released from said cartridge body when said actuator overcomes said connector.3. The fastener cartridge assembly of claim 1 , wherein said actuator shifts distally to cut said connector when actuated.4. The fastener cartridge assembly of claim 1 , wherein said actuator comprises a slot extending from a proximal end of said actuator claim 1 , and wherein said slot comprises a release stop.5. The fastener cartridge assembly of ...

Method and apparatus for treating varicose veins

Apparatus for occluding a blood vessel, the apparatus comprising: an occluder, the occluder being configured so that at least a portion of the occluder may assume (i) a diametrically-reduced configuration for disposition within the lumen of a tube, and (ii) a diametrically-expanded configuration for disposition adjacent to the blood vessel, such that when said at least a portion of the occluder is in its diametrically-expanded configuration adjacent to the blood vessel, the occluder will cause occlusion of the blood vessel.

STAPLE CARTRIDGE COMPRISING A RELEASABLE PORTION

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. 1. A staple cartridge for use with a surgical stapler , said staple cartridge comprising: a support portion;', 'a plurality of staple cavities defined within said support portion, wherein each said staple cavity comprises an opening in said support portion;', 'a plurality of guide cleats extending from said support portion, wherein each said guide cleat comprises at least one guide groove; and', 'an implantable compressible portion positioned adjacent to said support portion, wherein said guide cleats are at least partially embedded in said compressible portion; and, 'a cartridge body, comprisinga plurality of staples, wherein at least a portion of each said staple is removably stored within a said staple cavity, wherein each said staple is movable between an unfired position and a fired position, wherein each said staple is deformable between an unfired configuration and a fired configuration when each said staple is moved between said unfired position and said fired position, wherein each said staple comprises at least one deformable leg removably positioned in a said guide groove when said staple is in said unfired position, and wherein said compressible portion is configured to be captured within said staples and ...

BARIATRIC DEVICE AND METHOD

A bariatric device includes an esophageal member having an esophageal surface that is configured to generally conform to the shape and size of a portion of the esophagus and an anchoring technique anchoring the esophageal member to the portion of the esophagus. The bariatric device includes a cardiac member having a cardiac surface that is configured to generally conform to the shape and size of a portion of the cardiac portion of the stomach and a connector connected with the esophageal member and the cardiac member to cause strain to be applied by the cardiac member to the cardiac portion of the stomach. The strain applied by the cardiac member to the cardiac portion of the stomach causes satiety in the absence of food. The connector is adapted to pass through the gastroesophageal junction while leaving a continuous portion of the gastroesophageal junction substantially unrestrained. 1. A method of deploying a bariatric device in a recipient having an esophagus and a stomach , the bariatric device having an esophageal member that is configured to generally conform to the shape and size of a portion of the esophagus , a cardiac member that is configured to generally conform to the shape and size of a cardiac portion of the stomach , and a connector connected with the esophageal member and the cardiac member , said method comprising:guiding a distal end portion of a deployment device to the stomach, wherein at least a portion of the bariatric device is disposed at the distal end portion;at least partially deploying the bariatric device including the cardiac member from the deployment device in the stomach;positioning the cardiac member of the bariatric device against the cardiac portion of the stomach; andfurther deploying the bariatric device from the deployment device in the esophagus.2. The method as claimed in claim 1 , including guiding the deployment device transorally into the stomach via a guide wire.3. The method as claimed in claim 1 , wherein the ...

RETAINER ASSEMBLY INCLUDING A TISSUE THICKNESS COMPENSATOR

A retainer for assembling tissue thickness compensators to a surgical stapler can comprise a grip, a first surface for supporting a first tissue thickness compensator, a second surface for supporting a second tissue thickness compensator, and clips for aligning and attaching the retainer to the surgical stapler. The clips may align and attach the retainer to a staple cartridge of the surgical instrument. The clips may align the retainer with an anvil of the surgical instrument. An insertion tool may be used in combination with the retainer to insert the retainer into the surgical stapler and to push the tissue thickness compensators against the anvil and/or the staple cartridge of the surgical instrument. 1. A staple cartridge assembly for a surgical stapler , wherein the surgical stapler includes an anvil configured for a facing relationship with said staple cartridge assembly , said staple cartridge assembly comprising:a cartridge body comprising a plurality of staple cavities;a plurality of staples positioned within said staple cavities;a first tissue thickness compensator;a retainer coupled to said cartridge body, wherein said first tissue thickness compensator is positioned intermediate said cartridge body and said retainer; anda second tissue thickness compensator attached to at least one of said retainer and said first tissue thickness compensator, wherein said second tissue thickness compensator comprises an anvil attachment portion, wherein said retainer is positioned intermediate said first tissue thickness compensator and said second tissue thickness compensator, wherein said retainer is configured to be removed from between said first tissue thickness compensator and said tissue thickness compensators, and wherein said first and second tissue thickness compensators are configured to be captured within said staples and assume different compressed heights within different staples.2. The staple cartridge assembly of claim 1 , wherein said second tissue ...

TISSUE THICKNESS COMPENSATOR COMPRISING AT LEAST ONE MEDICAMENT

In various embodiments, a tissue thickness compensator can comprise one or more capsules and/or pockets comprising at least one medicament therein. In at least one embodiment, staples can be fired through the tissue thickness compensator to rupture the capsules. In certain embodiments, a firing member, or knife, can be advanced through the tissue thickness compensator to rupture the capsules. 1. A medicament delivery system attachable to an anvil of a fastening instrument , wherein the anvil includes a forming surface , and wherein said medicament delivery system comprises:a releasing material comprising a cavity, wherein said cavity is configured to be aligned with the forming surface of the anvil;a medicament positioned within said cavity; andan attachment portion configured to be attached to the anvil.2. The medicament delivery system of claim 1 , wherein said cavity is defined by a sidewall claim 1 , wherein said releasing material comprises a first layer and a second layer claim 1 , and wherein portions of said first layer are connected to said second layer to define said sidewall.3. The medicament delivery system of claim 1 , wherein said forming surface comprises a forming pocket configured to deform a fastener claim 1 , and wherein said releasing material is positioned within said forming pocket.4. The medicament delivery system of claim 1 , wherein said medicament can comprise non-woven oxidized regenerated cellulose.5. The medicament delivery system of claim 1 , wherein said cavity comprises a first cavity claim 1 , and wherein said medicament delivery system further comprises a second cavity and a medicament positioned within said second cavity.6. The medicament delivery system of claim 5 , wherein the forming surface of the anvil comprises a first row of forming pockets configured to deform fasteners and a second row of forming pockets configured to deform fasteners claim 5 , wherein said first cavity is aligned with said first row of forming pockets ...

SURGICAL STAPLING INSTRUMENT HAVING A RELEASABLE BUTTRESS MATERIAL

A surgical stapler including an anvil, a staple cartridge, and a buttress material removably retained to the anvil and/or staple cartridge. In various embodiments, the staple cartridge can include at least one staple removably stored therein which can, when deployed, or fired, therefrom, contact the buttress material and remove the buttress material from the anvil and/or staple cartridge. In at least one embodiment, the anvil can include at least one lip and/or groove configured to removably retain the buttress material to the anvil until deformable members extending from the surgical staple are bent by the anvil and are directed toward and contact the buttress material. 1. A surgical stapler , comprising:an anvil including a first lip; anda buttress material, wherein said buttress material is releasably retained to said anvil by said first lip.2. The surgical stapler of claim 1 , further comprising a staple cartridge and a surgical staple removably stored within said staple cartridge claim 1 , wherein said surgical staple includes a deformable member.3. The surgical stapler of claim 2 , wherein said anvil further comprises at least one pocket claim 2 , wherein said anvil pocket is configured to deform said deformable member claim 2 , and wherein said buttress material is located between said staple cartridge and said anvil pocket.4. The surgical stapler of claim 2 , wherein said deformable member is configured to extend through said buttress material in a first direction claim 2 , and wherein said deformable member is configured to engage said buttress member in a second direction after being deformed by said anvil.5. The surgical stapler of claim 4 , wherein said deformable member is configured to release said buttress material from said anvil when said deformable member engages said buttress material in said second direction.6. The surgical stapler of claim 4 , wherein said buttress material includes an aperture configured to receive said deformable member and ...

TISSUE THICKNESS COMPENSATOR COMPRISING CAPSULES DEFINING A LOW PRESSURE ENVIRONMENT

A tissue thickness compensator can comprise a compensator body and at least one vessel contained in the compensator body. The vessel can define an inner cavity which can comprise an inner atmosphere having a pressure which is lower than the atmospheric pressure of the atmosphere surrounding the tissue thickness compensator. In at least one embodiment, the vessel and the compensator body can be maintained in a collapsed state until staples are fired through the vessel. At such point, the vessel can re-expand and apply a biasing force to tissue captured within the staples. 119-. (canceled)20. A staple cartridge , comprising:a cartridge body, wherein a plurality of staple cavities are defined in said cartridge body;a plurality of staples removably positioned in said staple cavities; and a first zone comprising a tissue-supporting surface;', 'a second zone comprising a cartridge body contacting surface; and', 'an intermediate zone positioned intermediate said first zone and said second zone,, 'an absorbable tissue thickness compensator releasably secured to said cartridge body, wherein said absorbable tissue thickness compensator compriseswherein said first zone comprises a first spring rate, wherein said second zone comprises a second spring rate greater than said first spring rate, and wherein said intermediate zone comprises a third spring rate less than said first spring rate.21. A staple cartridge , comprising:a cartridge body, wherein a plurality of staple cavities are defined in said cartridge body;a plurality of staples removably positioned in said staple cavities; and a first zone comprising a tissue-supporting surface, wherein said first zone comprises a first compressibility;', 'a second zone comprising a cartridge body contacting surface, wherein said second zone comprises a second compressibility that is less than said first compressibility; and', 'an intermediate zone positioned between said first zone and said second zone, wherein said intermediate zone ...

STAPLE CARTRIDGE COMPRISING A RELEASABLE PORTION

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. 1. A staple cartridge for use with a surgical stapler , said staple cartridge comprising: a support portion;', 'a plurality of staple cavities defined within said support portion, wherein each said staple cavity comprises an opening in said support portion;', 'a plurality of guide cleats extending from said support portion, wherein each said guide cleat comprises at least one guide groove; and', 'an implantable compressible portion positioned adjacent to said support portion, wherein said guide cleats are at least partially embedded in said compressible portion; and, 'a cartridge body, comprisinga plurality of staples, wherein at least a portion of each said staple is removably stored within a said staple cavity, wherein each said staple is movable between an unfired position and a fired position, wherein each said staple is deformable between an unfired configuration and a fired configuration when each said staple is moved between said unfired position and said fired position, wherein each said staple comprises at least one deformable leg removably positioned in a said guide groove when said staple is in said unfired position, and wherein said compressible portion is configured to be captured within said staples and ...

Staple cartridge comprising a releasable portion

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.

Abdominal closure method and device variations

Abdominal closure reinforcement methods and tissue anchoring devices for reducing the rate of abdominal wall closure dehiscence are described. The tissue anchors avoid a permanent footprint of foreign material and precluding materials spanning the interior layer of the abdominal closure where risk to visceral structures exists.

ACTUATOR FOR RELEASING A TISSUE THICKNESS COMPENSATOR FROM A FASTENER CARTRIDGE

A fastener cartridge assembly for use with a surgical end effector. The fastener cartridge assembly can comprise a cartridge body having fastener cavities, fasteners removably positioned in the fastener cavities, a layer of material releasably secured relative to the cartridge body, a connector configured to secure the layer of material to the cartridge body at a location distal to at least one fastener cavity, and an actuator. The layer of material can be a tissue thickness compensator. When actuated, the actuator can overcome the connector, and can overcome the connector prior to the removal of the fasteners from the fastener cavities. The actuator can be actuated at a location proximal to at least one fastener cavity, and can extend distally past at least one fastener cavity toward the connector. 1. A fastener cartridge assembly , comprising:a cartridge body comprising a plurality of fastener cavities;a plurality of fasteners, wherein each said fastener is removably positioned in a said fastener cavity;a tissue thickness compensator releasably secured relative to said cartridge body;a connector, wherein said connector secures said tissue thickness compensator to said cartridge body at a location, and wherein the location is distal to at least one said fastener cavity; andan actuator configured to overcome said connector when actuated, wherein said actuator overcomes said connector prior to the removal of said fasteners from said fastener cavities.2. The fastener cartridge assembly of claim 1 , wherein said tissue thickness compensator is released from said cartridge body when said actuator overcomes said connector.3. The fastener cartridge assembly of claim 1 , wherein said actuator shifts distally to cut said connector when actuated.4. The fastener cartridge assembly of claim 1 , wherein said actuator comprises a slot extending from a proximal end of said actuator claim 1 , and wherein said slot comprises a release stop.5. The fastener cartridge assembly of ...

BONE FIXATION SYSTEM WITH OPPOSED MOUNTING PORTIONS

System, including methods, apparatus, and kits, for bone fixation using a fixation device including a mounting portion and a fastener that attaches to the mounting portion. In some embodiments, the fixation device may include first and second mounting portions configured to be disposed across a bone from each other and secured with a fastener that extends from one of the mounting portions, through the bone, and to the other mounting portion. The system also may include a tool to facilitate installation of the fixation device. 1. A system for fixing bone , comprising:a clip member configured to be positioned on a bone such that the bone extends through the clip member on a through-axis, the clip member including a proximal mounting portion and a distal mounting portion connected to one another with a connecting member, the mounting portions facing one another and defining a pair of aligned apertures configured to receive a same fastener to attach the clip member to the bone, the connecting member being configured to be deformed in a plane parallel to the through-axis when the mounting portions are urged toward one another; anda spanning portion configured to extend along the bone from the clip member.2. The system of claim 1 , wherein the clip member is a first clip member claim 1 , the system further comprising a second clip member claim 1 , wherein the spanning portion is configured to extend from the first clip member to the second clip member.3. The system of claim 1 , further comprising a fixation device including the clip member and the spanning portion claim 1 , wherein the fixation device is configured to be attached to a rib bone.4. The system of claim 1 , wherein the pair of aligned apertures includes a first aperture defined by the proximal mounting portion and a second aperture defined by the distal mounting portion claim 1 , the system further comprising a threaded fastener configured to extend from the first aperture to the second aperture and to lock ...

MEDICAL DEVICES AND METHODS USEFUL FOR APPLYING BOLSTER MATERIAL

Described are medical devices useful for applying a bolster material to a surgical fastening device such as a stapler, and related methods of manufacture and use. The devices include an applicator element for receipt between arms of the stapler, and a bolster material, desirably a remodelable extracellular matrix material, coupled to the applicator element. In certain embodiments, the bolster material is held by the applicator element, for example having at least a portion looped around or received through or over a portion of the applicator element. Also described are unique implantable materials including coatings of dried, reversible adhesive. 1. A. medical device useful for applying a bolster material to a surgical fastening device having a first arm and a second arm presenting respective first arm and second arm surfaces , the medical device comprising:an applicator element which is receivable between the first and second arms, said applicator element having a first side and a second side;at least one piece of bolster material coupled to the applicator element and presented at least at said first side of said applicator element for contact with at least said first arm surface.2. The medical device of claim 1 , wherein said bolster material is coupled to said applicator element by bonding or by having at least one portion received through or around said applicator element.3. The medical device of claim 2 , wherein said bolster material has at least a portion received through said applicator element.4. The medical device of claim 2 , wherein said bolster material has at least one portion received around said applicator element.5. The medical device of claim 1 , wherein said bolster material is presented at said first side and said second side of said applicator element for contact with the first arm surface and the second arm surface claim 1 , respectively.6. The medical device of claim 1 , wherein the bolster material comprises collagen.7. The medical device of ...

Device for fixating a kirschner wire

The invention relates to a fixating device composed of plastic or metal for medical care, which fixating device interacts with a Kirschner wire ( 9 ) as a fastening means, comprising an opening for accommodating the fastening means and at least two further openings for accommodating fastening material in the form of stitches ( 13 ) and wires. The Kirschner wire ( 9 ) reaches through the one opening and is retained in the one opening in a positionally stable manner by the fastening material. The fixating device can be designed as a plate ( 101 ), be domed on all sides ( 1 ), or be designed as a sphere segment ( 211 ). The invention further relates to the use of the fixating device for osteosynthesis.

DEVICES, SYSTEMS, AND METHODS FOR REPAIRING SOFT TISSUE AND ATTACHING SOFT TISSUE TO BONE

Devices, systems and/or methods for repairing soft tissue adjacent a repair site. In one embodiment, a repair device is delivered with a delivery device system configured to move a cartridge with the repair device disposed therein toward an anvil with soft tissue positioned thereon. The delivery device linearly moves the cartridge toward the anvil with a worm drive positioned within a housing by rotating a thumb wheel disposed around the worm drive. Such linear movement is provided with a finger element extending from the worm drive that is configured to cooperate with an internal surface of the thumb wheel. With this arrangement, upon rotating the thumb wheel, the worm drive rotates with the finger element engaged with the internal surface of the thumb wheel to linearly move the cartridge toward the anvil. 1. A delivery device system configured to move a cartridge with a repair device disposed therein toward an anvil with soft tissue positioned thereon for fixating the repair device to the soft tissue at a soft tissue repair site , the delivery device system comprising:a housing;a worm drive positioned within the housing;a thumb wheel disposed around the worm drive, the thumb wheel configured to be rotated to linearly move the worm drive with threads defined in at least one of the worm drive and the thumb wheel such that the worm drive is configured to linearly move the cartridge relative to a bed surface of the anvil; anda finger element extending from the worm drive and configured to cooperate with an internal surface of the thumb wheel such that, upon rotating the thumb wheel, the worm drive rotates with the finger element engaged with the internal surface of the thumb wheel.2. The delivery device system of claim 1 , wherein the finger element comprises a circular member.3. The delivery device system of claim 1 , wherein the finger element cooperates with the internal surface of the thumb wheel by linearly translating along a length of the internal surface of ...

SURGICAL IMPLANT AND METHOD AND INSTRUMENT FOR INSTALLING THE SAME

A surgical implant comprising a receiver member and deployment member for clamping and sealing tissue of variable thickness, a corresponding applicator tool and surgical system for connecting, sealing, fastening and/or attaching tissue to itself, to other tissue and/or to non-tissue structures, and/or sealing the flow of fluid at and/or between structures such as tissue and vessel structures. 163-. (canceled)64. A surgical method of sealing tissue comprising:providing a fastener supporting member supporting a plurality of fasteners and having a plurality of compressible members;providing a receiver member,clamping tissue between a first surface on the fastener supporting member and a second surface on the receiver member; andadvancing the plurality of fasteners into the receiver member, the plurality of fasteners compressing the compressible members in accordance with a distance of advancement of the fasteners, the distance relating to a thickness of tissue between the first and second surfaces.65. The method according to claim 64 , wherein the step of advancing the plurality of fasteners deforms the plurality of compressible members.66. The method according to claim 64 , wherein the plurality of compressible members flex to absorb excess forces to accommodate an increase in pressure in sealed tissue.67. The method according to claim 64 , wherein the receiver member includes a retainer positioned therein claim 64 , and the step of advancing the plurality of fasteners advances the plurality of fasteners into engagement with the retainer.68. The method according to claim 67 , wherein the fastener supporting member includes a retainer positioned therein claim 67 , and the step of advancing the plurality of fasteners advances the plurality of fasteners through the retainer in the fastener supporting member.69. The method according to claim 67 , wherein the retainer has a plurality of openings and barbs of the plurality of fasteners engage the retainer adjacent the ...

System for Intra-Abdominally Moving an Organ

A surgical tissue connector system for moving a first internal body tissue to a position away from a second internal body tissue and then holding the first internal body tissue in the position. Tissue connectors are secured to cords such that the length of cord between the tissue connectors can be easily adjusted in a laparoscopic work space. 1. A surgical tissue connector system for , in a body interior , moving a first internal body tissue to a position away from a second internal body tissue and then holding the first internal body tissue in the position , characterized by:a first tissue connector that is connectable in the body interior to the first internal body tissue, the second internal body tissue or other internal body tissue and is removable from the internal body tissue;a second tissue connector that is connectable in the body interior to the second internal body tissue and is removable from the second internal body tissue;a flexible cord having a length with opposite first and second ends, the cord being connected to the first tissue connector and the second tissue connector with a portion of the cord length extending between the first tissue connector and the second tissue connector,characterized in that:the portion of the cord length extending between the first tissue connector and the second tissue connector is adjustable in the body interior to selectively move the first and second tissue connectors toward each other along the cord and allow the first and second tissue connectors to move away from each other along the cord; andthe tissue connectors are dimensioned for endoscopic insertion into the body interior, for use of the apparatus in moving the first internal body tissue to the position away from the second internal body tissue and temporarily holding the first internal body tissue in the position and removal from the body interior after use.2. The system of claim 1 , further comprising:a cannula for delivering the first and second tissue ...

Implantable flow connector

A method of implanting and securing an implantable flow connector in a body of a patient for providing communication of a first space within the body of the patient with a second space within the body of the patient. The method includes providing a flow connector having a lumen having a first orifice and a second orifice, inserting a retention device into the first space within the body, subsequently inserting the flow connector through an opening in the retention device so the second portion of the flow connector extends into the first space within the body and placing the second space within the body over the retention device.

TISSUE STAPLER HAVING A THICKNESS COMPENSATOR INCORPORATING AN ANTI-MICROBIAL AGENT

A staple cartridge assembly for use with a surgical stapler. The assembly has a cartridge body having a support portion with a plurality of staple cavities with openings. There is also a plurality of staples, wherein at least a portion of each the staple is removably stored within a staple cavity. Each the staple is movable between an unfired position and a fired position, and is deformable between an unfired configuration and a fired configuration. The assembly also includes a compressible tissue thickness compensator configured to be captured within the staples. The compressible tissue thickness compensator at least partially covers the staple cavity openings. The compressed tissue thickness compensator is configured to assume different compressed heights within different the staples. The compressible tissue thickness compensator comprising a lyophilized foam having an anti-microbial agent embedded therein. 111-. (canceled)12. A staple cartridge , comprising:a cartridge body;staples removably stored in said cartridge body;a first lubricant comprising sodium stearate on said staples; anda second lubricant exposed to said staples while said staples are stored in said cartridge body.13. The staple cartridge of claim 12 , wherein said first lubricant further comprises LAE (lauric arginate ethyl ester).14. The staple cartridge of claim 12 , wherein said first lubricant further comprises an antimicrobial agent.15. A staple cartridge claim 12 , comprising:a cartridge body;staples removably stored in said cartridge body;a lubricant comprising sodium stearate on said staples; andan adhesive substance exposed to said staples while said staples are stored in said cartridge body.16. The staple cartridge of claim 15 , wherein said lubricant further comprises LAE (lauric arginate ethyl ester).17. The staple cartridge of claim 15 , wherein said lubricant further comprises an antimicrobial agent.18. A staple cartridge claim 15 , comprising:a cartridge body;staples removably ...

SYSTEMS AND METHODS OF TISSUE CLOSURE

Apparatus, systems, and methods are described for closing the base of a left atrial appendage or other tissue structure. A tissue closure device comprises a pair of legs having compliant surfaces for engaging against opposite sides of the tissue structure. A plurality of axially spaced-apart tissue-penetrating fasteners are delivered from one leg to the other to pierce the intervening tissue and hold the closure device in place on the tissue structure. 1. A method for closing a tissue structure , said method comprising:positioning a compression body over the tissue structure with at least two compliant tissue-engaging surfaces engaging opposite sides of the structure;applying a vacuum through the compression body to adhere the surfaces to the tissue structure; anddeploying fasteners from at least one of said surfaces, through the tissue, and into the other surface to close the tissue structure while the vacuum continues to be applied.2. A method as in claim 1 , wherein the tissue structure is a left atrial appendage.3. A method as in claim 2 , wherein positioning comprises intercostally advancing the compression member.4. A method as in claim 2 , wherein positioning comprises carrying the compliant compression body on an applicator claim 2 , spreading the tissue-engaging surfaces using the applicator claim 2 , and closing the spread legs over the tissue structure before applying the vacuum.5. A method as in claim 1 , wherein deploying fasteners comprises advancing male elements from either or both of the tissue-engaging surface(s) to female elements in the opposed tissue-engaging surface.6. A method as in claim 1 , wherein deploying fasteners comprises advanced barbed needles from one tissue-engaging surface to the other tissue-engaging surface.7. A method as in claim 1 , further comprising viewing the tissue structure through an optical scope during at least a portion of the procedure.8. A method as in claim 1 , further comprising directly viewing the tissue ...

IMPLANTABLE FLOW CONNECTOR

A method of implanting and securing an implantable flow connector in a body of a patient for providing communication of a first space within the body of the patient with a second space within the body of the patient. The method includes providing a flow connector having a lumen having a first orifice and a second orifice, inserting a retention device into the first space within the body, subsequently inserting the flow connector through an opening in the retention device so the second portion of the flow connector extends into the first space within the body and placing the second space within the body over the retention device. 1. A method of implanting and securing an implantable flow connector in a body of a patient for providing communication of a first space within the body of the patient with a second space within the body of the patient , the method comprising:providing a manufactured flow connector having a longitudinally extending wall forming a conduit having a longitudinally extending lumen within the longitudinally extending wall, the lumen having a first orifice at a first end portion of the conduit and a second orifice at a second end portion of the conduit;inserting a first retention device through a side opening formed in a wall of the first space within the body;inserting the flow connector through the side opening formed in the wall of the first space within the body; andpositioning an end opening of the second space within the body external of the flow connector such that the flow connector provides fluid communication in an end to side connection of the first space within the body and the second space within the body.2. The method of claim 1 , further comprising the step of providing a second retention member external of the conduit of the flow connector.3. The method of claim 1 , wherein the method of implanting and securing the flow connector provides a sutureless connection of the first and second spaces within the body.4. The method of claim ...

Anastomotic coupler

An anastomotic coupler is provided. A ring can include a plurality of receiving portions. A fixation device includes a cartridge. The cartridge includes a plurality of fasteners. The ring is aligned with the cartridge such that the receiving portions are aligned with the fasteners. Upon actuation of the fixation device, the fasteners puncture the tubular structure and are received by the receiving portions such that the tubular structure is coupled with the ring.

Mechanical tissue coupling system, applicator therefor and method of use thereof

A mechanical tissue coupling system that includes a first side tissue grasping assembly, a second side tissue grasping assembly and a joining assembly. The joining assembly is structurally configured to join the first side tissue grasping assembly to the second side tissue grasping assembly. An applicator is likewise disclosed as is a method of using the system and the applicator.

Method and apparatus for occluding a blood vessel and/or for occluding other tubular structures and/or for closing openings in structures and/or for securing at least two objects together

A system for occluding a hollow structure, the system comprising: a plurality of occluders; and an applicator for storing the plurality of occluders and serially delivering the occluders so as to occlude the hollow structure.

ADHESIVE FILM LAMINATE

A surgical stapler, or fastening instrument, may generally comprise a layer, such as a tissue thickness compensator, for example, releasably attached to a fastener cartridge and/or anvil by a flowable attachment portion. The flowable attachment portion may be indefinitely flowable. The flowable attachment portion may be flowable from the time that layer is installed to the fastener cartridge to the time in which the layer is implanted to patient tissue. The flowable attachment portion may comprise a pressure sensitive adhesive. The flowable attachment portion may comprise an adhesive laminate comprising a base layer comprising the tissue thickness compensator and an adhesive layer on at least a portion of a surface of the base layer comprising the pressure sensitive adhesive. Articles of manufacture comprising flowable attachment portion and methods of making and using the flowable attachment portion are also described. 1. A surgical stapler , comprising: a cartridge body comprising a plurality of staple cavities; and', 'a plurality of staples positioned within said staple cavities;, 'a staple cartridge, comprisingan anvil configured for a facing relationship with said cartridge body, said anvil comprising at least one staple forming pocket; anda tissue thickness compensator releasably attached to at least one of said cartridge body and said anvil by an indefinitely flowable attachment portion.2. The surgical stapler of claim 1 , wherein the flowable attachment portion is flowable at body temperature (37° C.) and/or room temperature (25° C.).3. The surgical stapler of claim 1 , wherein the flowable attachment portion comprises a flowable polymeric composition that is solid up to 55° C.4. The surgical stapler of claim 1 , wherein the flowable attachment portion comprises a flowable polymeric composition having an inherent viscosity from 0.6 to 4.0 dL/g in a 0.1 g/dL hexafluoroisopropanol solution at 25° C.5. The surgical stapler of claim 1 , wherein the flowable ...

SOFT-TISSUE FIXATION DEVICE

A system for fixating soft-tissue is described herein. The system includes a soft-tissue fixation device comprising a cable-retention feature. Additionally, the system includes a cable coupleable to the cable-retention feature of the soft-tissue fixation device. The cable is configured to be tensioned to a measurable and adjustable tension. 1. A soft-tissue fixation device , comprising:a first plate comprising a first clamping surface and a plurality of tines extending from the first clamping surface, wherein the first plate is configured to be positioned on a first side of a soft-tissue segment and the plurality of tines are configured to extend through the soft-tissue segment; anda second plate comprising a second clamping surface, the second plate configured to be positioned on a second side of the soft-tissue segment and the second clamping surface configured to face the first clamping surface of the first plate;wherein one of the first plate and the second plate comprises at least one spacing member and the other of the first plate and the second plate comprises at least one engagement feature configured to engage the at least one spacing member; andwherein engagement between the at least one spacing member and the at least one engagement feature maintains a predetermined distance between the first clamping surface and the second clamping surface that is more than a length of any one of the tines.2. The soft-tissue fixation device of claim 1 , wherein the plurality of tines extend substantially perpendicularly from the first clamping surface.3. The soft-tissue fixation device of claim 1 , wherein the plurality of tines are substantially parallel to each other.4. The soft-tissue fixation device of claim 1 , wherein the first plate comprises at least one cable hole configured to receive a tensionable cable therethrough.5. The soft-tissue fixation device of claim 1 , wherein the plurality of tines comprises peripheral tines and middle tines claim 1 , the ...

Devices and methods for closing a left atrial appendage

Disclosed herein are devices and methods for closing a left atrial appendage (LAA) that use an expandable disk having a deployment anchor and a plurality of peripheral hooks. The LAA closure devices are configured to expand to a diameter that is larger than a diameter of the LAA ostium. The deployment anchor attaches the disk to the tissue of the LAA that is everted or invaginated. The expandable disk causes the everted or invaginated LAA to expand and flatten within the left atrium of the heart. The peripheral hooks pierce the tissue of the LAA and engage the left atrial wall to close the LAA predominantly with its own tissue.

DELIVERY DEVICE AND METHOD FOR COMPLIANT TISSUE FASTENERS

Devices, systems, and methods for closing the base of a left atrial appendage or other tissue structure comprise a device applicator having jaws, a shaft, and a handle. First and second triggers on a handle are configured to close the jaws and a closure device in a step-wise manner where tissue penetrating fasteners within the closure device are engaged by studs on the jaws, where the studs must be released prior to the opening of the jaws. 112-. (canceled)13. A method for closing a portion of a left atrial appendage , said method comprising:positioning a compression body over the portion of the left atrial appendage with at least two compliant tissue-engaging surfaces engaging opposite sides of the portion of the left atrial appendage;actuating a first trigger operatively associated with a pair of jaws holding the compression body to close the jaws and deploying a plurality of fasteners between the tissue-engaging surfaces and through the portion of the left atrial appendage;actuating a second trigger to disengage a plurality of studs of one of the jaws from contact with the plurality of fasteners; andreleasing the first trigger to open the jaws and release the compression body from the jaws.14. (canceled)15. The method of claim 13 , further comprising in sequence the steps of: closing the jaws and deploying the plurality of fasteners; disengaging the plurality of studs from contact with the plurality of fasteners; and opening the jaws and releasing the compression body.16. The method of claim 13 , further comprising preventing claim 13 , via interlocked first and second triggers claim 13 , disengagement of the plurality of studs from contact with the plurality of fasteners before deployment of the plurality of fasteners.17. The method of claim 13 , further comprising preventing claim 13 , via interlocked first and second triggers claim 13 , opening the first and second jaws before disengaging the plurality of studs from contact with the plurality of fasteners.18. ...

FIXATION DEVICES, SYSTEMS AND METHODS FOR ENGAGING TISSUE

The invention provides devices, systems and methods for tissue approximation and repair at treatment sites. The devices, systems and methods of the invention will find use in a variety of therapeutic procedures, including endovascular, minimally-invasive, and open surgical procedures, and can be used in various anatomical regions, including the abdomen, thorax, cardiovascular system, heart, intestinal tract, stomach, urinary tract, bladder, lung, and other organs, vessels, and tissues. The invention is particularly useful in those procedures requiring minimally-invasive or endovascular access to remote tissue locations, where the instruments utilized must negotiate long, narrow, and tortuous pathways to the treatment site. In addition, many of the devices and systems of the invention are adapted to be reversible and removable from the patient at any point without interference with or trauma to internal tissues. 1. A fixation device for engaging tissue comprising: a pair of fixation elements each having a first end , a free end opposite the first end , and an engagement surface therebetween for engaging the tissue , the first ends being movably coupled together such that the fixation elements are moveable between a closed position wherein the engagement surfaces face each other to an inverted position wherein the engagement surfaces face away from each other; and an actuation mechanism coupled to the fixation elements adapted to move the fixation elements between the closed position and the inverted position.2. A fixation device as in claim 1 , wherein the fixation elements are further moveable to an open position between the closed position and the inverted position.3. A fixation device as in claim 2 , wherein in the open position the engagement surface of one fixation element forms an angle of more than about 5 degrees and less than about 90 degrees with the engagement surface of the other fixation element.4. A fixation device as in wherein in the open position the ...

DEVICES AND METHODS FOR ENDOLUMENAL GASTROINTESTINAL BYPASS

The present invention provides devices and methods for attachment of an endolumenal gastrointestinal device, such as an artificial stoma device, a gastrointestinal bypass sleeve or other therapeutic or diagnostic device, within a patient's digestive tract. In one application of the invention, an endolumenal bypass sleeve is removably attached in the vicinity of the gastroesophageal junction to treat obesity and/or its comorbidities, such as diabetes. The bypass sleeve may be at least partially deployed by eversion. 1. A method of treating a patient , comprising the steps of:providing a gastrointestinal sleeve device having an elongate tubular body, with a proximal end and a distal end;positioning the gastrointestinal sleeve device in the patient's digestive tract such that the proximal end of the tubular body is positioned in the vicinity of the gastroesophageal junction to receive ingested material from the patient's esophagus and the distal end of the tubular body is positioned in the patient's intestine; andsecuring the proximal end in the vicinity of the gastroesophageal junction, andeverting the sleeve to position the distal end within the intestine2. A method of treating a patient as in claim 1 , wherein the securing step comprises advancing at least four tissue anchors through the tissue wall and positioning a retention surface on each tissue anchor in contact with the serosal surface3. A method of treating a patient as in claim 2 , wherein the tissue anchor comprises a connecting element for connecting the retention surface to the sleeve device claim 2 , and the length of the connecting element is at least about 75% of the uncompressed wall thickness.4. A method of treating a patient as in claim 3 , wherein the length of the connecting element is at least about 95% of the uncompressed wall thickness.5. A method of treating a patient as in claim 3 , wherein the length of the connecting element is at least about 125% of the uncompressed wall thickness.6. A ...

Tissue thickness compensator comprising a reservoir

In various embodiments, a tissue thickness compensator can comprise a compressible extracellular matrix and a bioabsothable material dispersed within the extracellular matrix, wherein the bioapsorption of the bioabsorbable material is configured to leave behind channels in the extracellular matrix. The tissue thickness compensator can also comprise generation means for generating the ingrowth of tissue into the channels. In at least one embodiment, the tissue thickness compensator can comprise dissolvable wicking members which, when dissolved, can leave behind channels in the tissue thickness compensator. In certain embodiments, the tissue thickness compensator can comprise at least one rupturable capsule.

DEVICE AND A METHOD FOR ANASTOMOSIS

A device () for arrangement on the side wall of an intestine is provided. The device () comprises a first member () and a second member () of a generally hollow open configuration. The first member () comprises an elastic part (), with a first and a second axial end, and a rigid support part (), arranged at the first axial end of the elastic part (). The second member () comprises a first and a second axial end, said first end of the second member () matching the shape of the second axial end of the elastic part (), such that an intestine wall may be uniformly distributed between the second axial end of the elastic part () and the second member (). The device () also comprises a connection member () for connecting the rigid support part () and the second member () to each other. A method for arranging said device at the side wall of a tubular structure, and a connector () for connecting two devices () is also provided. 1. A device for arrangement on an intestine wall , the device comprising:a first member having a hollow open configuration and a second member having a hollow open configuration, an elastic part, with a first axial end and a second axial end, and', 'a rigid support part, arranged at the first axial end of the elastic part;, 'wherein the first member includes'}wherein the second member includes a first axial end and a second axial end, the first axial end of the second member matching the shape of the second axial end of the elastic part, such that the intestine wall may be uniformly distributed between the second axial end of the elastic part and the second member; anda connection member for connecting the rigid support part and the second member to each other.2. The device according to claim 1 , wherein the elastic part has a circular cross section claim 1 , such that the first and the second axial ends thereof are convexly rounded; andwherein the first axial end of the second member has a part that is concavely shaped to match the convexly rounded ...

DEVICE AND PROCEDURE FOR PERICARDIAL PATCH TRANSCATHETER ATRIAL SEPTAL DEFECT CLOSURE

A device for closure of an atrial septal defect (ASD) by deploying a pericardial patch includes a head including a distal jaw and a proximal jaw, and a distal disc attached to the distal jaw and a proximal disc attached to the proximal jaw. Each of the distal jaw and the proximal jaw includes at least one arm which closes when the distal disc moves forward and the proximal disc moves backward. Based on an engagement status of a distal engagement portion located on the at least one arm of the distal jaw with a proximal engagement portion located on the at least one arm of the proximal jaw, the pericardial patch deploys to close the ASD. 1. A device for closure of an atrial septal defect (ASD) by deploying a pericardial patch , said device comprising:a head comprising a distal jaw and a proximal jaw; anda distal disc attached to the distal jaw and a proximal disc attached to the proximal jaw,wherein each of the distal jaw and the proximal jaw includes at least one arm which closes when the distal disc moves forward and the proximal disc moves backward, andwherein, based on an engagement status of a distal engagement portion, located on the at least one arm of the distal jaw, with a proximal engagement portion located on the at least one arm of the proximal jaw, the pericardial patch deploys to close the ASD.2. The device of claim 1 , wherein the distal engagement portion comprises a pin and the proximal engagement portion comprises a socket.3. The device of claim 2 , wherein claim 2 , when the at least one arm of the distal jaw and the at least one arm of the proximal jaw are completely open claim 2 , the pin and the socket engage with each other.4. The device of claim 3 , wherein claim 3 , when the distal jaw moves forward and the proximal jaw moves backwards claim 3 , the pin disengage from the socket.5. The device of claim 1 , further comprising a guide that comprises guide knobs which move guide levers of the guide forward and backward via a rod to control the ...

DEVICES, SYSTEMS, AND METHODS FOR REPAIRING SOFT TISSUE AND ATTACHING SOFT TISSUE TO BONE

Devices, systems and/or methods for repairing soft tissue adjacent a soft tissue repair site. In one embodiment, a repair device configured to couple to soft tissue is provided. The repair device includes a capture portion and an anchor portion. The capture portion configured to extend with radial portions. The anchor portion includes a base with multiple legs extending therefrom. The multiple legs are configured to move from a linear position to a formed position such that, in the formed position, the multiple legs couple to structure of the capture portion. 1. A repair device system for coupling to soft tissue , comprising:a delivery device having a handle and a push rod defining a longitudinal axis, the push rod configured to linearly actuate along the longitudinal axis;an implant delivery member configured to be removably coupled to the delivery device, the implant delivery member including a cartridge and an anvil, the cartridge linearly moveable relative to the anvil; anda repair device configured to be held within the cartridge, the repair device including an anchor with a base having at least four legs extending from the base, upon actuating the push rod with the delivery device, the push rod is configured to move the anchor from the cartridge to move the at least four legs against the anvil to move the at least four legs from a linear position to a formed position.2. The repair device system of claim 1 , wherein the repair device comprises a capture member configured to be coupled to the anchor claim 1 , the repair device configured to couple to soft tissue with the anchor and the capture member on opposing sides of the soft tissue.3. The repair device system of claim 1 , wherein the repair device comprises a capture member claim 1 , the capture member configured to be coupled to the anchor with the at least four legs in the formed position such that the at least four legs are formed around structure of the capture member.4. The repair device system of ...

BI-DIRECTIONAL FIXATING TRANSVERTEBRAL BODY SCREWS, ZERO-PROFILE HORIZONTAL INTERVERTEBRAL MINIPLATES, EXPANSILE INTERVERTEBRAL BODY FUSION DEVICES, AND POSTERIOR MOTION-CALIBRATING INTERARTICULATING JOINT STAPLING DEVICE FOR SPINAL FUSION

An apparatus and method for joining members together using a self-drilling screw apparatus or stapling apparatus are disclosed. The screw apparatus includes a shell and first and second first screw members having tapered ends and threaded bodies that are disposed within the shell. A drive mechanism rotatably drives the first and second screw members from the shell in opposite directions and causes the screw members to embed themselves in the members to be joined. The screw apparatus can be used to join members such as bones, portions of the spinal column, vertebral bodies, wood, building materials, metals, masonry, or plastics. The stapling apparatus includes first and second lever arms rotatably joined together at a fulcrum, and the lever arms rotate in opposite directions. First and second cartridges are disposed at the ends of the lever arms. Each cartridge is capable of holding a staple including a bracket, a nail member and an alignment slot. When the ends of the lever arms are rotated towards each other the staples from the cartridges are interlocked. The staples can be also be used to join members such as bones, portions of the spinal column, or vertebral bodies. 1. A self-drilling screw apparatus , which comprises:a shell;a first screw member having a tapered end and a threaded body disposed within the shell;a second screw member having a tapered end and a threaded body disposed within the shell; anda drive mechanism for driving the first and second screw members from the shell.2. An apparatus according to wherein the shell includes a first aperture threaded in a first direction for the first screw member and a second aperture threaded in the opposition direction for the second screw member.3. An apparatus according to wherein the drive mechanism includes;a drive screw disposed at least partially within the shell;a pinion responsive to the rotation of the drive screw;a gear rotated by the pinion, and the rotation of the gear imparts rotation to the first ...

Medical devices and methods useful for applying bolster material

Described are medical devices useful for applying a bolster material to a surgical fastening device such as a stapler, and related methods of manufacture and use. The devices include an applicator element for receipt between arms of the stapler, and a bolster material, desirably a remodelable extracellular matrix material, coupled to the applicator element. In certain embodiments, the bolster material is held by the applicator element, for example having at least a portion looped around or received through or over a portion of the applicator element. Also described are unique implantable materials including coatings of dried, reversible adhesive.

DELIVERY DEVICE AND METHOD FOR COMPLIANT TISSUE FASTENERS

Devices, systems, and methods for closing the base of a left atrial appendage or other tissue structure comprise a device applicator having jaws, a shaft, and a handle. First and second triggers on a handle are configured to close the jaws and a closure device in a step-wise manner where tissue penetrating fasteners within the closure device are engaged by studs on the jaws, where the studs must be released prior to the opening of the jaws. 112-. (canceled)13. A method for closing a portion of a left atrial appendage , said method comprising:positioning a compression body over the portion of the left atrial appendage with at least two compliant tissue-engaging surfaces engaging opposite sides of the portion of the left atrial appendage;actuating a first trigger operatively associated with a pair of jaws holding the compression body to close the jaws and deploying a plurality of fasteners between the tissue-engaging surfaces and through the portion of the left atrial appendage;actuating a second trigger to disengage a plurality of studs of one of the jaws from contact with the plurality of fasteners; andreleasing the first trigger to open the jaws and release the compression body from the jaws.14. (canceled)15. The method of claim 13 , further comprising in sequence the steps of: closing the jaws and deploying the plurality of fasteners; disengaging the plurality of studs from contact with the plurality of fasteners; and opening the jaws and releasing the compression body.16. The method of claim 13 , further comprising preventing claim 13 , via interlocked first and second triggers claim 13 , disengagement of the plurality of studs from contact with the plurality of fasteners before deployment of the plurality of fasteners.17. The method of claim 13 , further comprising preventing claim 13 , via interlocked first and second triggers claim 13 , opening the first and second jaws before disengaging the plurality of studs from contact with the plurality of fasteners.18. ...

METHOD FOR INTRA-ABDOMINALLY MOVING AN ORGAN

A surgical tissue connector system for moving a first internal body tissue to a position away from a second internal body tissue and then holding the first internal body tissue in the position. Tissue connectors are secured to cords such that the length of cord between the tissue connectors can be easily adjusted in a laparoscopic work space. 1. A method of retracting an organ within the abdomen of a patient with a cord which may be attached to a first body tissue at a first end , and a second body tissue at a second end , using a retractor system comprising:{'b': 516', '518, 'a first tissue connector (, );'}{'b': 502', '508', '510, 'a base () comprising a first end () secured to the first tissue connector, a second end (), and a bore extending within the base;'}{'b': '514', 'a rod () extending through the bore of the base;'}{'b': '542', 'a lock () slidably disposed within the bore of the base;'}{'b': 532', '534', '528', '530', '530', '510', '532', '510', '528', '534, 'a cord (, , , ) extending from the base secured to said first tissue connector, said cord characterized by a first portion () extending from the rod and out of the base at the second end (), a second portion () extending from the rod and out of the base at the second end (), and an intermediate portion () comprising a sliding knot () wrapped around and engaging the rod;'}{'b': '550', 'an actuator () connected to the lock, and operable to move the lock within the bore of the base;'}the method comprising the steps of:using a grasper to attach the first tissue connector to the first body tissue;{'b': '532', 'routing the cord second portion () proximate the organ;'}{'b': 550', '530', '510', '532', '510, 'with the actuator () in a first position, pulling the cord first portion () from the base second end (), thereby shortening the cord second portion () extending from the base second end (), to retract the organ;'}{'b': 550', '550', '550', '516', '518, 'using a grasper, grasping the actuator () and, while ...

DELIVERY DEVICES AND METHODS FOR HEART VALVE REPAIR

Devices, systems and methods facilitate positioning of a cardiac valve annulus treatment device, thus enhancing treatment of the annulus. Methods generally involve advancing an anchor delivery device through vasculature of the patient to a location in the heart for treating the valve annulus, contacting the anchor delivery device with a length of the valve annulus, delivering a plurality of coupled anchors from the anchor delivery device to secure the anchors to the annulus, and drawing the anchors together to circumferentially tighten the valve annulus. Devices generally include an elongate catheter having at least one tensioning member and at least one tensioning actuator for deforming a distal portion of the catheter to help it conform to a valve annulus. The catheter device may be used to navigate a subannular space below a mitral valve to facilitate positioning of an anchor delivery device. 163-. (canceled)64. A cinchable anchor assembly capable of being placed in an arcuate tensioned configuration , the cinchable anchor assembly comprising:a tether;a distal anchor comprising an eyelet and two arms joined to the eyelet, wherein the distal anchor is fixedly coupled to the tether at its eyelet;a first additional anchor comprising an eyelet, two arms joined to the eyelet at a junction, and a belt disposed over the junction, wherein the first additional anchor is proximal to the distal anchor and is slidably coupled to the tether at its eyelet; andat least one force distributing member positioned along the tether between the distal and first additional anchors such that when the device is in an arcuate tensioned configuration, the at least one force distributing member reduces the force applied to the distal anchor thereby helping prevent pull-out of the distal anchor.65. The cinchable anchor assembly of claim 64 , wherein the at least one force distributing member is axially compressible.66. The cinchable anchor assembly of claim 64 , wherein the at least one ...