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 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 ...

ШОВНАЯ НИТЬ

Изобретение относится к медицине. Шовная нить имеет поддерживающий корпус шовной нити и корпус для размещения иглы. Поддерживающий корпус шовной нити защищает конец шовной нити от втягивания в область сшивания. Корпус для размещения иглы имеет форму трубки со сквозным отверстием, которое проходит через оба конца. Шовную нить используют для осуществления сшивания без завязывания части или всех узлов, которые должны завязываться во время сшивания. 10 н. и 16 з.п. ф-лы, 9 ил.

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 ...

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 ...

ХИРУРГИЧЕСКИЙ СШИВАЮЩИЙ ИНСТРУМЕНТ ДЛЯ НАЛОЖЕНИЯ БОЛЬШОЙ СКОБЫ ЧЕРЕЗ МАЛЕНЬКОЕ УСТАНОВОЧНОЕ ОТВЕРСТИЕ

... 1. Устройство для наложения крепежных элементов, содержащее:a) рукоятку, имеющую пусковое устройство, прикрепленное к ней с возможностью вращения, выполненное с возможностью перемещения в плоскости пускового устройства, причем указанное пусковое устройство имеет нижнюю часть, отходящую от указанной рукоятки, и верхнюю часть, размещенную внутри корпуса указанной рукоятки;b) корпус для скоб, имеющий проксимальный конец, присоединенный к рукоятке, отходящий от него дистальный конец и продольную ось, проходящую между ними, причем внутри указанного корпуса размещен толкатель, при этом указанное пусковое устройство присоединено к указанному толкателю; иc) соединительный элемент, имеющий первый конец, соединенный с возможностью вращения с указанной верхней частью пускового устройства, причем указанный соединительный элемент имеет второй конец, содержащий подвижный штифт, который сцепляется с трехмерной криволинейной канавкой кулачка, предусмотренной в указанном корпусе, причем указанный соединительный ...

УСТРОЙСТВА ДЛЯ ТЕРАПИИ НАРУШЕНИЙ ФУНКЦИИ СЕРДЦА

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 ...

Clipvorrichtung für Physiologisches Gewebe, Clipverfahren und Befestigungsverfahren für eine Clipeinheit

Eine Clipvorrichtung umfaßt einen Clip (2), der in der Lage ist, beliebig geöffnet/geschlossen zu werden, eine Anschlagröhre (4) zum Schließen des Clips (2), ein Verbindungsteil (3), welches in der Lage ist, in die Anschlagröhre (4) eingeführt zu werden und in Eingriff mit dem Clip (2) zu gelangen, einen Ummantelungsabschnitt (6), der in der Lage ist, den Clip (2) und die Anschlagröhre (4) in sich aufzunehmen, und einen Manipulationsdraht (7), der in den Ummantelungsabschnitt (6) eingeführt ist. Diese Clipvorrichtung weist weiterhin einen Hakenabschnitt (12) auf, um, wenn der Clip (2) und die Anschlagröhre (4) vorderhalb des Ummantelungsabschnittes (6) vorstehen, zu bewirken, daß der Ummantelungsabschnitt (6) und die Anschlagröhre (4) in Anlage miteinander geraten und um zu verhindern, daß die Anschlagröhre (4) wieder in dem Ummantelungsabschnitt (6) aufgenommen wird.

An apparatus for applying a band to a haemorrhoid

EMBOLISIERUNGSVORRICHTUNG A-TOTALLY ENCLOSED IN FOAM STENCIL

Applicator instruments having surgical fastener insertion tools for dispensing surgical fasteners

An applicator instrument for dispensing surgical fasteners includes a housing, an elongated shaft, and an elongated conduit extending through the elongated shaft. A firing system is disposed within the housing. The firing system has an insertion tool having a top surface that extends proximal and distal ends thereof and a stripper ramp that projects above the top surface. An actuator activates the firing system to commence a firing cycle. During the firing cycle, the firing system drives the insertion tool toward the distal end of the elongated shaft. The elongated conduit has a top wall with a top notch formed therein. The stripper ramp slides through the top notch for guiding movement of the insertion tool as the firing system drives the insertion tool toward the distal end of the elongated shaft.

Reload cover for surgical stapling system

Surgical stapler systems can include a jaw assembly with one jaw defining a reload support capable of receiving and firing multiple disposable reload cartridges in a single surgical procedure. The reload cartridge can be protected by a reload cover engageable therewith. The reload cover can include snap features configured to prevent manual removal of the reload cover from the reload cartridge before proper positioning and installation in the reload support. The reload cover can desirably maintain a plurality of staples within staple pockets in the reload cartridge and can maintain a staple deployment mechanism in an unfired position.

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.

METHODS, SYSTEMS, AND DEVICES FOR SURGICAL SUTURING

Various exemplary methods, systems, and devices for surgical suturing are provided. In general, a loading element can be configured to facilitate loading of a plate into a surgical instrument configured to facilitate passage of a suture through tissue. The surgical instrument can be configured to advance the suture through a tissue of a patient, to capture a free end or looped end of the suture after the suture's advancement through the tissue, and to pull the captured suture out of the patient's body with a portion of the suture remaining passed through the tissue within the patient's body. ,or-) 14 3 18a 18b %24 ...

Staple cartridge with shipping wedge

STAPLE CARTRIDGE WITH SHIPPING WEDGE An end effector (100) usable with a surgical instrument includes a first jaw (20) pivotably coupled to a second jaw (40). The first jaw (20) includes staple forming depressions (24). A staple cartridge (63) is releasably attachable to a channel (46) of the second jaw (40). A plurality of staples (50) is disposed in the staple cartridge (63). A shipping wedge (80) is releasably attached to the staple cartridge (63). The shipping wedge (80) maintains the staples (50) in their respective retention slots (66) and is usable to separate the staple cartridge (63) from the channel (46) of the second jaw (40). C:) co C73 ...

Staple cartridge with shipping wedge

STAPLE CARTRIDGE WITH SHIPPING WEDGE An end effector (100) usable with a surgical instrument includes a first jaw (20) pivotably coupled to a second jaw (40). The first jaw (20) includes staple forming depressions (24). A staple cartridge (63) is releasably attachable to a channel (46) of the second jaw (40). A plurality of staples (50) is disposed in the staple cartridge (63). A shipping wedge (80) is releasably attached to the staple cartridge (63). The shipping wedge (80) maintains the staples (50) in their respective retention slots (66) and is usable to separate the staple cartridge (63) from the channel (46) of the second jaw (40). C:) co C73 ...

Implant placement systems, devices and methods

Described herein is a simplified placement system and method for a tissue graft anchor by which a surgeon may introduce one or more sutures into a hole in a boney tissue, apply a precise amount of tension to the sutures to advance a soft tissue graft to a desired location, and then advance the anchor into the bone, preferably while maintaining the requisite pre-determined suture tension and without introducing spin to the suture.

RELOAD COVER FOR SURGICAL STAPLING SYSTEM

Surgical stapler systems can include a jaw assembly with one jaw defining a reload support capable of receiving and firing multiple disposable reload cartridges in a single surgical procedure. The reload cartridge can be protected by a reload cover engageable therewith. The reload cover can include snap features configured to prevent manual removal of the reload cover from the reload cartridge before proper positioning and installation in the reload support. The reload cover can desirably maintain a plurality of staples within staple pockets in the reload cartridge and can maintain a staple deployment mechanism in an unfired position.

ENHANCED VISIBILITY CARTRIDGE WITH IMPROVED RETAINER

A substantially translucent cartridge is provided for retaining surgical clips, such as those used in surgical ligating procedures. The cartridge includes a polymeric composition base and a separable polymeric composition clip retainer supported by the base wherein the polymeric composition of the base and retainer includes a particulate, light diffusing material for imparting a substantially translucent optical effect for tendering, surgical clips visible within the cartridge. The polymeric composition may further include a radiopaque additive for rendering the cartridge imageable during radiographing.

NASAL VALVE IMPLANTS AND METHODS OF IMPLANTING THE SAME

A nasal valve implant delivery system includes a delivery tool having a handle and a needle extending distally therefrom and configured to hold an implant therein. When loaded in the needle, the implant proximally abuts or is disposed adjacent to a pusher member disposed partially within the needle. A light source disposed within the delivery tool is coupled to an optical fiber carried within a lumen of the pusher member. The delivery tool includes a moveable needle shuttle disposed in the handle that is coupled to the needle. An actuator disposed in the handle is configured to releaseably engage with the moveable needle shuttle, wherein the needle shuttle is coupled to one or more springs configured to apply a proximal tensioning force on the needle shuttle, wherein actuation of the actuator retracts the needle proximally into the handle and releases the implant.

END EFFECTOR COMPRISING A DISTAL TISSUE ABUTMENT MEMBER

A fastener cartridge can comprise a cartridge body comprising fastener cavities, fasteners at least partially stored within the cartridge body, and a layer (11150) positioned over the cartridge body. The cartridge body can include a proximal end and a distal end. Similarly, the layer can include a proximal end and a distal end. The distal end of the layer can extend distally with respect to the distal end of the cartridge body. Furthermore, the layer can include a distal portion (11156) which extends distally with respect to the fastener cavities defined in the cartridge body. This distal portion can be positioned against the tissue being fastened and can flexibly support the tissue after the layer has been implanted against the tissue. The layer may include a proximal portion (11158) which extends proximally with respect to the fastener cavities which can flexibly support the tissue after the layer has been implanted.

IMPLANTABLE ARRANGEMENTS FOR SURGICAL STAPLE CARTRIDGES

A fastener cartridge can comprise a cartridge body comprising a deck, fasteners removably stored within the cartridge body, and a layer covering the deck. The cartridge body can comprise a longitudinal slot which can be configured to receive a cutting member therein. The layer can comprise a first portion extending over the slot and a second portion located laterally with respect to the first portion and the slot. The first portion can comprise different properties than the second portion. For instance, the first portion can be thicker than the second portion. The first portion could also be stiffer than the second portion, for example. The first portion can rigidly support the tissue which is adjacent to a longitudinal cut extending through the tissue which is created by the cutting member. The second portion, positioned further away from the longitudinal cut in the tissue, can flexibly support such tissue.

FASTENER CARTRIDGE COMPRISING A CUTTING MEMBER FOR RELEASING A TISSUE THICKNESS COMPENSATOR

A staple cartridge, or fastener cartridge, for a surgical stapler, or fastening instrument, wherein the staple cartridge includes a distally-located cutting blade arranged to cut a distal end portion of a layer, such as a tissue thickness compensator and/or a buttress material, for example, attached to the staple cartridge. The distally-located cutting blade can extend out of a distal cavity of the staple cartridge. The distally-located cutting blade can move in a direction that is perpendicular to a staple deck of the staple cartridge. The distally-located cutting blade can also move in any suitable direction relative to the staple deck.

SUTURING LOADING UNIT

A suturing end effector includes a first jaw member, a second jaw member, and a helical needle. The first and second jaw members are moveable relative to one another between open and closed configurations. Each of the first and second jaw members defines a first row of wells that define a helical path when the first and second jaw members are in the closed configuration. The helical needle is rotatable through the helical path between retracted and extended positions. The helical needle is configured to draw a suture through tissue between the first and second jaw members when the helical needle is rotatably advanced through the helical path and configured to be independently moveable relative to the suture when retracted from the advanced position to the retracted position.

APPLICATOR INSTRUMENTS HAVING PROTECTIVE CARRIERS FOR HEMOSTATS AND METHODS THEREFOR

An instrument (100) for controlling bleeding includes an outer shaft (112) an intermediate shaft telescopically received within the central lumen of the outer shaft, and an inner shaft telescopically received within the central lumen of the intermediate shaft. The instrument includes a hemostat (210) disposed at the distal end of the inner shaft, and a fluid resistant element (192) connected to the distal end of the outer shaft and surrounding the hemostat. The fluid- resistant element has a breakable, fluid-resistant seal (200) at a distal end thereof that protects the hemostat from fluids until the hemostat is delivered and deployed onto tissue.

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.

FASTENING INSTRUMENT FOR DEPLOYING A FASTENER SYSTEM COMPRISING A RETENTION MATRIX

A surgical stapling instrument can comprise, one, a handle comprising an actuator and, two, an end effector comprising a proximal end, a distal end, and a longitudinal axis extending between the proximal end and the distal end. The end effector can further comprise a first jaw configured to support staples comprising staple legs and, in addition, a second jaw supporting a matrix element opposite the staples, wherein one of the jaws is movable toward the other in order to engage the matrix element with the staple legs. The stapling instrument can further comprise a cam operably coupled with the actuator, wherein the cam is movable along the longitudinal axis to deform the staple legs.

METHODS AND DEVICES FOR THREADING SUTURES

Methods and devices are provided for anchoring suture to bone. In one embodiment, an elongate weave of fibers can be provided having a first portion with a first pick count and a second portion with a second pick count that is greater than the first pick count. The first portion can have a cross-section that deforms in response to a force that is applied thereto. The first portion can have a collapsible diameter and can have a bending stiffness that is lower than a bending stiffness of the second portion of the suture. The first portion can also have a first pattern that is different than a second pattern on the second portion of the suture. The first portion can be threaded into a suture anchor such that it can be doubled over upon itself. The present invention also provides exemplary sutures and drivers that can be used with the various methods and devices disclosed herein, or with other methods and devices known in the art.

SURGICAL FASTENER APPLYING APPARATUS

A surgical fastener applying apparatus (10) including a cartridge supporting section (200), an anvil supporting section (100) having a longitudinal axis and including a distal anvil portion (104) and a proximal handle portion (102), including a first longitudinally extending slot (109) extending therealong. A clamping lever (300) having a proximal portion and a distal portion is movable from an undamped position to a clamped position to releasably secure the anvil supporting section in close approximation with the cartridge supporting section. A firing assembly (500) includes a firing knob (552), the firing knob movable within the longitudinally extending slot from a first proximal position to a second distal position to fire fasteners (402) supported in the cartridge supporting section.

Collapsible fastener cartridge

A fastener cartridge can comprise a crushable cartridge body and fasteners embedded within the crushable 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 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. A fastener cartridge can comprise a compressible cartridge body having a thickness which can be reduced by the compressive pressure applied by the anvil. In certain embodiments, a fastener cartridge can comprise a cartridge body which can collapse from the compressive pressure.

Insertion apparatus for endoscope

Imbedding tool inside imbedding thread

dispositivo e sistema para dispensação de um selante biológico

Stitch lock for attaching two or more structures

An anchor assembly can include at least one anchor member, such as a pair of anchor members that are configured to be implanted in a target anatomical location in a first configuration, and can subsequently be actuated to an expanded configuration that secures the anchor members in the target anatomy. The anchor assembly can further include a connector member configured as a stitch lock that attaches the pair of anchor members together across a gap so as to approximate the anatomical defect.

TISSUE STAPLER HAVING A THICKNESS COMPENSATOR INCORPORATING A HEMOSTATIC 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 the 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 oxygen generating agent embedded therein.

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.

Multiple-firing crimp device and methods for using and manufacturing same

A multiple-firing crimp device comprises crimps, a shaft, a crimp movement assembly, and a snare. Each crimp has an internal hollow. The shaft has a distal crimping location, an exterior surface, and an interior with the clips stacked therein, the crimps moving therein along a longitudinal axis. The shaft defines a lateral opening proximal to the crimping location and communicates the interior to the environment outside the exterior surface. The crimp movement assembly within the shaft delivers the first crimp to the distal crimping location by moving the first crimp longitudinally from a first proximal position into the distal crimping location and returning to a second proximal position without the first crimp. The snare pulls at least one cord from distal of the first crimp through the first crimp and through a portion of the shaft and out the side of the shaft through the lateral opening.

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.

Surgical instrument including rotating end effector and rotation-limiting structure

A surgical instrument for applying tacks to tissue includes a handle assembly, an elongated portion, an outer tube, an end effector, a rotation assembly, and a rotation-limiting structure. The rotation assembly is configured to rotate at least a portion of the outer tube about a first longitudinal axis and with respect to the handle assembly. The rotation assembly includes a rotation knob rotationally fixed to a proximal portion of the outer tube. The rotation-limiting structure is disposed in mechanical cooperation with at least one of the rotation assembly and the handle assembly, and is configured to limit an amount of rotation of the outer tube with respect to the handle assembly.

Robotic loader for surgical stapling cartridge

A means and method for inserting drivers into a surgical stapling cartridge, including a pallet that holds the cartridge firmly. The pallet has a central slot and laterally positioned lip members that are biased toward the slot. The cartridge is positioned in the slot and the lip members are released to extend their lips over the lateral flanges on the cartridge, thereby holding the cartridge in position. A finger extends into a recess formed at one end of the cartridge, thereby positively positioning the cartridge in the slot. The cartridge is released for removal by a tongue inserted between the lip members, thereby separating them by displacement.

SURGICAL STAPLE CARTRIDGES WITH INTEGRAL AUTHENTICATION KEYS

A staple cartridge configured for use with a surgical stapling device is disclosed. The staple cartridge includes an authentication ramp that extends from a proximal end of the cartridge body and defines a ramp axis that is transverse to an axis of the cartridge. The authentication ramp is aligned with a sled cavity in the cartridge and comprises first and second cam surfaces that are configured to move a lockout of the surgical stapling device in a direction away from the cartridge axis upon contact therewith when the staple cartridge is seated into the surgical stapling device.

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.

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.

Staple cartridge assembly comprising an implantable layer

An end effector for stapling tissue is disclosed. The end effector comprises a cartridge body comprising a deck, staples removably stored in the cartridge body, and an anvil configured to deform the staples. The end effector further comprises an implantable layer positioned intermediate the deck and the anvil. The layer comprises a tissue-facing surface, raised portions, and grooves defined intermediate the raised portions, wherein the raised portions apply localized compression to the tissue, and wherein the layer is releasably attached to the cartridge body.

Automatically reloading suture passer devices that prevent entanglement

Suture passers and methods of use. Described herein are suture passers preloaded with suture, including cartridges that couple to a suture passer to form a loaded suture passer that are configured to prevent a length of suture (e.g., already-passed suture) from re-entering the channel of the suture passer jaw and getting recaptured and/or entangled by the tissue penetrator. In particular, described herein are preloaded and automatically re-loading suture passers that are adapted to include a gate, guide or shield on one of the jaws of the suture passer, and methods of operating such suture passers for surgical use including repairing tissue.

Tissue thickness compensator comprising controlled release and expansion

A tissue thickness compensator may generally comprise a first layer comprising a first biocompatible material sealingly enclosed in a water impermeable material and a second layer comprising a second biocompatible material comprising at least one encapsulation, wherein the first biocompatible material expands when contacted with a fluid. The tissue thickness compensator may comprise a haemostatic agent, an anti-inflammatory agent, an antibiotic agent, anti-microbial agent, an anti-adhesion agent, an anti-coagulant agent, a medicament, and/or pharmaceutically active agent. The encapsulation may comprise a biodegradable material to degrade in vivo and/or in situ. The tissue thickness compensator may comprise a hydrogel. The reaction product may comprise a fluid-swellable composition. Articles of manufacture comprising the tissue thickness compensator and methods of making and using the tissue thickness compensator are also described.

CURVED END EFFECTOR FOR A STAPLING INSTRUMENT

RELEASE MECHANISMS FOR A CLIP DEVICE

NASAL VALVE IMPLANTS

処置具挿入補助具

УЗЕЛ ОГРАНИЧЕНИЯ, ВКЛЮЧАЮЩИЙ КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ

Изобретение относится к медицинской технике. Система узла кассеты для хирургического сшивающего инструмента включает кассету со скобами, ограничитель и расширитель. Ограничитель содержит первую пластину и вторую пластину, которые связаны соединителем. Первая пластина ограничителя выполнена с возможностью поворота относительно второй пластины вокруг соединителя. Первый биосовместимый съемный слой прикреплен к корпусу кассеты и к первой пластине ограничителя. Второй биосовместимый съемный слой прикреплен ко второй пластине ограничителя. Первый биосовместимый слой и второй биосовместимый слой выполнены с возможностью захвата внутри скоб и принятия разных высот внутри разных скоб в сжатом состоянии. Расширитель размещен между первой пластиной ограничителя и второй пластиной ограничителя и выполнен с возможностью перемещения между первым положением и вторым положением. Перемещение расширителя из первого положения во второе положение заставляет первую пластину ограничителя и вторую пластину ограничителя ...

СШИВАЮЩИЙ ТКАНЬ ИНСТРУМЕНТ, ИМЕЮЩИЙ КОМПЕНСАТОР ТОЛЩИНЫ, В КОТОРЫЙ ВВЕДЕН ГИДРОФИЛЬНЫЙ АГЕНТ

Изобретение относится к медицинской технике и может быть использовано с хирургическим сшивающим инструментом. Узел включает корпус кассеты, который имеет опорную часть с множеством гнезд для скоб с отверстиями. 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 выполнен с возможностью захвата внутри скоб. Сжимаемый компенсатор толщины ткани по меньшей мере частично покрывает отверстия гнезд для скоб. Сжимаемый компенсатор толщины ткани выполнен с возможностью принимать разные значения высоты в сжатом состоянии внутри разных скоб и содержит лиофилизированный пеноматериал, имеющий внедренный в него гидрофильный агент. 3 н. и 8 з.п. ф-лы, 540 ил.

ЛИСТОВОЙ КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ

Группа изобретений относится к области медицины, а именно к медицинской технике и хирургии, и предназначена для компенсирования различий толщины ткани. Компенсатор толщины ткани содержит первый слой, содержащий первое лекарственное средство; второй слой, содержащий второе лекарственное средство; и третий слой, содержащий третье лекарственное средство, расположенный между первым слоем и вторым слоем. Также обеспечивается компенсатор толщины ткани, содержащий первый слой, содержащий первое лекарственное средство; второй слой, содержащий второе лекарственное средство; и емкость, содержащую третье лекарственное средство, находящееся в емкости. Использование группы изобретений позволяет доставлять множество различных или одинаковых лекарственных средств к целевой ткани, сохраняя возможность надлежащего захвата ткани. 2 н. и 13 з.п. ф-лы, 415 ил.

СШИВАЮЩИЙ ТКАНЬ ИНСТРУМЕНТ, ИМЕЮЩИЙ КОМПЕНСАТОР ТОЛЩИНЫ, В КОТОРЫЙ ВВЕДЕН ГИДРОФОБНЫЙ АГЕНТ

Изобретение относится к медицине и может быть использовано с хирургическим сшивающим инструментом. Узел кассеты со скобами содержит сжимаемый компенсатор толщины ткани и корпус кассеты, имеющий опорную часть с множеством гнезд для скоб с отверстиями. По меньшей мере, часть каждой скобы хранится внутри гнезда для скобы. Каждая скоба выполнена с возможностью перемещения между неактивированным положением и активированным положением и с возможностью деформации между неактивированной конфигурацией и активированной конфигурацией. Сжимаемый компенсатор толщины ткани выполнен с возможностью захвата внутри скоб и, по меньшей мере, частично покрывает отверстия гнезд для скоб. Сжимаемый компенсатор имеет возможность принимать разные значения высоты в сжатом состоянии внутри разных скоб и содержит лиофилизированный пеноматериал с гидрофобным агентом. 3 н. и 13 з.п. ф-лы, 540 ил.

КОМПЕНСАТОРЫ ТОЛЩИНЫ ТКАНИ ДЛЯ КРУГОВЫХ ХИРУРГИЧЕСКИХ СШИВАЮЩИХ АППАРАТОВ

Группа изобретений относится к медицинской технике, а именно к компенсаторам толщины ткани для круговых хирургических сшивающих аппаратов. Предложен компенсатор толщины ткани для использования с круговым хирургическим сшивающим аппаратом, содержащим картридж со скобками с панелью картриджа и упорный элемент, удерживаемый с возможностью движения относительно картриджа со скобками таким образом, чтобы поверхность для формирования скобок упорного элемента находилась напротив панели картриджа, а элемент для рассечения ткани выдвигался аксиально из картриджа со скобками к упорному элементу. При этом компенсатор толщины ткани содержит сжимаемый биоабсорбируемый кольцевой основной элемент и крепежный элемент. Сжимаемый биоабсорбируемый кольцевой основной элемент выполнен с возможностью удержания между поверхностью для формирования скобок и панелью картриджа. Крепежный элемент выступает из сжимаемого основного элемента и выполнен с возможностью прикрепления к упорному элементу для удержания сжимаемого ...

ХИРУРГИЧЕСКИЙ СШИВАЮЩИЙ АППАРАТ С ШАРНИРНО ЗАКРЕПЛЕННЫМ УПОРОМ

Группа изобретений относится к медицинской технике, а именно к хирургическим инструментам, в частности к хирургическим рассекающим и сшивающим аппаратам и используемым в них скобочным блокам, предназначенным для рассечения ткани и сшивания ее скобками. Хирургический сшивающий аппарат выполнен с возможностью приема скобочного блока, содержащего скобки, причем хирургический сшивающий аппарат содержит рукоять, ствол, опорную браншу и браншу упора. Рукоять содержит спусковой механизм и пусковой узел. При этом спусковой механизм выполнен с возможностью приведения в действие пускового узла. Ствол продолжается из рукояти, при этом ствол содержит ножедержатель, функционально соединенный с пусковым узлом. Ножедержатель содержит кулачок, режущую кромку и концевой зажим. Концевой зажим включает проксимальный конец и дистальный конец. Опорная бранша содержит опорную поверхность, смещающую направляющую. Опорная поверхность выполнена с возможностью поддержки скобочного блока, при этом опорная поверхность ...

ХИРУРГИЧЕСКИЙ СШИВАЮЩИЙ АППАРАТ С ШАРНИРНО ЗАКРЕПЛЕННЫМ УПОРОМ

... 1. Хирургический сшивающий аппарат, выполненный с возможностью приема скобочного блока, содержащего скобки, причем упомянутый хирургический сшивающий аппарат содержит:рукоять, содержащую спусковой механизм ии пусковой узел, при этом упомянутый спусковой механизм выполнен с возможностью приведения в действие упомянутого пускового узла;ствол, продолжающийся из упомянутой рукояти, при этом упомянутый ствол содержит ножедержатель, оперативно соединенный с упомянутым пусковым узлом, при этом упомянутый ножедержатель содержит:кулачок;режущую кромку иконцевой зажим, содержащийпроксимальный конец,дистальный конец;опорную браншу, содержащую:опорную поверхность, выполненную с возможностью поддержки скобочного блока, при этом упомянутая опорная поверхность образует опорную плоскость; исмещающую направляющую, образованную вдоль оси поперечной по отношению к упомянутой опорной плоскости; ибраншу упора, содержащую:ведомый механизм, принимаемый с возможностью скольжения в упомянутой смещающей направляющей ...

СШИВАЮЩИЙ ТКАНЬ ИНСТРУМЕНТ, ИМЕЮЩИЙ КОМПЕНСАТОР ТОЛЩИНЫ, В КОТОРЫЙ ВВЕДЕН ГИДРОФИЛЬНЫЙ АГЕНТ

Изобретение относится к медицинской технике и может быть использовано с хирургическим сшивающим инструментом. Узел включает корпус кассеты, который имеет опорную часть с множеством гнезд для скоб с отверстиями. 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 выполнен с возможностью захвата внутри скоб. Сжимаемый компенсатор толщины ткани по меньшей мере частично покрывает отверстия гнезд для скоб. Сжимаемый компенсатор толщины ткани выполнен с возможностью принимать разные значения высоты в сжатом состоянии внутри разных скоб и содержит лиофилизированный пеноматериал, имеющий внедренный в него гидрофильный агент. 3 н. и 8 з.п. ф-лы, 540 ил.

УСТРОЙСТВО ДЛЯ НАЛОЖЕНИЯ СКРЕПЛЯЮЩИХ ЭЛЕМЕНТОВ С ОДНОРАЗОВЫМ КАРТРИДЖЕМ, ИСПОЛЬЗУЕМОЕ В РЕСТРИКТИВНОЙ ГАСТРОПЛАСТИКЕ

... 1. Перезаряжаемое устройство для наложения скрепляющих элементов, включающее: ! a. рукоятку и по меньшей мере один привод; ! b. указанную рукоятку, соединенную с удлиненным полым корпусом, имеющим дистальный и проксимальный концы; ! c. первый картридж, содержащий по меньшей мере один скрепляющий элемент и разъемно соединяемый с указанной рукояткой; ! d. указанный скрепляющий элемент, содержащий по меньшей мере два фиксатора, соединенных вместе неупругим гибким шовным материалом, неустойчивым к деформации под сжимающей нагрузкой, при этом указанный первый картридж выполнен с возможностью извлечения из указанной рукоятки; и ! e. второй картридж, содержащий по меньшей мере один скрепляющий элемент и разъемно соединяемый с указанной рукояткой после извлечения указанного первого картриджа, при этом указанный второй картридж выполнен с возможностью установки в устройстве с проксимального конца. ! 2. Устройство по п.1, в котором указанные картриджи дополнительно включают иглу в указанном полом ...

ПЕРЕЗАРЯЖАЕМОЕ ЛАПАРОСКОПИЧЕСКОЕ УСТРОЙСТВО ДЛЯ НАЛОЖЕНИЯ СОЕДИНИТЕЛЬНЫХ ЭЛЕМЕНТОВ С ОДНОРАЗОВЫМ КАРТРИДЖЕМ ДЛЯ ИСПОЛЬЗОВАНИЯ ВО ВРЕМЯ ОПЕРАЦИИ РЕСТРИКТИВНОЙ ГАСТРОПЛАСТИКИ

... 1. Способ наложения соединительных элементов в теле пациента, включающий следующие этапы: ! a. предоставление устройства, содержащего рукоятку и по меньшей мере один привод, при этом указанная рукоятка соединена с вытянутым полым корпусом, имеющим дистальный и проксимальный концы и иглу в указанном полом корпусе, первый картридж, содержащий по меньшей мере один съемный соединительный элемент, присоединенный к указанному дистальному концу указанного полого корпуса, при этом указанный соединительный элемент, по меньшей мере частично размещен внутри указанной иглы и включает по меньшей мере два фиксатора, соединенных вместе неупругой гибкой нитью, не оказывающей сопротивления деформации под давлением; ! b. введение указанного дистального конца указанного полого корпуса в намеченный участок тела пациента и соединение ткани вместе внутри тела путем наложения указанного соединительного элемента; ! c. извлечение первого картриджа из рукоятки и замена его на второй картридж. ! 2. Способ по п.1, ...

ИСПОЛНИТЕЛЬНЫЙ МЕХАНИЗМ ДЛЯ ВЫСВОБОЖДЕНИЯ КОМПЕНСАТОРА ТОЛЩИНЫ ТКАНИ ОТ КАССЕТЫ С КРЕПЕЖНЫМИ ЭЛЕМЕНТАМИ

ЛИСТОВОЙ КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ

... 1. Компенсатор толщины ткани, содержащий:первый слой, содержащий первое лекарственное средство;второй слой, содержащий второе лекарственное средство; итретий слой, содержащий третье лекарственное средство, расположенный между первым слоем и вторым слоем.2. Компенсатор толщины ткани по п. 1, в котором первое лекарственное средство, второе лекарственное средство и третье лекарственное средство независимо выбраны из гемостатического средства, противовоспалительного средства, антибактериального средства, антимикробного средства, антиадгезивного средства, противосвертывающего средства, фармацевтического действующего вещества, ингибитора матричных металлопротеиназ и их комбинаций.3. Компенсатор толщины ткани по п. 1, в котором первое лекарственное средство представляет собой гемостатическое средство, второе лекарственное средство представляет собой антиадгезивное средство, а третье лекарственное средство представляет собой ингибитор матричных металлопротеиназ.4. Компенсатор толщины ткани по п ...

КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ, СОДЕРЖАЩИЙ ПО МЕНЬШЕЙ МЕРЕ ОДНО ЛЕКАРСТВЕННОЕ СРЕДСТВО

... 1. Система доставки лекарственного средства, выполненная с возможностью прикрепления к упору сшивающего инструмента, причем упор включает в себя формирующую поверхность, и причем система доставки лекарственного средства содержит высвобождающий материал, содержащий полость, причем полость выполнена с возможностью выравнивания с формирующей поверхностью упора; лекарственное средство, расположенное внутри полости; и часть прикрепления, выполненную с возможностью прикрепления к упору.2. Система доставки лекарственного средства по п. 1, в которой полость образована боковой стенкой, причем высвобождающий материал содержит первый слой и второй слой, и причем части первого слоя соединяются со вторым слоем с образованием боковой стенки.3. Система доставки лекарственного средства по п. 1 или 2, в которой формирующая поверхность содержит формирующее углубление, выполненное с возможностью деформации крепежного элемента, причем высвобождающий материал расположен внутри формирующего углубления.4. Система ...

СКОБОЧНЫЙ БЛОК, СОДЕРЖАЩИЙ КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ

... 1. Узел скобочного блока для применения с хирургическим сшивающим аппаратом, в котором упомянутый узел скобочного блока приспособлен для использования с тканью, имеющей толщину, где упомянутый узел скобочного блока содержит:корпус блока, содержащий опорную часть, при этом упомянутая опорная часть содержит множество полостей скобок, причем каждая упомянутая полость скобки содержит отверстие;множество скобок при этом по меньшей мере часть каждой упомянутой скобки хранится с возможностью извлечения в упомянутой полости скобки, причем каждая упомянутая скобка способна перемещаться между нерабочим положением и приведенным в действие положением, при этом каждая упомянутая скобка выполнена с возможностью деформации между нерабочей конфигурацией и приведенной в действие конфигурацией, когда каждая упомянутая скобка перемещается между упомянутым нерабочим положением и упомянутым приведенным в действие положением; исжимаемый компенсатор толщины ткани, выполненный с возможностью захвата в упомянутые ...

Independent suture tensioning and snaring apparatus

CATCH FOR BODY OPENINGS

LOAD DEVICE FOR SURGICAL SEWING INSTRUMENT

Implantable fastener cartridge having a non-uniform arrangement

A fastener cartridge comprises 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 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. 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.

Fastening instrument for deploying a fastener system comprising a retention matrix

A surgical stapling instrument can comprise, one, a handle comprising an actuator and, two, an end effector comprising a proximal end, a distal end, and a longitudinal axis extending between the proximal end and the distal end. The end effector can further comprise a first jaw configured to support staples comprising staple legs and, in addition, a second jaw supporting a matrix element opposite the staples, wherein one of the jaws is movable toward the other in order to engage the matrix element with the staple legs. The stapling instrument can further comprise a cam operably coupled with the actuator, wherein the cam is movable along the longitudinal axis to deform the staple legs.

Implantable fastener cartridge comprising multiple layers

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 comprised of different materials which can apply pressure to the tissue. These different materials can have different stiffnesses and/or spring rates.

Surgical stapling instrument with compact articulation control arrangement

A surgical cutting and stapling instrument with an articulatable elongated shaft. The elongated shaft is operably coupled to a handle assembly and has an articulation joint therein. The distal end of the elongated shaft is couplable to and end effector that supports a staple cartridge therein. The end effector may be articulated relative to the elongated shaft by an articulation control system operably supported in the handle assembly.

Applicator instruments having protective carriers for hemostats and methods therefor

Means and method for reversibly connecting an implant to a deployment device

The present invention generally relates to devices and methods for reversibly coupling an implant to a deployment device.

TISSUE AUGMENTATION TACKS FOR USE WITH SOFT TISSUE FIXATION REPAIR SYSTEMS AND METHODS

Devices, systems, and methods to improve both the reliability of soft tissue repair procedures and the speed at which the procedures are completed are provided. The devices and systems include one or more tissue augmentation constructs, which include constructs that are configured to increase a footprint across which suture applied force to tissue when the suture is tied down onto the tissue. The tissue augmentation constructs can be quickly and easily associated with the repair suture, and can be useful in many different tissue repair procedures that are disclosed in the application. In one exemplary embodiment, one or more constructs are disposed on a suture threader, which can be used to associate the construct(s) with a repair suture(s) being used to repair the soft tissue. Tissue augmentation constructs can include various blocks and patches, among other formations. Exemplary methods for manufacturing the tissue augmentation constructs are also provided. 3641934vl FIG. 21A FIG. 21B ...

User actuated reloadable clip cartridge

A system for treating tissue includes an applicator and a clip assembly. The applicator includes a catheter extending longitudinally and a lumen extending therethrough, a control member extending through the lumen of the catheter. The assembly is releasably coupleable to a distal end of the applicator. The assembly includes a pair of clip arms, proximal ends of which are slidably received within a channel of a capsule, a pair of opposing coupling elements extending proximally from the proximal ends of the arms to be fixed over the distal end of the member so that the arms are movable relative to the capsule via a longitudinal motion of the member between a tissue receiving configuration, in which distal ends of the arms are separated from one another, and a tissue clipping configuration, in which distal ends of the arms are moved toward one another.

ENDOSCOPIC REPOSABLE SURGICAL CLIP APPLIER

A clip cartridge assembly for use with a reposable surgical clip applier includes a clip tray, a plurality of surgical clips, and a cover. The clip tray includes a plurality of distally oriented, deflectable, resilient fingers projecting from a base wall thereof. Each resilient finger terminates in a distal shoulder and a proximal end of the clip tray is configured for selective connection with a clip pusher bar of an endoscopic assembly of the reposable surgical clip applier. The cover includes a plurality of distally oriented, deflectable, resilient fingers projecting within a channel defined through proximal and distal ends thereof. Each resilient finger of the cover terminates in a distal shoulder and the cover includes a pair of opposed slots defined within sidewalls of the channel configured to slidably retain the clip tray and the plurality of surgical clips therein. A reposable surgical clip applier is also provided.

RELOADABLE APPLICATOR FOR HEMOSTATIC CLIPS

A system for treating tissue includes a clip assembly including a pair of clip arms, proximal ends of the clip arms slidably received within a channel of a capsule to be moved between a tissue receiving configuration and a tissue clipping configuration, and an applicator releasably coupleable to the clip assembly to move the clip assembly between the tissue receiving configuration and the tissue clipping configuration, the applicator including a control member having a plurality of nodes extending therealong, each node having a cross-sectional are larger than a cross-sectional area of a remaining portion of the control member and configured to be coupled to the proximal end of the clip arms, a distal-most one of the nodes severable from a next immediately proximal one of the nodes, when a force exerted thereon exceeds a predetermined threshold value, to release the clip assembly from the applicator.

COMBINATION THERAPY HEMOSTATIC CLIP

A clip device (1612) for hemostasis includes a clip having a plurality of arms (1640, 1650) each having a proximal end and a distal end, wherein each of the arms are spaced apart from each other when the clip is in an open position and adjacent to each other when the clip is in a closed position. At least one lumen (1643, 1653) is disposed within a first of the plurality of arms and spans from the proximal end to the distal end of the first arm. At least one outlet bore is formed in the distal end of the first arm. In use, the distal ends of the plurality of arms are adapted to engage tissue in the closed position, and a sclerosing agent is adapted to be delivered to tissue via the lumen and an outlet bore formed in the first arm. Such technique facilitates treatment of the underlying bleeding using a combination of mechanical and sclerotherapy approaches.

DEVICE AND METHOD FOR ROLLING AND INSERTING A PROSTHETIC PATCH INTO A BODY CAVITY

This invention generally relates to minimal invasive surgery. More specifically the current invention relates to an apparatus especially adapted to fold prosthetic patches and to insert said patches into a body cavity through a cannula or an incision.

FASTENER DEPLOYING DEVICE WITH SISPOSABLE CARTRIDGE FOR GASTRIC VOLUME REDUCTION

A reloadable device for deploying fasteners. The device has a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends. The device includes a first cartridge containing at least one fastener releasably connectable to the handle. The fastener has at least two anchors connected together by a non-resilient flexible suture which does not resist deformation under compressible loads. The first cartridge is removable from the handle. The device includes a second cartridge having at least one fastener releasably connectable to the handle after removal of the first cartridge. The second cartridge being insertable into the device from a proximal end thereof.

SURGICAL STAPLE CARTRIDGES WITH DETACHABLE SUPPORT STRUCTURES AND SURGICAL STAPLING INSTRUMENTS WITH SYSTEMS FOR PREVENTING ACTUATION MOTIONS WHEN A CARTRIDGE IS NOT PRESENT

Surgical staple cartridges and end effectors for surgical stapling instruments. In various embodiments, a cartridge support member is coupled to a portion of an implantable staple cartridge body. The cartridge support member is configured to be removably coupled to an elongated channel portion of a surgical instrument. When the stapling process has been completed, the implantable cartridge body remains stapled to the tissue and is separated from the cartridge support member which remains affixed to the elongated channel to provide the surgeon with an indication that no cartridge is present within the elongated channel. In other embodiments, a closure lockout arrangement is provided to prevent the advancement of a closure member to a fully fired position when a staple cartridge is not present within the end effector.

SURGICAL CUTTING AND FASTENING INSTRUMENTS WITH SEPARATE AND DISTINCT FASTENER DEPLOYMENT AND TISSUE CUTTING SYSTEMS

A surgical instrument capable for use with an end effector supporting a staple cartridge therein. In various embodiments, the surgical instrument includes a firing system for applying firing motions to the end effector to form the unformed the staples supported in the staple cartridge. The surgical instrument further includes a tissue cutting system that may be optionally actuated after the staples have been formed.

FASTENERS SUPPORTED BY A FASTENER CARTRIDGE SUPPORT

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, at least portions of the fasteners can extend outside of the cartridge body. The first jaw can comprise support features, such as slots, for example, which can directly support such external portions of the fasteners.

FASTENERS SUPPORTED BY A FASTENER CARTRIDGE SUPPORT

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, at least portions of the fasteners can extend outside of the cartridge body. The first jaw can comprise support features, such as slots, for example, which can directly support such external portions of the fasteners.

IMPLANTABLE FASTENER CARTRIDGE HAVING A NON-UNIFORM ARRANGEMENT

A fastener cartridge comprises 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 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. 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.

IMPLANTABLE FASTENER CARTRIDGE COMPRISING MULTIPLE LAYERS

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 comprised of different materials which can apply pressure to the tissue. These different materials can have different stiffnesses and/or spring rates.

DEVICES AND METHODS FOR DELIVERING AN ENDOCARDIAL DEVICE

Described herein are systems for partitioning a ventricle of a heart. The systems may include a partitioning device or implant, and an applicator for inserting, repositioning and/or removing the partitioning device. The implant may support the ventricle wall and my reduce the volume of the ventricle. In particular, described herein are systems for delivering and deploying a partitioning device into a ventricle. The delivery system may include a catheter having a distal coupling element for coupling to a partitioning device in a collapsed configuration; the catheter may also have an expansion member for applying force to the partitioning device to fully expand it into a deployed configuration and to secure or seal it against the ventricle wall.

RELEASABLE LAYER OF MATERIAL AND SURGICAL END EFFECTOR HAVING THE SAME

An end effector assembly (5400) for use with a surgical instrument. The end effector assembly can include a fastener cartridge (5402), a plurality of fasteners, a first connector (5480a), a second connector (5480b), and a layer of material (5468) releasably secured to the fastener cartridge by the first connector and by the second connector. The layer of material can have a mount (5460) that extends into a slot or notch (5456) in the fastener cartridge between the first connector and the second connector when the layer of material is secured to the fastener cartridge. The layer of material can be a buttress material and/or a tissue thickness compensator. Further, the layer of material can have a reinforcement feature and/or a scalloped edge around at least a portion of the perimeter thereof.

DEVICE AND SYSTEM FOR DISPENSING A BIOLOGICAL SEALANT

The present invention is related to a device (100) for dispensing a multi-part composition and method of using the device. Various components may be present in the invention, including for example, a headpiece (110), an applicator (300), a dispenser (400), a loading cartridge (500), and other components. Systems and devices to load and dispense materials, including biological materials, are provided. Methods of use are also provided.

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.

Surgery equipment holding device

A surgery equipment holding device including a holder for holding surgical equipment, a bar connected to the holder, a brake which operatively engages the bar for stopping movement of the bar, and a pair of switches for switching being an active state and an inactive state of the brake. The surgery equipment holding device is characterized in the operation thereof at the time of disengaging the fixation state, and exhibits excellent operability.

Expanding surgical access port

A surgical access port that includes a cylindrical member having a proximal end and a distal end and defining a longitudinal axis; at least two lumen extending through the cylindrical member along the longitudinal axis; at least one cavity defined in the cylindrical member and positioned radially within the at least two lumen; and a source of inflation fluid coupled to the at least one cavity, the source of inflation configured to permit selectable inflation of the at least one cavity, whereby inflation of the at least one cavity increases the radial distance between the at least two lumen.

Surgical instrument with selectively rigidizable features

Mechanisms for altering the shape of a cell or chamber of a shaft or an actuation drive of an instrument are provided. The mechanisms may selectively rigidize the shaft of surgical or diagnostic instruments. The shaft assembly includes a shaft operatively connectable to a control member, at least one cell or a set of cells defined within the shaft, a shape altering material contained within the cell or cells, and, an activation link operatively connectable to a source of activation energy for delivering activation energy to each cell for activating the shape altering material to selectively rigidize or unrigidize the shaft. An actuator for producing work is also provided that includes an element within a housing that defines a cell or a set of cells. The shape altering material is contained within the cells, and a source of activation energy operatively connected to each cell for activating the shape altering material to expand or contract the cell. The element is operatively connectable to a driving member of an instrument such that the change in the cell is translated to the driving member to facilitate the production of work.

Device For Temporarily Holding An Object

A device for temporarily holding an object having a three dimensional outer contour comprises at least two clamping elements between which said object can be brought. At least one clamping element is being movable towards the other clamping element. At least one of said movable clamping elements is designed as an expandable elastic body. A fluid can be supplied to said expandable elastic body for expanding the same. The expandable elastic body is being able to nestle against the outer contour of the object and to adapt to said contour. The control system controls a supply of said fluid to said expandable elastic body, said control system being able to control an expansion and a collapsing of said body.

Surgical device and accessories

The present invention relates to a device developed for surgical interventions comprising (i) an inner end ( 1 ) guidable/steerable to the operation field, (ii) an outer end ( 3 ) operated by the user and (iii) a middle part ( 2 ) which connects both ends ( 1, 3 ) together. According to the main concept of the present invention, it further comprises force transmission units extending between the outer ( 3 ) and the inner ( 1 ) ends, and said force transmission units, the outer and the inner ends and the middle part ( 2 ) are designed to transfer the movements of the outer end ( 3 ) to the inner end ( 1 ) in an identical measure, as if the inner end ( 1 ) were the straight continuation of the outer end ( 3 ).

Cutting balloon assembly and method of manufacturing thereof

A method for fabrication of a cutting balloon assembly is described. The method includes providing a predetermined number of filaments having predetermined properties, diameter and length and fabricating a scoring mesh on a weaving jig having a plurality of pins disposed circumferentially about the jig's surface. The fabrication of the scoring mesh includes placing the filaments between the pins and interlacing the filaments to form a scoring mesh by interweaving and intertwining at least a part of filament to form one or more permanent links with neighboring filaments. The fabrication of the scoring mesh also includes forming distal and proximal filament loops that protrude from the mesh distal and proximal ends, respectfully. The scoring mesh is mounted on an expandable balloon mounted on a distal end of a delivery catheter.

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.

Articulated surgical tool

An articulated surgical tool and method of use are provided. The articulated surgical tool may hold an instrument and a surgical tool and may provide both macro and micro motions in the instrument and/or surgical tool, including by hydraulic operation. The articulated surgical tool may be coupled to a control system, such that manipulation of the control system results in movement of instrument and/or surgical tool, thereby eliminating the need to manually hold and position the instrument and/or surgical tool.

Method and Apparatus for the Containment of a Surgical Site

An apparatus for the containment of a surgical site includes an enclosure, with at least one port, securely coupled to the surgical site and a source of pressurized fluid in fluid communication with the enclosure via the at least one port providing pressurized fluid to the surgical site. The pressurized fluid establishes a hemostatic equilibrium within the enclosure by reducing blood egress through injuries in blood vessels at the surgical site thereby preventing bleeding at the surgical site. A method for the containment of a surgical site includes securely coupling an enclosure to a surgical site; fluidly coupling a source of pressurized fluid to the enclosure; and continuously providing pressurized fluid to the enclosure from the source of pressurized fluid and draining fluid from the enclosure. The pressurized fluid establishes a hemostatic equilibrium within the enclosure.

Powered signal controlled hand actuated articulating device

An articulating device for aiding a user, such as, a surgeon or other medical practitioner, in manipulating a hand-actuated articulating device by providing a powered force used for moving the device, thus reducing or eliminating the need for the user to provide all the force required to move the device. The articulating device includes an input device, which receives one or more user inputs to direct a slave portion to perform work. The articulating device further includes a control portion that assists in transferring user input to the slave portion, and that further provides power assistance to at least partially drive the slave portion, in combination with the user input received by the input device.

End effector for use with a surgical fastening instrument

A surgical staple including a crown and a deformable member extending from the crown, the deformable member having a notch configured to cause the deformable member to bend at the notch when the staple is deformed from a first shape into a second shape. The crown of the surgical staple, in various embodiments, further includes a forming surface, or anvil, which is configured to deform the deformable member and/or guide a distal end of the deformable member when the distal end contacts the crown.

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.

Rib-protecting devices for thoracoscopic surgery, and related methods

Methods and devices are disclosed to reduce tissue trauma when a surgeon performs surgery by thoracoscopy. Methods and devices are disclosed for protecting tissues adjacent to an intercostal incision from trauma caused by impingement of instruments into an intercostal incision. In one part, these methods and devices include devices that have controls that stick up out of the incision, permitting adjustment by the surgeon. In another part, methods and devices are disclosed for smaller devices that reside entirely under this skin and require no adjustment by the surgeon.

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.

Devices and methods for delivering implants for percutaneous perforation closure

A device for delivering an implant configured to seal an aperture in a tissue includes: a delivery shaft configured to engage the implant to allow the implant to be maneuvered into sealing engagement with a distal surface of the tissue, the delivery shaft comprising a retaining sleeve comprising a locking projection engagable with a locking recess of the implant to secure the implant to the delivery shaft, and a release sleeve axially slideable relative to the retaining sleeve between a first axial position in which the release sleeve is configured to maintain locking engagement between the locking recess and the locking projection, and a second axial position in which the release sleeve permits the locking projection to disengage the locking recess.

Implants And Procedures For Treatment Of Pelvic Floor Disorders

Implants for the treatment of pelvic support conditions and methods of implementing the same. The implants comprise relatively soft, flexible bodies and relatively strong arms extending in predetermined orientation therefrom. Methods and devices for placing the implants minimize trauma to the pelvic floor and provide well-anchored support to pelvic organs without interfering with sexual or other bodily functions.

Percutaneous perforation closure systems, devices, and methods

A device for sealing an aperture in a tissue includes: an implant configured to seal the aperture when positioned adjacent to the aperture; and a delivery shaft configured to engage the implant to allow the implant to be maneuvered into sealing engagement with a distal surface of the tissue, the delivery shaft comprising a retaining sleeve comprising a locking projection engagable with the locking recess of the implant to secure the implant to the delivery shaft, and a release sleeve axially slideable relative to the retaining sleeve between a first axial position in which the release sleeve is configured to maintain locking engagement between the locking recess and the locking projection, and a second axial position in which the release sleeve permits the locking projection to disengage the locking recess.

Impact and Drive System for Prosthesis Deployment Device

A deployment device for a prosthesis includes a driving assembly, including a driving tube and a driving pin. The deployment device also includes a driven assembly, including a driven tube and a driven pin. The driven pin and the driven tube may be further associated with the prosthesis. The driving tube, the driving pin, the driven tube and the driven pin may all be located coaxially, with the driving pin configured to translate through a cavity in the driving tube and the driven pin configured to translate through a cavity in the driven tube. This configuration allows for a two-stage implantation process for the prosthesis, as the driving tube and driving pin may move together in one stage and may move relative to one another in a second stage.

MICROGRAFT FOR THE TREATMENT OF INTRACRANIAL ANEURYSMS AND METHOD FOR USE

A device for occluding a vasculature of a patient including a micrograft having an absorbent polymeric structure with a lumen of transporting blood. The micrograft has a series of peaks and valleys formed by crimping. The occluding device is sufficiently small and flexible to be tracked on a guidewire and/or pushed through a microcatheter to a site within the vasculature of the patient. Delivery systems for delivering the micrografts are also disclosed. 1. A vascular graft configured for occluding a vasculature of a patient , the vascular graft comprising:an absorbent biocompatible textile structure for a tubular structure; anda core element having a proximal end, a distal end and a lumen within the core element, the core element positioned inside the biocompatible structure and attached to the biocompatible structure, the core element having a coiled structure having multiple coils;a tube secured to the core element, wherein a distal portion of the tube is within the textile structure, the tube having a lumen extending therethrough from a distal opening to a proximal opening to enable blood flow into and out of the tube;wherein a capillary effect is created within the vascular graft when the biocompatible structure is exposed to blood such that blood is transported in a proximal direction through the vascular graft wherein blood clots.2. The vascular graft of claim 1 , wherein the vascular graft is non-self-expanding along its length.3. The vascular graft of claim 1 , wherein a proximal end of the tube extends proximally of the coiled structure and the textile structure is attached over an outer surface of the tube.4. The vascular graft of claim 1 , wherein the tube is positioned within coils of the coiled structure.5. The vascular graft of claim 1 , wherein the biocompatible structure has a distal opening at a distal end for blood flow into the distal opening.68-. (canceled)9. The vascular graft of claim 1 , wherein the vascular graft is movable to a substantially ...

Sponge-based variable-stiffness support structure for natural orifice surgical instrument and method for using the same

A sponge-based variable-stiffness support structure for natural orifice surgical instrument is to support the surgical instrument and includes: a variable-stiffness sponge pipeline connected with the natural orifice surgical instrument and configured to support the natural orifice surgical instrument in a natural orifice; a hydrophobic breathable film attached to an outer wall of the variable-stiffness sponge pipeline, and configured to isolate the variable-stiffness sponge pipeline from body fluid in the natural orifice; and a gas delivery assembly connected with the variable-stiffness sponge pipeline, and configured to inject high-pressure air or water vapor into a variable-stiffness sponge pipe of the variable-stiffness sponge pipeline; wherein the variable-stiffness sponge pipeline has a stiffness inversely proportional to content of the water vapor.

Automatically reloading suture passer devices that prevent entanglement

Suture passers and methods of use. Described herein are suture passers preloaded with suture, including cartridges that couple to a suture passer to form a loaded suture passer that are configured to prevent a length of suture (e.g., already-passed suture) from re-entering the channel of the suture passer jaw and getting recaptured and/or entangled by the tissue penetrator. In particular, described herein are preloaded and automatically re-loading suture passers that are adapted to include a gate, guide or shield on one of the jaws of the suture passer, and methods of operating such suture passers for surgical use including repairing tissue.

Apparatus and methods for Loading Suture

Various embodiments of a cartridge for loading a suture onto a suturing instrument are disclosed. In some embodiments, the cartridge is operable for loading a pre-tied knot formed from the suture onto the suturing instrument. The suturing instrument is typically of the type having a suture passing member defining a suture receiving passage therein. In some embodiments, the cartridge comprises a housing defining a chamber, and a partially pre-tied knot mounted about the housing or the chamber. The cartridge additionally provides a base coupled to the housing, the base defining a seat for releasably holding a portion of a suture to be aligned with, and transferred to, the suturing instrument. The portion of the suture may be held independently, or it may be coupled to a component such as a ferrule or shuttle.

AUTOMATICALLY OPERATED ENDOSCOPIC LIGATING INSTRUMENT

A double-tubed instrument for endoscopic ligation is provided with two separate tubes with bands and a piston next to the last band mounted on the internal tube. The internal tube with bands and piston is put inside of the external tube; a flexible cone-shaped tubular adapter secured both tubes as a tubular instrument at one end, which connects the instrument at the inserting end of the endoscope. The piston moves freely between the tubes and secures completely a sealed space under from the cone-shaped tubular adapter creating a hydraulic tank between the piston and the cone-shaped tubular adapter, which is connected with a conduit for conveying liquid in and stores the liquid serving as the driving force to move bands forward and dislodge the aimed elastic band one at a time to effect the ligation of multiple lesions during a single insertion of the endoscope. 1. A hydraulically operated ligating band dispenser for use with an endoscopic device , said dispenser being adapted for supporting a given plurality of elastic ligating bands and comprising:(a) a double-tubed instrument having two separate tubes with bands and a piston next to the last band mounted on said internal tube, said internal tube having bands and piston placed inside of the external tube;(b) a flexible cone-shaped tubular adapter for securing both tubes and creating a tubular instrument with one end for connection to the inserting end of an endoscope;(c) a freely moving piston between the tubes which secures completely a sealed space from the cone-shaped tubular adapter creating a hydraulic tank between the piston and the cone-shaped tubular adapter;(d) conduit means for conveying liquid serving as the driving force to move said bands forward and dislodge the them one at a time to effect ligation of multiple lesions during a single insertion of the endoscope.2. The dispensing device of wherein said conveying liquid is selected from the group consisting of purified water claim 1 , sterilized water ...

METHODS, SYSTEMS, AND DEVICES FOR SURGICAL SUTURING

Various exemplary methods, systems, and devices for surgical suturing are provided. In general, a loading element can be configured to facilitate loading of a plate into a surgical instrument configured to facilitate passage of a suture through tissue. The surgical instrument can be configured to advance the suture through a tissue of a patient, to capture a free end or looped end of the suture after the suture's advancement through the tissue, and to pull the captured suture out of the patient's body with a portion of the suture remaining passed through the tissue within the patient's body. 1. A surgical system , comprising:an outer member having an internal cavity therein and having proximal and distal ends, the proximal end of the outer member having an opening therein that is in communication with the internal cavity; andan inner member having proximal and distal ends and being an independent element from the outer member, the distal end of the inner member being configured to be inserted through the opening of the outer member and into the internal cavity of the outer member, the inner member including a seat configured to removably and replaceably receive a plate therein, the proximal end of the inner member having a bore formed therein, the bore being configured to receive therein a distal end of a surgical instrument, wherein the inner and outer members are configured to cause the plate to advance into the bore from the seat in response to the inner member being inserted into the internal cavity.2. The system of claim 1 , further comprising a plate configured to removably and replaceably be received in the seat claim 1 , the plate being configured to facilitate manipulation of a suture.3. The system of claim 1 , wherein the outer member has an internal protrusion that extends into the internal cavity claim 1 , the internal protrusion being configured to push the plate into the bore from the seat.4. The system of claim 1 , wherein the inner member has a ...

End effectors for surgical staplers

Articulation joints for use in connection with a surgical instrument that has a portion that must be passed through a trocar or similar structure and then articulated relative to another portion of the instrument received within the trocar. Various embodiments of the articulation joint include at least one flexible driven member to articulate the surgical implement relative to the handle assembly of the instrument.

METHOD FOR FORMING A STAPLE

A method for deforming a staple comprising a base, a first staple leg, and a second staple leg, wherein the base, the first staple leg, and the second staple leg are positioned within a common plane prior to being deformed, the method comprising positioning the first staple leg within a first cup of a staple pocket, the first cup comprising a first inner surface, applying a first compressive force to the first staple leg to bend the first staple leg toward the base and the second staple leg, contacting the first inner surface with the end of the first staple leg to bend the end of the first staple leg toward a first side of the base, and deforming the first staple leg such that the end of the first staple leg crosses a mid-line of the staple defined between the first staple leg and the second staple leg. 1. A method of forming a surgical staple comprising a base , a first staple leg , and a second staple leg , wherein the base , the first staple leg , and the second staple leg are positioned within a common plane prior to being deformed by an anvil , said method comprisingsupporting the base of the staple;positioning a staple pocket of the anvil in opposition to the staple, wherein the staple pocket comprises a longitudinal axis;positioning the first staple leg within a first cup of the staple pocket, wherein the first cup comprises a first inner surface at least partially positioned on a first side of the longitudinal axis;positioning the second staple leg within a second cup of the staple pocket, wherein the second cup comprises a second inner surface at least partially positioned on a second side of the longitudinal axis;applying a first compressive force to an end of the first staple leg to bend the first staple leg toward the base and toward the second staple leg;applying a second compressive force to an end of the second staple leg to bend the second staple leg toward the base and toward the first staple leg;contacting the first inner surface with the end of ...

Fastening device, implant device, locking method, and operation method

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

APPARATUS AND ETHODS FOR HYBRID ENDOSCOPIC AND LAPAROSCOPIC SURGERY

Apparatus and methods are described allow the techniques of endoscopic and laparoscopic surgery to be combined into a minimally invasive hybrid surgical technique called NOTES-assisted laparoscopic surgery. Manual and robotic-controlled versions of a modular laparoscopic tool are described having a small diameter shaft that is delivered laparoscopically to a surgical site. Larger diameter working tips are delivered through a NOTES delivery tube inserted to the surgical site through a natural orifice and joined to the shaft of the modular laparoscopic tool. Larger diameter working tips improve the effectiveness of the modular laparoscopic tools and the number and size of laparoscopic ports used can also be reduced. 1a surgical tool shaft having a distal end configured to be advanced through a laparoscopic port into a location within a patient's body and a proximal end configured to remain outside of the patient's body;a handle attached to the proximal end of the shaft;a magnetizable surgical tool tip detachably connectable to the distal end of the surgical tool shaft; anda magnet on the shaft configured to attract the surgical tool tip and align said tip with the shaft, wherein the surgical tool tip mechanically engages the shaft after magnetic alignment.. A surgical tool system comprising: The present application is a continuation of U.S. patent application Ser. No. 14/338,237 (Attorney Docket No. 42369-703.304), filed Jul. 22, 2014, which is a continuation of U.S. patent application Ser. No. 13/728,930 (Attorney Docket No. 42369-703.301, now U.S. Pat. No. 8,827,988), filed Dec. 27, 2012, which is a continuation of U.S. patent application Ser. No. 13/380,198 (Attorney Docket No. 42369-703.831), filed Dec. 22, 2011, which is a 371 National Stage Application of PCT Application No. PCT/US2010/000584 (Attorney Docket No. 42369-703.601), filed Feb. 26, 2010, which claims priority from provisional application No. 61/208,793 (Attorney Docket No. 42369-703.101), filed on ...

Cutting mechanisms for surgical end effector assemblies, instruments, and systems

An end effector assembly for a surgical instrument includes first and second jaw members each including a jaw housing, an electrically-conductive tissue-treatment plate, and a longitudinally-extending channel. The first and/or second jaw member is movable relative to the other between a spaced-apart position and an approximated position. A cutting mechanism is disposed at least partially within the second jaw member. The cutting mechanism may include an inflatable bladder, a fluid line coupled to the inflatable bladder, and a knife coupled to the inflatable bladder. The cutting mechanism may alternatively include a fluid line, a knife, and a sealing member that defines a variable-volume sealed chamber within the longitudinally-extending channel of the second jaw member. The cutting mechanism may alternatively include at least one electromagnet, at least one electrical wire coupled to the at least one electromagnet, and a knife operably coupled to the at least one electromagnet.

Device for Treating Hardened Lesions and Method of Use Thereof

A balloon catheter is provided that may be used to dilate hardened regions of a stenosis on a vessel wall. The balloon catheter is provided with cutting elements that extend along a surface of a balloon. At least one bioactive is present, either on the cutting element, within the interior of the balloon, within the material of the balloon or on an outside surface of the balloon. The bioactive is delivered to the vessel wall upon dilation of the balloon. 117-. (canceled)18. A method of delivering a bioactive agent to a vessel wall , the method comprising: a shaft having a distal end and a proximal end;', 'an expandable inner balloon mounted at the distal end of the shaft, the shaft having an inflation lumen extending therethrough and in fluid communication with an interior region of the inner balloon,', 'an expandable outer balloon positioned around the inner balloon and defining an intermediate region between the inner balloon and the outer balloon, the shaft having a delivery lumen extending therethrough and in fluid communication with the intermediate region, and', 'at least one cutting element on an exterior surface of the inner balloon and positioned entirely within the intermediate region,', 'wherein the outer balloon comprises a plurality of pores providing fluid communication between the intermediate region and an exterior of the balloon catheter and wherein the at least one cutting element is not extendable through any of the plurality of pores,, 'positioning an expandable balloon portion of a balloon catheter at a site within a vessel, wherein the balloon catheter comprisesexpanding the inner balloon, whereby the outer balloon contacts the vessel wall and the at least one cutting element applies a cutting or scoring pressure to the vessel wall through the wall of the outer balloon;delivering a composition comprising the bioactive agent to the intermediate region via the delivery lumen; andmaintaining the outer balloon in contact with the vessel wall for a ...

LOADING UNIT LOCKING COLLAR WITH LINEARLY ACTUATED RELEASE

A loading unit includes a shell assembly, a lock collar, and a release collar. The shell assembly has a coupling ring that defines a lock slot and a proximal opening configured to receive a distal end portion of a surgical instrument. The lock collar is disposed about the coupling ring and has a radially extending lock that is configured to be received within the lock slot. The lock collar is transitionable between a locked configuration in which the lock is positioned within the lock slot and an unlocked configuration in which the lock is lifted from within the lock slot. The release collar is disposed about the coupling ring proximal of the lock collar and is transitionable between an unactuated position and an actuated position. The release collar transitioning the lock collar to the unlocked configuration as the release collar is translated from the unactutated position towards the actuated position. 1. A loading unit comprising:a shell assembly having a coupling ring defining a proximal opening configured to receive a distal end portion of a surgical instrument, the coupling ring defining a lock slot;a lock collar disposed about the coupling ring, the lock collar including a radially extending lock configured to be received within the lock slot, the lock collar being transitionable between a locked configuration, in which the lock is positioned within the lock slot, and an unlocked configuration, in which the lock is lifted from within the lock slot, the lock collar configured to secure the loading unit to a surgical instrument in the locked configuration; anda release collar disposed about the coupling ring proximal of the lock collar, the release collar translatable between an unactuated position and an actuated position, the release collar transitioning the lock collar to the unlocked configuration as the release collar is translated from the unactuated position towards the actuated position.2. The loading unit according to claim 1 , wherein the lock collar ...

IMPLANTABLE DAMPING DEVICES FOR TREATING DEMENTIA AND ASSOCIATED SYSTEMS AND METHODS OF USE

Devices, systems, and methods for reducing stress on a blood vessel are disclosed herein. A damping device configured in accordance with embodiments of the present technology can include an anchoring member coupled to a flexible, compliant damping member including a generally tubular sidewall having an outer surface, an inner surface defining a lumen configured to direct blood flow, a first end portion and a second end portion, and a damping region between the first and second end portions. The inner and outer surfaces of the damping member can be spaced apart by a distance that is greater at the damping region than at either of the first or second end portions. When blood flows through the damping member during systole, the damping member absorbs a portion of the pulsatile energy of the blood, thereby reducing a magnitude of the pulse pressure transmitted to a portion of the blood vessel distal to the damping device. 1. A device for treating or slowing the effects of dementia by lowering the peak of the blood pressure wave , the device comprising:an anchoring member comprising a generally cylindrical mesh structure configured to expand from a low-profile state to a deployed state; anda tubular damping member within the mesh structure, the damping member having a low-profile configuration and a deployed configuration, wherein the damping member includes an outer sidewall, an inner sidewall, and a cavity therebetween, wherein the inner sidewall has a plurality of undulations and defines a lumen extending through the damping member, and wherein the cavity is at least partially filled with a fluid comprising a plurality of fluid particles,wherein the device is configured to be deployed within a blood vessel lumen such that an outer surface of the anchoring member is in apposition with an inner surface of the blood vessel wall and an outer surface of the inner sidewall of the damping member is in contact with blood flowing through the blood vessel lumen, andwhen the ...

Fluid powered master-slave actuation for mri-guided interventions

Systems and methods for an effective solution to MR safe actuation in all MRI-guided (robot-assisted) procedures are provided. The present integrated hydraulic transmission method or system uses piston-based cylinders (101,102,201,308(C1), 309(C2), 310(C3), 402, 501) to provide continuous bi-lateral rotation with unlimited range in an MRI environment. Positional and torque control can also be achieved. The system includes a master unit and a slave unit each comprising: a plurality of cylinders (101,102,201,308(C1), 309(C2), 310(C3), 402, 501), a piston (105,301,302,303,401,502) inserted within the bottom surface of each cylinder (101,102,201,308(C1), 309(C2), 310(C3), 402, 501), a seal positioned with each cylinder (101,102,201,308(C1), 309(C2), 310(C3), 402, 501) between the piston (105,301,302,303,401,502) and the top surface of the cylinder (101,102,201,308(C1), 309(C2), 310(C3), 402, 501) to inhibit a fluid from passing across the seal, and a plurality of tubes (103) connecting the master unit cylinders and slave unit cylinders (402).

DEVICE FOR STRAIGHTENING AND STABILIZING THE VERTEBRAL COLUMN

A device for straightening and stabilizing the vertebral column, particularly for stabilizing broken vertebrae, includes a supporting implant which is plastically expandable by internal pressure. The supporting implant can be placed into the interior of a vertebral body which has been fractured under compression or between adjacent vertebral bodies. A pressure balloon to which pressure fluid can be admitted may be arranged in the interior of the supporting implant for producing the internal pressure. 112.-. (canceled)13. A surgical method , comprising:inserting a balloon into a space between adjacent vertebrae;filling the balloon with a fluid to expand the balloon;inserting an implant into the space; andwithdrawing the balloon from the space.14. The method of claim 13 , wherein the implant abuts both adjacent vertebrae.15. The method of claim 13 , further comprising expanding the implant from a first configuration to a second configuration that is larger than the first configuration;wherein the implant is in the first configuration when inserted into the space and expanding the implant to the second configuration is performed while the implant is positioned in the space between adjacent vertebrae.16. The method of claim 15 , wherein the implant is expanded by introducing a filler into a hollow space within the implant.17. The method of claim 16 , wherein the filler is introduced in liquid form and subsequently hardens.18. The method of claim 13 , further comprising delivering a filler into an interior of the implant.19. The method of claim 18 , wherein the filler is introduced in liquid form and subsequently hardens.20. The method of claim 18 , wherein delivering the filler into the interior of the implant is performed after inserting the implant into the space.21. The method of claim 13 , further comprising withdrawing the fluid from the balloon prior to withdrawing the balloon from the space.22. The method of claim 13 , wherein filling the balloon with a fluid is ...

APPARATUS FOR HYDRAULIC ASSISTED FRACTURE OF LIVER PARENCHYMA

A surgical instrument and method of operating on a tissue includes a shaft assembly and an end effector. The end effector extends in a longitudinal direction from the shaft assembly and has a first jaw, a second jaw, and a deformable hydraulic member. The second jaw is movably mounted relative to the first jaw and is configured to transition between an open configuration and a closed configuration. The first and second jaws are thus configured to have the tissue positioned therebetween in the closed configuration. The deformable hydraulic is configured to contain a fluid. With the fluid contained in the deformable hydraulic member, the deformable hydraulic member is configured to sever the tissue positioned between the first and second jaws in the closed configuration. 1. A surgical instrument , comprising:(a) a shaft assembly; and (i) a first jaw,', '(ii) a second jaw movably mounted relative to the first jaw and configured to transition between an open configuration and a closed configuration such that the first and second jaws are configured to have tissue positioned therebetween in the closed configuration, and', '(iii) a first deformable hydraulic member extending longitudinally and positioned adjacent to at least one of the first and second jaws, wherein the first deformable hydraulic member is configured to contain a fluid,', 'wherein the first deformable hydraulic member with the fluid contained therein is configured to fracture the tissue positioned between the first and second jaws in the closed configuration., '(b) an end effector extending in a longitudinal direction from the shaft assembly, the end effector comprising2. The surgical instrument of claim 1 , wherein the first deformable hydraulic member extends longitudinally between the first and second jaws in the closed configuration.3. The surgical instrument of claim 1 , wherein the first deformable hydraulic member contains the fluid.4. The surgical instrument of claim 3 , wherein the first ...

SURGICAL INSTRUMENTS

Articulation joints for use in connection with a surgical instrument that has a portion that must be passed through a trocar or similar structure and then articulated relative to another portion of the instrument received within the trocar. Various embodiments of the articulation joint include at least one flexible driven member to articulate the surgical implement relative to the handle assembly of the instrument. 1. A surgical instrument , comprising:a handle housing assembly;a proximal tube segment attached to said handle assembly and protruding distally out of said handle assembly;a distal tube segment; a ball member non-movably coupled to a distal end of end of one of said proximal and distal tube segments and rotatably received in a corresponding socket in an end of the other of said of proximal tube segment and distal tube segment; and', 'at least one flexible cable attached to a motor, said flexible cable having a series of worm gear teeth thereon arranged to drivingly engage a corresponding passageway formed in the ball member or socket for retaining a portion of said ball member in said socket and, upon selective rotation, articulate said distal tube segment relative to said proximal tube segment; and, 'an articulating joint assembly pivotally coupling said distal tube segment to said proximal tube segment, said articulating joint assembly comprisinga surgical implement attached to said distal tube segment.2. The surgical instrument of claim 1 , wherein said surgical implement comprises an endocutter end effector.3. The surgical instrument of claim 1 , wherein said ball member has at least one hollow passage therethrough adapted to communicate with openings in said distal and proximal tube segments.4. The surgical instrument of claim 1 , wherein said motor is electrically powered.5. The surgical instrument of claim 1 , wherein said motor is powered by hydraulic fluid.6. The surgical instrument of claim 1 , wherein said motor is powered by air.7. A surgical ...

IMPLANT ADAPTED TO TREAT URINARY INCONTINENCE

An implant adapted to treat urinary incontinence includes a support material, a suture, and an anchor. The support material is provided to support the urethra when implanted in a patient. The suture is inserted through the support material and includes a first trailing end portion and a second trailing end portion. The anchor has a body, a fin extending from the body with an eyelet formed in the fin and the suture passed through the eyelet of the fin, and a gripping tab removably attached to the fin. The gripping tab is removable from the fin prior to insertion of the anchor into tissue. 1. An implant adapted to treat urinary incontinence , the implant comprising:a support material configured to support the urethra when implanted in a patient;a suture inserted through the support material and including a first trailing end portion and a second trailing end portion; andan anchor comprising a body, a fin extending from the body with an eyelet formed in the fin and the suture passed through the eyelet of the fin, and a gripping tab removably attached to the fin, where the gripping tab is adapted to be removed from the fin prior to insertion of the anchor into tissue.2. The implant of claim 1 , wherein the fin extends from the body of the anchor in a first direction claim 1 , and the anchor further comprises a pair of radial barrels extending from opposite sides of the body in a radial direction perpendicular to the first direction.3. The implant of claim 1 , wherein the support material has a base and arms extending from the base claim 1 , where the arms include a first arm separated from a second arm by a central portion of the support material.4. The implant of claim 1 , wherein the support material is a knitted mesh having open pores.5. The implant of claim 1 , wherein the support material is an autograft material.6. The implant of claim 1 , wherein the support material is an allograft material.7. The implant of claim 1 , wherein the support material is a xenograft ...

Surgical visualization systems and displays

A medical apparatus is described for providing visualization of a surgical site. The medical apparatus includes an electronic display disposed within a display housing, the electronic display configured to produce a two-dimensional image. The medical apparatus includes a display optical system disposed within the display housing, the display optical system comprising a plurality of lens elements disposed along an optical path. The display optical system is configured to receive the two-dimensional image from the electronic display, produce a beam with a cross-section that remains substantially constant along the optical path, and produce a collimated beam exiting the opening in the display housing. The medical apparatus can also include an auxiliary video camera configured to provide an oblique view of a patient on the electronic display without requiring a surgeon to adjust their viewing angle through oculars viewing the electronic display.

LIGATING CLIP CARTRIDGE

A cartridge for ligating clips includes compartments formed of partitions lying in spaced parallel planes and a stringer spanning between the partitions. The legs of a clip are joined at a hinge which is seated over the stringer. The stringer comprises a substantially cylindrical body and a depending narrow support flange. Opposed faces of adjacent partitions include areas of reduced thickness spaced apart a distance sufficient to permit limited pivotal movement of the clip about the stringer. An abutment edge of the partition face provides a stop which is engaged by bosses at the ends of the clip legs to limit pivotal movement of the clip legs and prevent ribs of the clip from engaging the stringer. 1. A cartridge for packing , storing , shipping and dispensing polymeric ligation clips having a pair of legs joined by a hinge , the cartridge having at least one compartment , the compartment comprising a pair of partitions extending along evenly spaced parallel planes , the partitions having opposed partition walls facing one another , the partition walls having central face areas wherein the compartment space or zone between the opposed walls is narrowest and lateral face areas , wherein the compartment space or zone between the opposed walls is widest and wherein the legs of a polymeric ligation clip are free to move , the opposed walls including an abutment for restraining movement of the legs , the cartridge further including a stringer spanning between the partitions at the central face areas , the stringer being configured to support the polymeric ligation clip at the hinge.2. The cartridge for packing claim 1 , storing claim 1 , shipping and dispensing polymeric ligation clips in accordance with wherein the cartridge includes a plurality of compartments.3. The cartridge for packing claim 2 , storing claim 2 , shipping and dispensing polymeric ligation clips in accordance with wherein the stringer comprises a substantially cylindrical body and a depending ...

Free scar instrument and method

The inventor provides a surgical device for use through a plurality of passageways in a tissue and methods of use. The new invention performs surgery with a minimum of trauma to the tissue, so that tissue healing occurs by the first intention without causing visible tissue scars. The invention including: (a) two or more elongated rods, each including a proximal end and a distal end; and (b) a holder; wherein each said proximal end is connectable to said holder, is provided. The invention including: (a) a plurality of elongated rods, each including a proximal end and a distal end; (b) a holder; and (c) a functional element; each said proximal end is connectable to said holder; wherein each said distal end is connectable to said functional element, is provided.

Surgical visualization systems

A surgical device includes one or more cameras integrated therein. The view of each of the one or more cameras can be integrated together and provided to a surgeon display and/or an assistant display. A surgical tool that includes an integrated camera may be used in conjunction with the surgical device. The image produced by the camera integrated with the surgical tool may be associated with the images generated by the one or more cameras integrated in the surgical device. The position and orientation of the cameras and/or the surgical tool can be tracked, and the surgical tool can be rendered as at least partially transparent. A surgical device may be powered by a hydraulic system, thereby reducing electromagnetic interference with tracking devices.

LEAD EXTRACTION METHODS AND APPARATUS

According to one aspect, a device for assisting in removing an implanted lead is provided. The device comprises a body portion having a center adapted to accommodate the lead, a cutting component coupled to the body portion to assist in separating tissue from the lead, and at least one anchoring component disposed at least partially within the body portion, the at least one anchoring component capable of providing pressure on the lead that resists movement of at least part of the body portion along the lead at least in part by applying fluid pressure. 1. A method for assisting in removing an implanted electrical lead using a device adapted to accommodate the implanted electrical lead , the method comprising:advancing the device along the lead to where the device encounters tissue adhered to the lead;applying fluid pressure to a proximal anchoring component of the device to anchor a proximal portion of the device to the lead at a first location along the lead proximate the tissue;applying fluid pressure to an expansion component comprising a piston mechanism having a piston, the expansion component coupled to a separating component, wherein applying the fluid pressure to the expansion component forces the piston forward to cause the separating component to separate at least some of the tissue from the lead; andapplying fluid pressure to a distal anchoring component arranged on a distal side of the expansion component to anchor a distal portion of the device to the lead.2. The method of claim 1 , further comprising releasing fluid pressure from the proximal anchoring component subsequent to applying fluid pressure to the distal anchoring component to allow the proximal portion of the device to advance along the lead.3. The method of claim 2 , further comprising releasing fluid pressure from the expansion component.4. The method of claim 3 , wherein applying fluid pressure to the expansion component stretches a spring claim 3 , and wherein releasing the fluid pressure ...

RELOADABLE MECHANICAL DEVICE FOR LIGATING LIVING TISSUE AND ACHIEVING HEMOSTASIS

A system for treating tissue includes a clip assembly including a pair of clip arms, each of the clip arms extending from a proximal end to a distal end, the proximal end of the clip arms connected to one another via a central member slidably received within a channel of a capsule to be moved between a tissue receiving configuration and a closed configuration, a cartridge for encasing the clip assembly including a groove formed therein to accommodate the clip assembly and an opening extending thereinto in communication with a portion of the groove such that the groove is open to an exterior of the cartridge via the opening, and an applicator releasably connectable to the clip assembly to move the clip assembly between the open and closed configurations, a distal portion of the applicator insertable through the opening of the cartridge to be connected to the clip assembly. 115-. (canceled)16. A system for treating tissue , comprising:a clip assembly including a pair of clip arms, each of the clip arms extending from a proximal end to a distal end, the proximal end of the clip arms connected to one another via a central member slidably received within a channel of a capsule to be moved between a tissue receiving configuration, in which distal ends of the clip arms are separated from one another, and a closed configuration, in which distal ends of the clip arms are moved toward one another;a cartridge for encasing the clip assembly including a groove formed therein to accommodate the clip assembly and an opening extending thereinto in communication with a portion of the groove such that the groove is open to an exterior of the cartridge via the opening; andan applicator releasably connectable to the clip assembly to move the clip assembly between the open configuration and the closed configuration, a distal portion of the applicator insertable through the opening of the cartridge to be connected to the clip assembly.17. The system of claim 16 , wherein the applicator ...

SURGICAL DRIVE APPARATUS

A surgical drive apparatus includes a rotating shaft of a sectioning device and a drive unit having a motor disposed in a motor chamber, in which the motor rotationally couples to the rotating shaft as the rotating shaft extends through an end of the motor chamber. A suction chamber is defined by an interior of a cap, in which the end of the motor chamber is receptive to the cap for sealing engagement with the drive unit, and a rotary tool such as the sectioning device extends through the cap for rotational movement relative to the cap while maintaining fluid communication with the suction chamber. For evacuation of surgical material, an outflow tube is in fluid communication with the suction chamber for providing a fluid path to the suctioning device via the suction chamber. The drive protrudes from the motor chamber which is sealed to allow cleaning and sterilization. 1. A surgical tool device , comprising:a drive unit contained in a housing;a receptacle adapted to engage a rotary device having a shaft adapted for rotational communication with the drive unit;a suction chamber configured for fluidic communication with the rotary device;a suction port coupled to the suction chamber and adapted for connection of a low pressure source for evacuating the suction chamber;a sealable coupling between the rotary device and the suction chamber; anda rotational seal between the drive unit and the suction chamber for separating the low pressure source from the drive unit and housing.2. The device of further comprising a fluidic path defined by the rotational seal and sealable coupling for directing the low pressure source for evacuation of surgical material through the rotary device claim 1 , the fluidic path separated from the drive unit and housing.3. The device of wherein the fluidic path passes through the suction chamber rather than the drive unit housing.4. The device of wherein the engaging receptacle further comprises a fluidic passage configured for directing the low ...

REMOTELY POWERED ARTICULATED MEDICAL APPARATUS

One or more apparatus and systems for articulated movement, particularly for an articulated medical device such as an endoscope or medical robot. The apparatus comprises an articulated movement portion with tendon control, a transition portion comprising actuation rods, springs, and distal stoppers, a conduit portion comprising lumen filled with air or hydraulic fluid; a translation portion comprising a proximal stopper; and a power unit. 1. A medical apparatus comprising: a central lumen extending the length of the articulated movement portion,', 'a wall formed about the central lumen, and', 'two or more tendons slideably situated in the wall;, 'an articulated movement portion comprising two or more actuation rods, each being mechanically coupled to one of the two or more tendons,', 'two or more springs, and', 'two or more distal stoppers,', 'wherein the transition portion is configured such that movement of each distal stopper causes movement of each tendon;, 'a transition portion comprisinga conduit portion comprising two or more lumen filled with air or hydraulic fluid and each being sealed at the distal end by one of the two or more distal stoppers;a translation portion comprising two or more proximal stoppers; anda power unit proximal to the translation portion that is configured to cause hydraulic fluid or air to move through the two or more lumens extending through the conduit such that the tendons move.2. The medical apparatus of claim 1 , wherein the spring is configured such that when the power unit releases the pressure on the hydraulic fluid/air claim 1 , then return spring move the distal stopper(s) to a neutral position or beyond claim 1 , thereby bending a tendon to a neutral position.3. The medical apparatus of claim 1 , wherein at least a portion of wall formed about the central lumen comprises an inner sheath and a plurality of cylindrical rings where the two or more tendons are anchored to a distal cylindrical ring and slideably situated in the ...

SURGICAL INSTRUMENT INCLUDING ROTATING END EFFECTOR AND ROTATION-LIMITING STRUCTURE

A surgical instrument for applying tacks to tissue includes a handle assembly, an elongated portion, an outer tube, an end effector, a rotation assembly, and a rotation-limiting structure. The rotation assembly is configured to rotate at least a portion of the outer tube about a first longitudinal axis and with respect to the handle assembly. The rotation assembly includes a rotation knob rotationally fixed to a proximal portion of the outer tube. The rotation-limiting structure is disposed in mechanical cooperation with at least one of the rotation assembly and the handle assembly, and is configured to limit an amount of rotation of the outer tube with respect to the handle assembly. 1. A method of applying surgical tacks from a surgical instrument to tissue , the method comprising:articulating an end effector of the surgical instrument from a first position where the end effector is longitudinally aligned with an elongated portion of the surgical instrument, to a second position where the end effector is disposed at an angle with respect to the elongated portion;rotating the end effector a first amount in a first direction with respect to a handle assembly of the surgical instrument;limiting the amount of rotation of the end effector in the first direction to a first predetermined amount of rotation; andejecting at least one surgical tack from the surgical instrument.2. The method according to claim 1 , further comprising limiting the first predetermined amount of rotation to about 45°.3. The method according to claim 1 , further comprising rotating the end effector a second amount in a second direction with respect to a handle assembly of the surgical instrument.4. The method according to claim 3 , further comprising limiting the amount of rotation of the end effector in the second direction to a second predetermined amount of rotation.5. The method according to claim 4 , further comprising limiting the second predetermined amount of rotation to about 45°.6. The ...

Treatment instrument insertion auxiliary and treatment instrument insertion method

A treatment instrument insertion auxiliary is used to subserve passage of an elongated treatment instrument into a treatment instrument channel by being connected to an endoscope provided with a rigid insertion portion which includes the treatment instrument channel adapted to allow passage of the treatment instrument and a treatment instrument channel opening portion formed at a proximal end of the treatment instrument channel and used to insert the treatment instrument, where the treatment instrument insertion auxiliary includes a receiving portion adapted to suppress vibration of a distal end side of the treatment instrument by being placed in contact with the distal end side of the treatment instrument; and a first guide unit adapted to guide a distal end of the treatment instrument placed in contact with the receiving portion in a central axis direction of the treatment instrument channel opening portion.

Method for performing a vascular anastomosis

A method for performing a coronary artery bypass graft procedure on a patient to connect a bypass vessel to a target vessel includes the steps of creating an opening in the patient that communicates with the thoracic cavity of the patient; providing a bypass vessel having a lumen and at least one free end; passing the free end of the bypass vessel from the thoracic cavity through the opening to a position outside the body of the patient; attaching a connector to the free end of bypass vessel while the free end of the bypass vessel is outside the body of the patient; passing the free end of the bypass vessel from the position outside the body of the patient through the opening and into the thoracic cavity; and connecting the free end of the bypass vessel to a target vessel with the connector.

MECHANICALLY DETACHABLE VASO-OCCLUSIVE DEVICE

A device for delivering an occlusive element includes an elongate pusher member having a lumen. A locking member is disposed within the lumen of the elongate pusher member. A moveable elongate releasing member is disposed within the lumen of the elongate pusher member. A filament is secured to the distal end of the elongate releasing member. The occlusive member is locked to the elongate releasing member when the filament passes through a securing member on the occlusive member and is pinched or wedged between the looking member and the elongate releasing member. The occlusive element is in an unlocked state when the elongate releasing member is retracted proximally relative to the elongate pusher member. The filament, along with the elongate releasing member, are retracted proximally until the filament is detached or uncoupled from the securing member of the occlusive member. 120-. (canceled)21. A method of loading a vaso-occlusive coil on a distal end of an elongate pusher member , comprising:passing a filament coupled to an elongate releasing member through a securing member of the vaso-occlusive coil; andlocking the vaso-occlusive coil to the elongate pusher member by advancing the elongate releasing member distally within the elongate pusher member so as to wedge the filament between the elongate releasing member and a locking surface of the elongate pusher member.221. The method of claim , wherein the locking surface of the elongate pusher member comprises a locking member disposed within a lumen of the elongate pusher member.231. The method of claim , wherein the elongate pusher member includes a flexible distal end.241. The method of claim , wherein a blocking member is disposed at a distal end of the elongate pusher member , the blocking member including an aperture dimensioned to receive the filament but prevent passage of the securing member.251. The method of claim , wherein during the step of loading the vaso-occlusive coil , the filament is retracted ...

Hydraulic Instrument Drive System for Minimally Invasive Surgery

A robotic surgical system includes a hydraulic drive system and a surgical instrument removably positioned in operative engagement with the hydraulic drive system. 123-. (canceled)24. A surgical system comprising:an arm;a drive module on the arm, the drive module comprising a plurality of hydraulically driven first pistons;a surgical instrument including a plurality of second pistons, each second piston linearly aligned with a corresponding one of the first pistons, such that hydraulically-driven translation of a first piston results in translation of the corresponding second piston to effect motion of a portion of the surgical instrument.24. The system of claim 24 , wherein the motion is selected from the group consisting of roll claim 24 , articulation claim 24 , bending claim 24 , jaw actuation claim 24 , or linear translation.25. The system of claim 24 , further including a drape disposed between the first pistons and the second pistons.26. The system of claim 25 , wherein neither the drive pistons nor the driven pistons extend through the drape.27. A surgical system comprising:an arm;a drive module on the arm, the drive module comprising a plurality of hydraulically driven rotational elements;a surgical instrument including a plurality of rotational elements, each second rotational element operatively associated with a corresponding one of the first rotational elements, such that hydraulically-driven rotation of a first rotational element results in translation of the corresponding second rotational element to effect motion of a portion of the surgical instrument.28. The system of claim 28 , wherein the motion is selected from the group consisting of roll claim 28 , articulation claim 28 , bending claim 28 , jaw actuation claim 28 , or linear translation.2933-. (canceled)34. A hydraulically driven surgical instrument including:a housing having a fluid pathway with fluid therein,a first piston in one end of the fluid pathway and a second piston in a second end ...

Treatment device and treatment system

A treatment device which applies energy to a biological tissue to treat the biological tissue, includes: an interlocking mechanism that regulates at least one of a closing time until first and second jaws reach a closed state from an opened state when one operation is input into an operating body for a handle, and a unit closing amount from the opened state toward the closed state, interlocks at least one of the first and second jaws with the operating body, and is interposed between the operating body and the handle; and an elastic member that is disposed in the interlocking mechanism, couples the operating body with the handle, pulls the operating body toward the handle at a constant load or a constant pressure, and regulates the closing time until the closed state is reached from the opened state.

REGULATING PRESSURE TO LOWER TEMPERATURE IN A CYROTHERAPY BALLOON CATHETER

A cryotherapy catheter can include an elongate member and an inflatable balloon at a distal end of the elongate member, the elongate member having lumens formed therein to supply cryogenic fluid to a chamber of the balloon and to channel exhaust from the balloon chamber; and a controller programmed to control a first rate at which the cryogenic fluid is supplied to the balloon chamber and a second rate at which exhaust is channeled from the balloon chamber, wherein the controller is programmed to a) develop, during a first phase of a cryotherapy procedure, a first pressure inside the balloon chamber at a value that is greater than an ambient pressure outside and adjacent to a proximal end of the elongate member, and b) develop, during a second phase of the cryotherapy procedure, the first pressure at a value that is less than the ambient pressure. 1. A method of operating a cryotherapy balloon catheter , the method comprising:introducing a cryotherapy balloon catheter to a treatment site inside a patient's body, the cryotherapy balloon catheter including an inflatable balloon at a distal end of an elongate member, the elongate member having lumens therein configured to supply cryogenic fluid to the balloon;creating a first pressure with cryogenic fluid inside the balloon that is above ambient pressure, wherein ambient pressure comprises atmospheric air pressure adjacent to the patient's body, thereby freezing an outer wall of the balloon against body tissue at the treatment site; andthereafter, creating a second pressure inside the balloon, wherein the second pressure is equal to or negative relative to the ambient pressure and is sufficient to prevent the outer wall from being peeled away from the body tissue by vacuum forces inside the balloon or by elastic forces of material that makes up the balloon.2. The method of claim 1 , wherein the cryotherapy balloon catheter is configured to enable Joule-Thomson cooling inside the balloon.3. The method of claim 1 , ...

System for controlling a tissue-stapling operation

An endoscopic stapler is disclosed. The stapler includes a staple member and an anvil member. The staple member may include a staple housing and the staple holder may include one or more staples. The anvil member may be spaced apart from the staple member and may configured to relatively move towards one another. A controller may be fluidly coupled to the staple member through a plurality of conduits. The controller may be configured to (a) direct a pressurized fluid to the staple member through a first conduit of the plurality of conduits to relatively move the staple member and the anvil member towards one another, and (b) direct the pressurize fluid through a second conduit of the plurality of conduits to eject one or more staples from the staple holder.

IMPLANT LOADING DEVICE AND SYSTEM

Devices, methods, and systems are provided for loading an implantable device into a container. One aspect of the loading system contains a loader element with a loading tunnel that is configured to gradually contract an implantable device into a compressed state of reduced size relative to an expanded state as the implantable device travels through the loading tunnel. 1. (canceled)2. A system for loading an implantable pulmonary device into a container , comprising:a loading element comprising a loading tunnel configured to contract an implantable pulmonary device into a compressed state of reduced size relative to an expanded state as the implantable pulmonary device travels through the loading tunnel; anda puller element that is removably attached to the implantable pulmonary device, wherein the puller element pulls the implantable pulmonary device through the loading tunnel;wherein the puller element automatically releases the implantable pulmonary device after the implantable pulmonary device contracts into the compressed state.3. The system of claim 2 , further comprising a plunger element claim 2 , wherein the plunger element comprises an elongated portion that is configured to push the implantable pulmonary device through the loading tunnel.4. The system of claim 3 , wherein the plunger element is configured to push the implantable pulmonary device into a delivery catheter.5. The system of claim 2 , wherein the loading tunnel further defines an internal transfer cavity that communicates with the loading cavity claim 2 , the transfer cavity sized to receive the implantable device from the loading cavity and retain the implantable pulmonary device in the compressed state.6. The system of claim 5 , wherein the loading tunnel further defines a container cavity that communicates with the transfer cavity claim 5 , the container cavity sized to receive a container that receives the implantable pulmonary device in the compressed state.7. The system of claim 2 , ...

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.

METHOD AND APPARATUS FOR PERCUTANEOUS DELIVERY AND DEPLOYMENT OF A CARDIAC VALVE PROSTHESIS

Catheter apparatuses and methods are provided for repairing heart valves, particularly mitral valves. The method includes providing a catheter having an elongate, flexible body, with a proximal end and a distal end. The distal end can be transluminally advanced from the left atrium through the mitral valve. A distal anchor zone or portion coupled with the proximal end can extend and along the left ventricular outflow tract into the ascending aorta. A valve repair device is deployed to permanently connect leaflets at a mid-section of a mitral valve while permitting medial and lateral portions of the natural leaflets to open and close. The catheter apparatuses may be positionable using a steering device. The valve repair device detachably connects the distal and proximal ends of the catheter. The valve repair device can be detached using low profile devices actuatable from the proximal or distal ends, e.g., at a venous or arterial access site. 121.-. (canceled)22. A system for deploying a mitral repair device , comprising:an elongate catheter body sized to extend from a peripheral venous site, through the heart, to a peripheral arterial site;an implantable mitral prosthesis disposed between and coupled to a venous portion of the elongate catheter body and an arterial portion of the elongate catheter body;a control device disposed in the venous portion of the elongate catheter body to facilitate angulation of the implantable mitral prosthesis from the venous end;wherein the implantable mitral prosthesis can be positioned by manipulation of one or both of the venous portion and the arterial portion and the implantable mitral prosthesis can be angled by the control device.23. The system of claim 22 , wherein the control device comprises a tension member disposed in a peripheral lumen of the venous portion.24. The system of claim 22 , further comprising a mitral prosthesis control device disposed in the venous portion to facilitate remote deployment of each of a plurality ...

Transosseous suture anchor

Examples of the invention include implants, instruments and methods for surgical transosseous attachment to a bone. More particularly, examples of the invention relate to knotless suture anchors.

Multiple-Firing Suture Fixation Device and Methods for Using and Manufacturing Same

A multiple-firing crimp device comprises crimps, a shaft, a crimp movement assembly, and a snare. Each crimp has an internal hollow. The shaft has a distal crimping location, an exterior surface, and an interior with the clips stacked therein, the crimps moving therein along a longitudinal axis. The shaft defines a lateral opening proximal to the crimping location and communicates the interior to the environment outside the exterior surface. The crimp movement assembly within the shaft delivers the first crimp to the distal crimping location by moving the first crimp longitudinally from a first proximal position into the distal crimping location and returning to a second proximal position without the first crimp. The snare pulls at least one cord from distal of the first crimp through the first crimp and through a portion of the shaft and out the side of the shaft through the lateral opening. 1. A multiple-firing crimp device , comprising:a plurality of crimps each having an internal hollow; [ a distal crimping location;', 'an exterior surface; and', 'an interior in which is stacked the plurality of crimps to define a first crimp, the crimps moving therein along a longitudinal axis; and, 'having, 'defining a lateral opening proximal to the crimping location and communicating between the interior and the environment outside the exterior surface;, 'a hollow shafta crimp movement assembly within the interior of the shaft and delivering the first crimp to the distal crimping location by moving the first crimp longitudinally from a first proximal position into the distal crimping location and returning to a second proximal position without the first crimp; anda snare that pulls at least one cord from distal of the first crimp through the first crimp and through a portion of the shaft and out the side of the shaft through the lateral opening.2. The crimp device according to claim 1 , which further comprises a snare movement assembly: to pass through the internal hollow of ...

EXPANDING SURGICAL ACCESS PORT

A surgical access port that includes a cylindrical member having a proximal end and a distal end and defining a longitudinal axis; at least two lumen extending through the cylindrical member along the longitudinal axis; at least one cavity defined in the cylindrical member and positioned radially within the at least two lumen; and a source of inflation fluid coupled to the at least one cavity, the source of inflation configured to permit selectable inflation of the at least one cavity, whereby inflation of the at least one cavity increases the radial distance between the at least two lumen. 19-. (canceled)10. A method of accessing an internal body cavity , comprising the steps of:positioning a surgical access port in an internal body cavity, the surgical access port including a cylindrical member having a proximal and distal end and defining a longitudinal axis, at least two lumen extending through the cylindrical member along the longitudinal axis, at least one cavity defined in the cylindrical member and positioned radially inwardly of the at least two lumen, and at least one source of inflation fluid coupled to the at least one cavity, the surgical access port having a first state with a corresponding first state diameter defined by the cylindrical member with the internal inflation cavity in an unexpanded state and a second state defined by the surgical access port with a corresponding second state diameter defined by the cylindrical member with the internal inflation cavity in an expanded state;supplying inflation fluid from the source of inflation fluid to the at least one internal inflation cavity such that the surgical access port expands from the first state to the second state, the second state diameter different than the first state diameter, and wherein, in the second state, the at least two lumen are positioned at a greater radial distance from each other as compared to the radial distance therebetween in the first state; andaccessing the internal body ...

METHODS AND DEVICES TO DECREASE TISSUE TRAUMA DURING SURGERY

Methods and devices are disclosed to reduce tissue trauma when a physician retracts a patient's tissues for surgery. A device includes a tissue engager adapted to engage a patient's tissue, a control system adapted to control the tissue engager to deform the patient's tissue, and a sensor adapted to produce a first signal based on the deformation. The control system is further adapted to receive the first signal, perform a plurality of measurements based on the first signal over time; and compare a substantially instantaneous measurement of the first signal to a variance in the plurality of measurements over an interval of time preceding the instantaneous measurement, and detect a state of the patient's tissue based on the comparison 120-. (canceled)21. An automated control device for assisting a surgeon performing a procedure in which a patient's tissue is being deformed , comprising:at least one tissue engager adapted to engage a patient's tissue;a sensor configured to produce a first signal based on the deformation of the patient's tissue; andan automated control system configured to adjust input from a surgeon during the procedure based on a state of the patient's tissue during the procedure and to control the at least one tissue engager to deform the patient's tissue based on the first signal received from the sensor; receive the first signal from the sensor during the procedure;', 'perform a plurality of measurements during the procedure based on the first signal over time;', 'calculate a variance in the plurality of measurements over an interval of time preceding an instantaneous measurement of the first signal, wherein the variance is a statistical distribution of amplitude of the plurality of measurements during the interval of time preceding the instantaneous measurement of the first signal;', 'compare the substantially instantaneous measurement of the first signal to the calculated variance in the plurality of measurements over the interval of time ...

SURGICAL BUTTRESS RETENTION SYSTEMS FOR SURGICAL STAPLING APPARATUS

A surgical stapling apparatus includes a jaw assembly including an anvil assembly and a staple cartridge assembly, at least one which includes a surgical buttress retention system, and a surgical buttress releasably secured to a tissue facing surface of the anvil assembly or the staple cartridge assembly via the surgical buttress retention system. The surgical buttress retention system includes proximal guide slots defined in opposed sides of the anvil assembly or the staple cartridge assembly that have a generally U-shaped configuration that are mirror images of each other, a plug coupled to a distal portion of the anvil assembly or the staple cartridge assembly, and a retention member including a central portion extending across a proximal portion of the surgical buttress, second portions positioned within the proximal guide slots, third portions extending across a distal portion of the surgical buttress, and end portions coupled to the plug. 1. A surgical stapling apparatus comprising:a jaw assembly including an anvil assembly and a staple cartridge assembly, at least one of the anvil and staple cartridge assemblies including a surgical buttress retention system; and proximal guide slots defined in opposed sides of the anvil assembly or the staple cartridge assembly and having a generally U-shaped configuration that are mirror images of each other;', 'a plug coupled to a distal portion of the anvil assembly or the staple cartridge assembly; and', 'a retention member including a central portion extending across a proximal portion of the surgical buttress, second portions positioned within the proximal guide slots, third portions extending across a distal portion of the surgical buttress, and end portions coupled to the plug., 'a surgical buttress releasably secured to a tissue facing surface of the anvil assembly or the staple cartridge assembly via the surgical buttress retention system, the surgical buttress retention system including2. The surgical stapling ...

Magnetically Activated Arteriovenous Access Valve System and Related Methods

In one aspect, an arteriovenous access valve system may generally include a first valve configured to be positioned at or adjacent to an end of arteriovenous graft and a second valve configured to be positioned at or adjacent to an opposite end of the arteriovenous graft. In addition, the system may include an actuator assembly in fluid communication with the first and second valves. The actuator assembly may include a housing, a driver assembly positioned within the housing and a drive magnet positioned within the housing. The drive magnet may be rotatably coupled to the driver assembly such that, when the drive magnet is rotated, the driver assembly is configured to be rotatably driven so as to supply fluid to the first and second valves or to draw fluid out of the first and second valves depending on a rotational direction of the driver assembly.

Cyrogenic treatment systems

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

Minimally invasive methods and apparatus

Methods and apparatus are provided to facilitate the minimally invasive removal of tissue biopsies and to facilitate the direct approach to anesthetizing the chest wall, in accordance with embodiments of the present invention. A pull-type cutting device 1 comprises two coaxially nested tubes, each extending from a proximal end 21 to a distal end 22 . The first tube 61 defines a guide wire lumen 23 for slidingly receiving a guide wire. The second tube 63 extends over the first tube 60 and coupled thereto at the distal end 22 defining an expandable portion 13 adjacent the distal end 22 . The second tube 63 defines an inflation lumen 25 extending from the shaft proximal end 21 to the expandable portion 13 . The inflation lumen 25 communicates inflation fluid from the proximal end 21 to the expandable portion 13 so as to inflate and deploy the expandable portion 13 . Disposed adjacent the shaft distal end 22 is a cutting head 10 comprising the expandable portion 13 having a cutting portion 11 distal from the shaft distal end 22.

IMPLANTABLE DAMPING DEVICES FOR TREATING DEMENTIA AND ASSOCIATED SYSTEMS AND METHODS OF USE

Devices, systems, and methods for reducing stress on a blood vessel are disclosed herein. A damping device configured in accordance with embodiments of the present technology can include an anchoring member coupled to a flexible, compliant damping member including a generally tubular sidewall having an outer surface, an inner surface defining a lumen configured to direct blood flow, a first end portion and a second end portion, and a damping region between the first and second end portions. The inner and outer surfaces of the damping member can be spaced apart by a distance that is greater at the damping region than at either of the first or second end portions. When blood flows through the damping member during systole, the damping member absorbs a portion of the pulsatile energy of the blood, thereby reducing a magnitude of the pulse pressure transmitted to a portion of the blood vessel distal to the damping device. 1. A device for treating a blood vessel , comprising:an anchoring system having a first portion and a second portion; anda cushioning member located between the first and second portions of the anchoring system such that a portion of the cushioning member is not constrained by the anchoring system, and wherein the cushioning member is configured to absorb pulsatile energy transmitted by blood flowing with the vessel.2. The device of wherein the cushioning member is configured to expand in response to an increase of blood pressure within the vessel claim 1 , and relax as the blood pressure within the vessel subsequently decreases.3. A device for treating a blood vessel claim 1 , comprising:an endovascular cushioning device having a proximal anchor and a distal anchor, each of the proximal and distal anchors being configured to abut against an inner wall of a major artery; andan elastically deformable member extending between the proximal and distal anchors,wherein the elastically deformable member is configured to expand in response to an increase of ...

Apparatus for performing an electrosurgical procedure

A surgical instrument is provided and includes a housing having a shaft. An end effector assembly is operatively connected to a distal end of the shaft and has a pair of first and second jaw members that are movable relative to one another. A drive assembly operably couples to a handle assembly associated with the housing and is configured to impart movement of a respective jaw member when the handle assembly is actuated. A spring component operably associated with each of the jaw members is configured to provide a sealing force at the jaw members.

Clip cartridge

According to the present invention, there is provided a clip cartridge in which a clip having a structure enabling a user to easily perform a series of procedures can be easily and reliably mounted on a treatment instrument body. A clip cartridge (200) according to the present invention includes an inner case (30) that has a first accommodation region (32) for accommodating a clip (110), and an outer case (40) that has an elongated insertion hole (43) into which a treatment instrument body (90) is inserted, and a second accommodation region (42) which accommodates the inner case (30) so as to be movable. The treatment instrument body (90) is inserted into the insertion hole (43), and an operation wire is pressed forward so that a distal connection portion and a diameter enlargement portion of the sleeve protrude from the sheath to a distal side and enter the second accommodation region (42), and so that a diameter enlargement portion is elastically enlarged in diameter. The operation wire is further pressed so as to bring a distal connection portion and the clip (110) into a mutually connected state. The operation wire is pulled so that the inner case (30) moves backward relative to the outer case (40) so as to press the sleeve backward, thereby drawing the diameter enlargement portion into the sheath while reducing the diameter enlargement portion in diameter.

ADJUSTABLE DEVICES FOR TREATING ARTHRITIS OF THE KNEE

A method of changing a bone angle includes creating an osteotomy between a first portion and a second portion of a tibia of a patient; creating a cavity in the tibia by removing bone material along an axis extending in a substantially longitudinal direction from a first point at the tibial plateau to a second point; placing a non-invasively adjustable implant into the cavity, the non-invasively adjustable implant comprising an adjustable actuator having an outer housing and an inner shaft, telescopically disposed in the outer housing, and a driving element configured to be remotely operable to telescopically displace the inner shaft in relation to the outer housing; coupling one of the outer housing or the inner shaft to the first portion of the tibia; coupling the other of the outer housing or the inner shaft to the second portion of the tibia; and remotely operating the driving element to telescopically displace the inner shaft in relation to the outer housing, thus changing an angle between the first portion and second portion of the tibia. 1. A method of changing a bone angle , the method comprising:creating an open wedge osteotomy between a first portion and a second portion of a tibia of a patient, wherein the first portion of the tibia remains hingedly attached to the second portion of the tibia;creating an intramedullary cavity in the tibia by removing bone material along an axis extending in a substantially longitudinal direction from a first point at a tibial plateau to a second point; an outer housing;', 'an inner shaft telescopically disposed within the outer housing; and', 'a driving element configured to be remotely operable to telescopically displace the inner shaft in relation to the outer housing;, 'placing a non-invasively adjustable implant into the intramedullary cavity, the non-invasively adjustable implant comprisingcoupling one of the outer housing and the inner shaft to the first portion of the tibia;coupling the other of the outer housing ...

SYSTEMS AND METHODS FOR RETROGRADE PERFUSION AND CLEARANCE OF EMBOLI

A method of providing retrograde perfusion of a patient's brain includes occluding a jugular vein of a subject at a jugular occlusion location, and passively shunting arterial blood from an artery of the subject to a location in the jugular vein distal to the jugular occlusion location. 1an elongate shaft having a proximal end and a distal end, the distal end configured for placement within a jugular vein of a subject;an expandable occluder carried on the shaft at or adjacent the distal end of the shaft, the occluder having a collapsed configuration and an expanded configuration;a relief lumen extending through the shaft and having a proximal end and a distal end, the proximal end configured to be hydraulically coupled to a first location in the arteries of the subject, the distal end comprising one or more openings in the side of the shaft; anda blood perfusion lumen extending through the shaft and having a proximal end and a distal end, the proximal end configured to be hydraulically coupled to a second location in the arteries of the subject, the distal end comprising an opening located distal to the expandable occluder, the blood perfusion lumen having a length between its proximal end and its distal end, the blood perfusion lumen one or more transverse dimensions along its length, at least the length and the one or more transverse dimensions of the blood perfusion lumen together providing an overall flow resistance of the blood perfusion lumen, the overall flow resistance causing a pressure head loss of less than 95 mm Hg when blood having a temperature of between about 35° C. and about 39° C. is allowed to pass through the blood perfusion lumen from its proximal end to its distal end with a mean pressure at the proximal end of the blood perfusion lumen of 110 mm Hg.. A venous occlusion sheath for providing retrograde perfusion of a patient's brain and flow reversal comprising: This application is a continuation of U.S. patent application Ser. No. 16/863,996, ...

DEVICE FOR CONNECTING BODY TISSUES

A device for connecting body tissues has a head part, which can be pushed into a body opening and has a longitudinal axis, wherein tissue staples are accommodated in the head part in a storage position. The tissue staples have a linear main section and two engagement sections projecting perpendicularly therefrom aligned in a first plane perpendicular to the longitudinal axis. Optimal usability in the human body is achieved by rotor elements, which are pivotable about an axis parallel to the main sections of the tissue staples with each have a bearing surface for an engagement section of a tissue staple to rotate said tissue staple from the storage position into a working position in which the tissue staple is arranged in a further plane oriented perpendicularly to the first plane, and in that a slider is provided to advance the tissue staple and deform it into a clamping position. 1. A device for connecting body tissues , the device comprising:a head part configured and arranged to be extended into a body opening, the head part including a longitudinal axis;{'b': '7', 'claim-text': a linear main section, and', 'two engagement sections projecting perpendicularly from the linear main section and each of the two engagement sections are aligned in a first plane substantially perpendicular to the longitudinal axis;, 'a plurality of tissue staples accommodated in the head part in a storage position (), the tissue staples including'}two rotor elements configured and arranged to pivot about an axis parallel to the main sections of the plurality of tissue staples, and each of the rotor elements including a bearing surface configured and arranged to engage a respective engagement section of one of the plurality of tissue staples in order to rotate said tissue staple from the storage position into an operating position in which the tissue staple is arranged in a further plane which is oriented substantially perpendicularly to the first plane; anda slider configured and ...

MICRO SURGICAL INSTRUMENT AND LOADING UNIT FOR USE THEREWITH

A loading unit configured for engagement with a surgical instrument is disclosed. The loading unit comprises a proximal body portion and a tool assembly. The proximal body portion defines a longitudinal axis. The tool assembly is disposed in mechanical cooperation with the proximal body portion and includes a cartridge assembly and an anvil assembly. At least one of the cartridge assembly and the anvil assembly is movable with respect to the other between an open position and an approximated position to engage tissue therebetween. The cartridge assembly is configured to house a plurality of fasteners therein. The diameter of the tool assembly is less than or equal to about 8 mm. 1. (canceled)2. A loading unit configured for engagement with a surgical instrument , the loading unit comprising:a proximal body portion defining a longitudinal axis; anda tool assembly disposed in mechanical cooperation with the proximal body portion, the tool assembly including a clamping member, a first jaw, and a second jaw, wherein the clamping member includes a top portion for engaging the second jaw and a bottom portion for engaging the first jaw, and wherein a distance between a lower-most surface of the bottom portion of the clamping member and the top portion of the clamping member is less than a distance between an upper-most surface of an actuation sled and the top portion of the clamping member, at least one of the first jaw and the second jaw being movable with respect to the other between an open position and an approximated position to engage tissue therebetween.3. The loading unit of claim 2 , wherein the clamping member includes an I-shaped cross-section.4. The loading unit of claim 2 , wherein distal translation of the actuation sled sequentially engages a plurality of pushers.5. The loading unit of claim 2 , wherein the clamping member includes a cutting edge on a distal face thereof.6. The loading unit of claim 2 , wherein the loading unit has a diameter between 7 mm ...

METHOD FOR FORMING A STAPLE

A method for deforming a staple comprising a base, a first staple leg, and a second staple leg, wherein the base, the first staple leg, and the second staple leg are positioned within a common plane prior to being deformed, the method comprising positioning the first staple leg within a first cup of a staple pocket, the first cup comprising a first inner surface, applying a first compressive force to the first staple leg to bend the first staple leg toward the base and the second staple leg, contacting the first inner surface with the end of the first staple leg to bend the end of the first staple leg toward a first side of the base, and deforming the first staple leg such that the end of the first staple leg crosses a mid-line of the staple defined between the first staple leg and the second staple leg. 122-. (canceled)23. A powered surgical instrument for cutting and stapling the tissue of a patient , wherein said powered surgical instrument comprises: a first jaw;', 'a second jaw movable relative to said first jaw between an unclamped position and a clamped position, wherein said first jaw and said second jaw exert a compression force on the patient tissue when said second jaw is in said clamped position;', 'an anvil; and', 'a staple cartridge comprising a longitudinal slot;, 'an end effector, comprisingan elongate shaft, wherein said end effector extends from said elongate shaft;an actuation system configured to move said second jaw into said clamped position, wherein said actuation system comprises a cutting member including a laterally extending member, and wherein said actuation system is configured to couple said first jaw and said second jaw during a firing stroke and limit said compression force between said first jaw and said second jaw to prevent over clamping of the patient tissue; and a power source;', 'a motor configured to output a rotary motion, wherein said motor is configured to receive a first power from said power source and a second power from ...

SYSTEMS AND METHODS FOR DELIVERING AN IMPLANTABLE DEVICE

A delivery system for delivering an implantable device can include a delivery catheter, a sleeve, and a guide catheter. The delivery catheter can have a tubular body having a proximal end and a distal end, such that the distal end of the delivery catheter is configured to couple to the implantable device. The sleeve can define a lumen configured to receive the delivery catheter and the implantable device coupled thereto. A first fluid delivery port can be positioned on the delivery catheter or the sleeve. A mechanical seal can be coupled to the sleeve and configured to form a liquid-tight seal with the delivery catheter. A guide catheter can have a tubular body having a proximal end, a distal end, and a second fluid delivery port positioned thereon, wherein the proximal end of the guide catheter is configured to be connected to a distal end of the sleeve. 1. A delivery system for an implantable device , the system comprising:a delivery catheter comprising a tubular body having a proximal end and a distal end, wherein the distal end of the delivery catheter is configured to couple to the implantable device;a sleeve defining a lumen configured to receive the delivery catheter and the implantable device coupled thereto;a first fluid delivery port positioned on the delivery catheter or the sleeve;a mechanical seal coupled to the sleeve and configured to form a liquid-tight seal with the delivery catheter; anda guide catheter comprising a tubular body having a proximal end, a distal end, and a second fluid delivery port positioned thereon, wherein the proximal end of the guide catheter is configured to be connected to a distal end of the sleeve.2. The system of claim 1 , wherein a first pressure in the guide catheter is greater than a second pressure in a ventricle when fluid is delivered through the guide catheter.3. The system of claim 1 , further comprising a pressurized fluid reservoir configured to be in fluid communication with the delivery catheter.4. The system ...

Catheter-Based Fastener Implantation Apparatus and Methods

Apparatus and methods utilize an intraluminal fastener applier having a guide body with a longitudinal axis. The guide body is sized and configured for intraluminal deployment in a hollow body organ. An actuated assembly is carried by the guide body that is selectively operable to generate an implantation force to implant at least one fastener into tissue within the hollow body organ. The actuated assembly includes a driven member extending generally along the longitudinal axis, which is sized and configured to engage a selected fastener. The actuated assembly also includes a drive member coupled to the driven member to impart the implantation force to the driven element in a direction that is at an angle to the longitudinal axis of the guide body.

TISSUE ANCHOR

A tissue anchor has a body and an eyelet adapted to receive a length of suture, where the eyelet is formed through the tissue anchor off of a longitudinal axis and off of a vertical axis of the body. 1. A tissue anchor comprising:a body having a leading tip, a leading end portion extending from the leading tip, a trailing end portion connected to the leading end portion, with the trailing end portion terminating in a trailing tip that is located opposite of the leading tip;a longitudinal axis oriented from the leading tip to the trailing tip with a longitudinal mid-point of the body located equidistantly between the leading tip and the trailing tip, and a vertical axis perpendicular to the longitudinal axis and bisecting a length of the tissue anchor through the longitudinal mid-point of the body; andan eyelet adapted to receive a length of suture, where the eyelet is formed through the tissue anchor off of the longitudinal axis and off of the vertical axis.2. The tissue anchor of claim 1 , further comprising:a tissue engagement fin connected to the body, where an entirety of the tissue engagement fin is located on one side of the longitudinal axis.3. The tissue anchor of claim 2 , wherein the tissue engagement fin is located along the leading end portion vertically above the longitudinal mid-point of the body.4. The tissue anchor of claim 2 , wherein the eyelet is formed through the tissue engagement fin.5. The tissue anchor of claim 1 , further comprising:a barrel formed on the leading end portion of the body to provide the tissue anchor with an asymmetric mass distribution relative to the midpoint M.6. The tissue anchor of claim 1 , further comprising:a tissue engagement fin formed on the body between the leading tip and the longitudinal mid-point and vertically above the longitudinal mid-point; anda barrel formed on the body between the leading tip and the longitudinal mid-point and vertically below the longitudinal mid-point.7. The tissue anchor of claim 6 , ...

SURGICAL STAPLER

A surgical instrument can be provided as described herein. The surgical instrument can include a handle with first and second handle portions. One of the first and second housing portions can include a proximal latch and a proximal latch pin. The proximal latch and proximal latch pin can be configured to lock the first and second housing portions together at proximal ends thereof. One of the first and second housing portions can further include a latch projection, a clamp arm, an over center linkage where the latch projection and over center linkage can be configured to lock the surgical instrument in a closed position when the clamp arm is engaged or in an engaged position. 1. A surgical instrument , the surgical instrument comprising:a handle comprising first and second handle portions, one of the first and second housing portions comprising a proximal latch and a proximal latch pin, the proximal latch and proximal latch pin being configured to lock the first and second housing portions together at proximal ends thereof, one of the first and second housing portions further comprising a latch projection, a clamp arm, an over center linkage, the latch projection and over center linkage being configured to lock the surgical instrument in a closed position when the clamp arm is engaged or in an engaged position.2. The surgical instrument of claim 1 , wherein one of the first and second housing portions further comprises a proximal latch release claim 1 , the proximal latch release being configured to release or detach the first and second housings at the proximal ends thereof after being locked together.3. The surgical instrument of claim 1 , wherein one of the first and second housing portions further comprises a clamp arm release claim 1 , the clamp arm release being configured to unlock the surgical instrument form the closed position when the clamp arm is engaged.4. The surgical instrument of claim 1 , wherein one of the first and second housing portions further ...

Surgical visualization systems and displays

A medical apparatus is described for providing visualization of a surgical site. The medical apparatus includes an electronic display disposed within a display housing, the electronic display configured to produce a two-dimensional image. The medical apparatus includes a display optical system disposed within the display housing, the display optical system comprising a plurality of lens elements disposed along an optical path. The display optical system is configured to receive the two-dimensional image from the electronic display, produce a beam with a cross-section that remains substantially constant along the optical path, and produce a collimated beam exiting the opening in the display housing. The medical apparatus can also include an auxiliary video camera configured to provide an oblique view of a patient on the electronic display without requiring a surgeon to adjust their viewing angle through oculars viewing the electronic display.

Apparatus and method to apply buttress to end effector of surgical stapler via fixed base

An apparatus includes a body with a first body portion, a second body portion opposed from the first body portion, and a connecting portion that couples a proximal end of the first body portion with a proximal end of the second body portion. The connecting portion is configured to permit the first and second body portions to move toward and away from one another between a plurality of angular orientations. The first and second body portions define a distally opening angle. A first adjunct element and a second adjunct element are disposed on outwardly facing surfaces of the first and second body portions. The first and second body portions may be fixed in each of the angular orientations and may simultaneously apply the first and second adjunct elements to first and second jaws, respectively, of a surgical stapler end effector.

APPARATUS AND METHOD FOR HEART VALVE REPAIR

A device for gathering tissue of a heart valve leaflet may include an outer tube extending in an elongation direction, a capture tool moveable in the outer tube between a contained position and a use position, and a tissue securing component disposed at a distal end of the outer tube and adapted to be applied to tissue captured by the capture tool to hold the captured tissue in a gathered configuration. The capture tool may include a first element and a second element that are moveable relative to one another in the elongation direction. The first and second elements may be operable to capture tissue of the heart valve leaflet therebetween and to draw the captured tissue into the outer tube in the gathered configuration. 1. A device for gathering tissue of a heart valve leaflet , the device comprising:an outer tube extending in an elongation direction;a capture tool moveable in the outer tube between a contained position and a use position, the capture tool including a needle element and a securing element, the needle element being operable to penetrate tissue of the heart valve leaflet, the securing element having a proximal surface adapted to capture tissue of the heart valve leaflet, the capture tool being operable to draw the captured tissue into the outer tube in a gathered configuration; anda tissue securing component disposed at a distal end of the outer tube and adapted to be applied to the captured tissue to hold the captured tissue in the gathered configuration.2. The device as claimed in claim 1 , wherein the securing element includes a resorbable anchor and a suture extending from the proximal surface through the needle element.3. The device as claimed in claim 1 , wherein the securing element includes a barb on a distal portion of the needle element.4. The device as claimed in claim 1 , wherein the securing element includes an expandable element and an actuation member extending from a distal tip of the expandable element through the needle element ...

SOFT TISSUE FIXATION DEVICES AND METHODS

Filamentary fixation devices may be used in a variety of surgical procedures to secure soft tissue to bone. The present invention provides various devices, systems, kits and instrumentation for performing such surgical procedures including preparation of soft tissue and bone, preparation and manipulation of such filamentary fixation devices, and insertion and utilization of the fixation devices within a patient's anatomy. In one embodiment, a method for securing soft tissue to bone, the method includes accessing the soft tissue and the bone, passing a filament through the soft tissue, preparing a bore hole in the bone, loading the filament into a filamentary fixation device, implanting the filamentary fixation device, with the filament, into the bore hole, and tensioning the filament so that the filamentary fixation device and filament are secured within the bore hole. 1accessing the soft tissue and the bone;passing a filament through the soft tissue;preparing a bore hole in the bone;loading the filament into a filamentary fixation device;implanting the filamentary fixation device, with the filament, into the bore hole; andtensioning the filament so that the filamentary fixation device and filament are secured within the bore hole.. A method for securing soft tissue to bone, the method comprising: This application is a continuation of U.S. application Ser. No. 14/339,007, filed on Jul. 23, 2014 which is a continuation of U.S. application Ser. No. 13/588,586 filed on Aug. 17, 2012, which claims the benefit of the filing date of U.S. Provisional Application No. 61/679,336 filed Aug. 3, 2012, the disclosures of which are hereby incorporated herein by reference.Traditional fixation devices, such as suture anchors or tissue anchors, are typically made of metal or hard plastic, and include a structure which connects or otherwise secures a filament, such as a suture, or a portion of tissue, to the body of the device. In certain applications, these devices have a diameter ...

SURGICAL BUTTRESS RETENTION SYSTEMS FOR SURGICAL STAPLING APPARATUS

A surgical stapling apparatus includes a jaw assembly including an anvil assembly and a staple cartridge assembly, at least one which includes a surgical buttress retention system, and a surgical buttress releasably secured to a tissue facing surface of the anvil assembly or the staple cartridge assembly via the surgical buttress retention system. The surgical buttress retention system includes proximal guide slots defined in opposed sides of the anvil assembly or the staple cartridge assembly that have a generally U-shaped configuration that are mirror images of each other, a plug coupled to a distal portion of the anvil assembly or the staple cartridge assembly, and a retention member including a central portion extending across a proximal portion of the surgical buttress, second portions positioned within the proximal guide slots, third portions extending across a distal portion of the surgical buttress, and end portions coupled to the plug. 120-. (canceled)21. An anvil buttress retention system comprising:an anvil assembly including a tissue facing surface;an anvil plug rotatably coupled to the anvil assembly;a surgical buttress disposed on the tissue facing surface of the anvil assembly; anda retention member coupled to the anvil plug and positioned on the anvil assembly and the surgical buttress, wherein rotation of the anvil plug tensions the retention member about the anvil assembly and the surgical buttress to releasably secure the surgical buttress to the anvil assembly.22. The anvil buttress retention system according to claim 21 , wherein the anvil plug is releasably engaged with the anvil assembly.23. The anvil buttress retention system according to claim 21 , wherein the anvil plug is disposed within an aperture defined in the anvil assembly.24. The anvil buttress retention system according to claim 23 , wherein the anvil plug is press fit into the aperture.25. The anvil buttress retention system according to claim 21 , wherein the anvil plug is ...

Surgical access port expandable adapter collar assembly

An expandable adapter collar assembly is provided for use with a surgical access port having an outer diameter in order to increase the apparent outer diameter of the combination of the surgical access port and expandable collar in order to conform to the size of a surgical incision. The expandable adapter collar is an inflatable collar which is selectively detachably positionable so as to surround the surgical access port and expandable from a deflated or contracted smaller diameter to an inflated or expanded larger diameter to fill the surgical incision. The expandable adapter collar may be provided as part of an expandable collar assembly including a source of inflation fluids. There is also provided a method of adapting a surgical access port for use in a surgical incision having a size larger than the original design parameters for the surgical access port.

ARTICULATING MECHANISM FOR THE LAPAROSCOPIC ABLATION DEVICE FOR BLUNT DISSECTION

A surgical apparatus is described herein including an articulating segmented endoscopic portion including at least two segments connected by an angled rotary interface. 1. A surgical apparatus for use in minimally invasive surgical procedures , which comprises:a) non-endoscopic portion; andb) an endoscopic portion having at least first and second segments connected by at least one angled rotary interface joint, the first segment including a first proximal end portion operatively connected to the non-endoscopic portion and a first distal end portion including a first beveled gear and a second beveled gear, the second beveled gear positioned between the first beveled gear and an angled gear affixed on a second proximal end portion of the second segment.2. The surgical apparatus according to claim 1 , wherein the first segment includes a first outer wall defining a first lumen along a first longitudinal axis defined between the first proximal end portion and the first distal end portion claim 1 , wherein the first and second beveled gears are positioned within the lumen.3. The surgical apparatus according to claim 2 , wherein the first outer wall further comprises an angled circumferential channel defined therethrough configured to receive at least a portion of the angled gear.4. The surgical apparatus according to claim 3 , wherein the angled circumferential channel is configured to receive a third set of alternating teeth and slots extending radially outward from a side of the angled gear.5. The surgical apparatus according to claim 4 , wherein at least a portion of the third set of alternating teeth and slots of the angled gear extend through the angled circumferential channel and beyond an outer surface of the outer wall.6. The surgical apparatus according to claim 1 , wherein the first beveled gear faces distally along the first longitudinal axis and further comprises a rotary driver extending proximally along the first longitudinal axis to the non-endoscopic ...

Surgical Staple and Instrument for Holding and Implanting the Surgical Staple

A surgical staple insertion system for compressing bone fragments includes a staple and an insertion tool. The staple has first and second legs and an elastically deformable bridge monolithically formed with the first and second legs. In a relaxed configuration, the bridge is curved such that a central region of the bridge is directed away from the first and second legs, and free ends of the first and second legs are positioned closer to one another than are portions of the first and second legs connected to the bridge. The bridge includes engagement portions at each of its first and second end sections that extend away from each other. The insertion tool includes an end defining a cavity configured to receive the engagement portions at the end sections of the bridge to retain the bridge in a deformed configuration with the first and second legs retained parallel to each other. 1. A surgical staple insertion system for compressing bones or bone fragments , comprising: a first leg for anchoring in a first bone or bone fragment,', 'a second leg for anchoring in a second bone or bone fragment, and', 'an elastically deformable bridge monolithically formed with the first leg and the second leg, the bridge having a first end section from which the first leg extends and a second end section opposite the first end section from which the second leg extends,', 'wherein in a relaxed configuration, the bridge is bent or curved such that a central region of the bridge is directed away from the first and second legs, and free ends of the first and second legs are positioned closer to one another than are portions of the first and second legs connected to the bridge, and', 'wherein the bridge comprises engagement portions at each of the first and second end sections that extend away from each other; and, 'a) a surgical staple, includingb) an insertion tool including a unitary piece of material having a first end and a second end, the second end defining a cavity configured to ...

MEDICAL PLUG DELIVERY DEVICES WITH A ROTATABLE MAGAZINE AND RELATED COMPONENTS AND METHODS

Medical devices for delivering compositions or medical articles to a patient are disclosed. The medical plug delivery devices can include a fluid delivery device (e.g., a syringe), a frame, and a rotatable magazine. The rotatable magazine can include a plurality of chambers that each hold a composition or a medical article (e.g., a medical plug). By rotating the rotatable magazine relative to the frame, material within the chambers of the rotatable magazine can be sequentially deployed to a patient. 1. (canceled)2. A method of injecting a plurality of medical plugs into a patient , the method comprising: a magazine defining a plurality of chambers; and', 'a selector that is rotatably coupled with respect to the magazine;, 'obtaining a medical plug delivery device comprisingconnecting a distal end of the medical plug delivery device to an elongate tube;deploying a first medical plug from a first chamber of the plurality of chambers such that the first medical plug travels through the elongate tube and to a patient;rotating the selector with respect to the magazine; anddeploying a second medical plug from a second chamber of the plurality of chambers such that the second medical plug travels through the elongate tube and to the patient;wherein the first medical plug and the second medical plug are each deployed as a result of one or more fluidic forces.3. The method of claim 2 , further comprising simultaneously wetting the first medical plug and the second medical plug prior to deploying either the first medical plug or the second medical plug.4. The method of claim 3 , wherein simultaneously wetting the first medical plug and the second medical plug comprises injecting liquid through a channel of the selector and into a gap disposed between a portion of the selector and a portion of the magazine.5. The method of claim 2 , further comprising wetting the first medical plug comprising drawing fluid through a distal channel and through the first medical plug disposed in ...

Multi-Segment Reinforced Actuators and Applications

A multi-segment reinforced actuator includes (a) a soft actuator body that defines a chamber and (b) a plurality of distinct reinforcement structures on or in respective segments of the soft actuator body. First and second reinforcement structures are respectively configured to produce a first and second actuation motions, respectively, in first and second segments of the soft actuator body when fluid flows into or out of the chamber. The actuation motions are selected bending, extending, expansion, contraction, twisting, and combinations thereof; and the first actuation motion differs from the second actuation motion. The actuator can be used, e.g., to facilitate bending of the thumb with corresponding bending, extending, expansion, contraction, and twisting actuation motions. 1. (canceled)2. A device configured to be worn by a human including a sensor-actuated soft actuator , the device comprising:at least one soft actuator body defining a chamber, wherein the soft actuator body is incorporated into the garment;a fluid connector positioned and configured to provide a path for fluid flow into and out of the chamber;a control system connected with the soft actuator body, wherein the control system comprises a pneumatic or hydraulic pump, valves, and a microprocessor and is configured to control fluid flow through the fluid connector into and out of the chamber to produce at least one actuation motion selected from bending, extending, stiffening, expansion, contraction, twisting, and combinations thereof in the soft actuator body; andat least one sensor incorporated into the device and in communication with the microprocessor, wherein the microprocessor is configured to control the fluid flow based on communications from the sensor and to thereby control actuation of the soft actuator body.3. The device of claim 2 , wherein the device is a glove.4. The device of claim 2 , wherein the at least one sensor includes a strain sensor.5. The device of claim 2 , wherein the ...

Miniature Shredding Tools for Use in Medical Applications, Methods for Making, and Procedures for Using

The present disclosure relates generally to the field of tissue removal and more particularly to methods and devices for use in medical applications involving selective tissue removal. One exemplary method includes the steps of providing a tissue cutting instrument capable of distinguishing between target tissue to be removed and non-target tissue, urging the instrument against the target tissue and the non-target tissue, and allowing the instrument to cut the target tissue while automatically avoiding cutting of non-target tissue. Various tools for carrying out this method are also described. 1. A method of removing tissue from a target location in a subject , comprising:positioning a distal housing of a medical device to a target tissue site, wherein the distal housing comprises a first rotatable member and a second rotatable member;rotating the first and second rotatable members in opposite directions;directing tissue at the tissue site into the distal housing between the oppositely rotating first and second rotatable members.2. The method of further comprising advancing the first rotatable member and the second rotatable member into tissue to cause the first and second rotating members to direct tissue at the tissue site into the distal housing via a movement selected from the group consisting of: (1) distally oriented movement of the housing claim 1 , and (2) laterally oriented movement of the housing.3. The method of wherein the rotating of the first and second rotatable members comprises a function selected from the group consisting of (1) rotating the first rotatable member in a direction opposite that of the second rotatable member; (2) rotating each of the plurality of rotatable members around an axis which is fixed in position relative to the distal housing; and (3) the first and second rotatable member rotate about spaced apart parallel axes of rotation that are substantially orthogonal to a longitudinal axis of the distal housing.4. The method of ...

Apparatus and method for lifting or restraining a body part

The disclosure is generally directed to assemblies and methods that include (1) strips or cords of material configured to lift, restrain, or hold whole body organs (e.g., of a human patient) or parts of body organs in desired positions via tissue anchors (e.g., barbs, hooks, or cones), (2) an introducer device that facilitates the introduction of such strips or cords into a patient, and (3) the process of inserting such strips or cords of material into a patient (e.g., using an introducer device).

Device and methods of inverting a diverticulum

Several embodiments disclosed herein relate to apparatus and methods for treating a diverticulum. In some examples, disclosed is a device for inverting a diverticulum including a device body, a pushing apparatus that includes a rod and a blunt end, and a user actuated structure that provides control of the pushing apparatus. Also disclosed is a method for inverting a diverticulum. The method can include positioning a device along an outer wall of a colon at a diverticulum, inverting the outer surface of the diverticulum with the distal end of the device, and then actuating the user actuated structure such that the pushing apparatus interacts with the diverticulum to further invert the diverticulum.

Master-slave same-structure teleoperation fracture reduction mechanism

A master-slave same structure teleoperation fracture reduction mechanism includes a frame assembly, two parallel platform assemblies, a top platform connecting plate ( 9 ), an operating handle assembly, two fixing assemblies, a controller ( 15 ), six movement assemblies and 24 hydraulic pipes ( 26 ). The operating handle assembly is located in the middle of the upper platform ( 5 ), and the two fixing assemblies are located on the top of the parallel platform assembly. The two parallel platform assemblies are disposed on the frame assembly; the controller ( 15 ) and the six movement assemblies are disposed on the frame assembly; A top platform connecting plate ( 9 ) is connected to the fixing assembly parallel platform assembly. The hydraulic pipes ( 26 ) is in communication with motion hydraulic cylinders ( 7 a ) and the other end of the hydraulic pipes is in communication with one of platform hydraulic cylinders ( 7 b ). The invention assists a doctor to achieve fracture reduction.

Cartridge, and treatment device for endoscope comprising same

Provided are a cartridge, and a treatment device for an endoscope comprising same. The present invention includes a straight guide path in which a clip connector and a moving tube separation bar are arranged in a straight line, and arranges a front moving tube, which is inserted in and arranged on the tip of a clip facing the moving tube separation bar and temporarily restrains a pair of forceps in a retracted state, and arranges a rear moving tube, which is assembled on the outer surface of the clip connector, so as to be slidably movable along the straight guide path toward the moving tube separation bar, wherein the clip is restrained in a retracted state inside an insertion tube entering internally along the straight guide path.

Load sensing devices for use in surgical instruments

A surgical end effector includes an anvil assembly; a cartridge assembly including a plurality of fasteners; a drive assembly movable longitudinally to approximate the anvil assembly relative to the cartridge assembly; and a strain gauge circuit disposed within the cartridge assembly, the strain gauge circuit configured to measure a strain imparted on the cartridge assembly by the drive assembly.

Endoscopic suturing needle and suture assembly attachment methods

A suture assembly may include a needle having a cylindrical body with a sharp point on at least one end, a lumen extending transverse to a longitudinal axis of the cylindrical body, and a recess in communication with an opening to the lumen. A suture extends through the lumen and is secured within the recess of the needle by a sleeve extending over the needle.