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Suture, ligature, elastic band or clip applier

Subclass of:

606 - Surgery

606001000 - INSTRUMENTS

Patent class list (only not empty are listed)

Deeper subclasses:

Class / Patent application numberDescriptionNumber of patent applications / Date published
606144000 Mechanical suture or ligature applier 404
606142000 Clip applier 230
606148000 Suturing or ligating aid or guide 159
606140000 Elastic band applier 24
Entries
DocumentTitleDate
20100023022RELOADABLE LAPAROSCOPIC FASTENER DEPLOYING DEVICE WITH DISPOSABLE CARTRIDGE USE IN A GASTRIC VOLUME REDUCTION PROCEDURE - A cartridge containing a fastener. The cartridge has an elongated sheath containing at least one tissue penetrating member. The penetrating member at least partially houses a fastener. The fastener has at least two anchors connected together by a non-resilient flexible suture which does not resist deformation under compressible loads. The cartridge further includes a means for deploying the anchors, wherein the means is movable within the sheath.01-28-2010
20110196387VASCULAR SUTURING DEVICE - A surgical device for suturing vascular vessels is described, as well as methods for suturing tissue employing the surgical device. The device includes a distal member for insertion into a vascular vessel puncture wound. The distal member contains a suture and needle engaging fitting. At least one needle is advanced through tissue adjacent the puncture wound and into the needle engaging fitting to draw lengths of suture material which can then be used to close the puncture wound.08-11-2011
20110196386DIGITAL SUTURE FIXATION SYSTEM - A digital suture fixation system includes an anchor, an introducer that is attachable to a finger of a person such that at least a distal tip of the finger is available to palpate tissue and identify a landmark within a patient, and a delivery device attached to the introducer. The anchor is removably attached to the delivery device. The anchor is exposed on an exterior of the delivery device and the delivery device is positioned to allow the finger to push the anchor into the landmark.08-11-2011
20100082046 Device For Deploying A Fastener For Use in a Gastric Volume Reduction Procedure - A method and device for manipulating gastric tissue about a greater curvature of a stomach. The method includes the steps of creating at least one incision to gain access to the peritoneal cavity, and dissecting at least a portion of the greater omentum. Then the method includes accessing the exterior of the gastric tissue through the incision and folding at least a portion of the greater curvature of the stomach. The fold is constructed having serosa to serosa contact substantially along its entire length. The method further involves securing the fold with a flexible member wherein the flexible member comprises at least one tissue securing feature.04-01-2010
20090157098SURGICAL WIRE CLOSURE DEVICES - Surgical wire closure devices, which in some embodiments may be incorporated onto other surgical devices such as surgical pliers, comprising an elongate arm having a hook at one end and a shaft at the other end, wherein the axis of the arm is angled in relation to the axis of the shaft, and wherein the shaft is rotatably connected to a handle. The hook is inserted under a first node of surgical wire during approximation, followed by rotation of the hook about the axis of the shaft, which is accomplished by a slight pivoting motion of the surgeon's hand about the wrist as he or she grasps the handle.06-18-2009
20120245598SURGICAL GUIDE AND TISSUE ANCHOR - A surgical tissue anchor comprising a plurality of jaws suitable for clamping onto tissue, clamp component(s) operable to bias the jaws in a closed position and attachment structure operable for attachment of the anchor to one or more tethers for retracting the clamped tissue. The one or more tethers are guided to the desired region using a surgical guide.09-27-2012
20130085512MENISCAL ROOT ATTACHMENT REPAIR - An assembly for meniscal repair including a first tissue fixation member configured to secure a meniscal tissue, a suture anchor having a proximal end, a distal end, a central axis defined therethrough, an eyelet on the proximal end of the suture anchor, and a textured outer surface, and a first suture configured to be coupled to the first tissue fixation member and configured to be received through the eyelet of the suture anchor.04-04-2013
20130035698Soft Tissue Repair Device And Associated Method - A soft tissue repair device can include a housing having a handle, a deployment system having an actuation member, and an insertion system having an inserter and a slider. The slider can be coupled to the actuation member and movable relative to the inserter between deployed and retracted positions. First and second anchors can be carried on an external surface of the slider such that the anchors are spaced apart and portions of the anchors are coaxial with the slider and each other. A flexible strand can couple the anchors. The insertion system can cooperate with the deployment system to move the slider to the deployed position to deploy the first anchor upon activating the actuation member a first time, and to move the slider to the deployed position from the retracted position to deploy the second anchor upon actuating the actuation member a second time after the first time.02-07-2013
20100042114Apparatus for Performing Meniscus Repair - An apparatus and method of repairing a tear in body tissue includes inserting a needle containing a retaining head from a first insertion position on a first outer surface of the body tissue, through the tear and to a second outer surface of the body tissue. The retaining head is ejected from the insertion needle and grasps the second outer surface in an engaged position. An anchor coupled to the retaining head by a flexible member is advanced from a second insertion position on the first outer surface of the body tissue to a position at least through a portion of the tear. The flexible member extends a distance along the first outer surface of the body tissue from the first insertion position to the second insertion position.02-18-2010
20090157100SYSTEM, METHOD AND DEVICE FOR CLOSING AN OPENING - Disclosed are systems, methods, and devices for closing an opening. The methods, systems, and devices include a looped body. The looped body includes a first looped portion having a first apex and a second apex separated by a first distance while the looped body is in a pre-deployed state. The first looped portion is configured to resiliently move to a deployed state in which the first apex and the second apex are separated by a second distance, the first distance being greater than the second distance.06-18-2009
20100106166METHODS AND DEVICES FOR APPLYING MULITPLE SUTURE ANCHORS - Methods and devices are provided for deploying and applying multiple suture anchors. In one embodiment, a surgical device is provided having a shaft configured to be introduced into a body, e.g., through a scoping device, and to deliver a plurality of suture anchors, each having a suture attached thereto, into tissue, preferably without the need to remove the shaft from the body. The shaft can be configured to penetrate tissue and to deploy one or more of the suture anchors through the tissue such that the sutures extending from the deployed suture anchors extend through the tissue to allow the anchors to engage the tissue. The surgical device can also include a knotting mechanism configured to secure the sutures attached to the deployed anchors, thereby securing the anchors to the tissue.04-29-2010
20080234701DEVICES AND METHODS FOR HEART VALVE REPAIR - Methods and devices provide constriction of a heart valve annulus to treat cardiac valve regurgitation and other conditions. Embodiments typically include a device for attaching a cinching or tightening apparatus to a heart valve annulus to reduce the circumference of the annulus, thus reducing valve regurgitation. Tightening devices may include multiple tethered clips, multiple untethered crimping clips, stabilizing devices, visualization devices, and the like. In one embodiment, a plurality of tethered clips is secured circumferentially to a valve annulus, and the tether coupling the clips is cinched to reduce the circumference of at least a portion of the annulus. Methods and devices may be used in open heart surgical procedures, minimally invasive procedures, catheter-based procedures, and/or procedures on beating hearts or stopped hearts.09-25-2008
20100004664ANCHORING SYSTEM FOR DISC REPAIR - Embodiments of the invention relate generally to tissue anchors and methods of delivering same to the intervertebral disc or other sites within the body. In some embodiments, the anchors provide pull-out resistance, stability and/or maximize contact with tissue involving a minimum amount of penetration. In some embodiments, delivery methods are minimally invasive and include linear, lateral, and off-angle implantation or driving of anchors along, against or within tissue surfaces.01-07-2010
20090306681TISSUE TACK - A tissue fixation device includes a tack having at least two flexible arms on a first end of said anchor. A deployment device for deploying a tissue fixation device, wherein the deployment device is a deployment gun.12-10-2009
20120221020MEDICAL DEVICE AND USING METHOD THEREOF - Disclosed herein is a medical device including: a positioning catheter to be inserted into a blood vessel in the vicinity of an affected region; a treatment catheter to be inserted to reach the affected region; and attracting means provided at respective predetermined positions of both the catheters to apply a magnetic force in a direction of attracting each other; wherein the magnetic force of the attracting means restricts floating of the treatment catheter.08-30-2012
20110015653Apparatus and Method for Joining Similar or Dissimilar Suture Products - An apparatus, system and method for joining a first length of suture with a second length of suture are provided. The apparatus includes a substantially cylindrical body have a first end and a second end, a first cavity formed in the first end for receiving an end of the first length of suture, and a second cavity formed in the second end for receiving an end of the second length of suture, wherein the ends of the first and second lengths of sutures are welded within respective first and second cavities. The first and second lengths of suture may include the same or different diameters. The first and second cavities may be separated by a divider, or instead, may be continuous. The end of the first length of suture may abut the end of the second length of suture within the cylindrical body.01-20-2011
20130060261MULTI-ARM TOOL FOR DELIVERING IMPLANTS AND METHODS THEREOF - In a general aspect, a medical device includes a receiving arm configured to be coupled to at least a portion of an implant, and a clamping arm having a proximal end coupled to the receiving arm and having a track at a distal end of the clamping arm. The medical device also includes a sliding component including a needle and configured to slidably move along the track of the clamping arm.03-07-2013
20090270884Mesh Dispensing Device Having a Closed Loop of Backing Film - A mesh dispensing device includes a housing having a substantially enclosed interior and an opening; a plurality of routing guide elements mounted in the interior of the housing; and a closed loop of backing film having a defined circumference. The closed loop of backing film is routed around at least a portion of the plurality of routing guide elements to define a path along which the closed loop of backing film moves. The device also includes a defined length of mesh that is detachably adhered to the closed loop of backing film and an opening guide element mounted near the opening of the housing. The opening guide element receives mesh that has been detached from the closed loop of backing film for dispensing.10-29-2009
20130066339SURGICAL FASTENING DEVICE WITH MESH RETAINING MEANS - The invention provides a surgical fastening or suturing device. The device of the invention has a slender shaft and an actuating mechanism configured to eject a surgical fastener from the distal end of the shaft or configured to perform suturing at the distal end of the shaft. The device also has an attachment arrangement for attaching a piece of surgical mesh material onto an external lateral surface of the shaft and around the distal end of the shaft.03-14-2013
20130066338METHODS AND DEVICES FOR MANIPULATING AND FASTENING TISSUE - A tissue displacing and fastening device is provided for manipulating and fastening tissue together. The device includes a tissue displacing elements, which displaces tissue. A fold is formed from the displaced tissue and the tissue is fastened together to secure the fold.03-14-2013
20130066337METHODS AND DEVICES FOR MANIPULATING AND FASTENING TISSUE - A tissue displacing and fastening device is provided for manipulating and fastening tissue together. The device includes a tissue displacing elements, which displaces tissue. A fold is formed from the displaced tissue and the tissue is fastened together to secure the fold.03-14-2013
20120116418METHOD AND APPARATUS FOR TRANSAPICAL ACCESS AND CLOSURE - Methods and apparatus for providing transapical access to a heart chamber for performing an intra cardiac procedure are described. The apparatus include a helical needle driver, a dilator, a straight access needle, and optionally a guidewire. After entering the heart chamber with the straight access needle, the helical needle driver is used to place a helical suture within the myocardium. After removing the needle driver, the dilator is advanced through the pre-placed helical suture, dilating both a passage and the circumscribing suture. After performing procedure, the pre-placed suture may be closed by proximally retracting an external end of the suture.05-10-2012
20090030431MEDICAL DEVICES AND METHODS FOR CUTTING AND SUTURING BIOLOGICAL TISSUE - Medical devices for cutting and suturing biological tissue generally include a shaft and first and second guide members each including a first portion coupled to the shaft at a first location and a second portion coupled to the shaft at a second location. The first portions are movable along the shaft relative to the second portions, and the first and second guide members define an arcuate profile and are configured to flex in response to such movement. When used to cut tissue, the medical device may further include a blade positioned between the first and second guide members. When used to suture tissue, one or more suture guides may be provided on the first guide member for directing a suture needle through tissue proximate the first guide member. Methods of repairing and replacing a meniscus using the medical devices are also provided.01-29-2009
20130165949SOFT TISSUE COAPTOR AND DEVICE FOR DEPLOYING SAME - A soft tissue coaptor and a soft tissue coaptor deployment device are disclosed which deliver a soft tissue coaptor or clip to a desired location for tissue repair. The soft tissue coaptor and soft tissue coaptor deployment device have particular application in surgical and microsurgical settings such as cardiac, vascular, and ophthalmic surgery.06-27-2013
20130165950SYSTEM AND METHOD TO ACHIEVE RECIPROCATING ROTATIONAL MOTION OF THE DISTAL MEMBER OF A DEVICE BY APPLYING TRANSLATIONAL FORCES - A medical device includes an elongate body extending from a proximal portion which, in an operative configuration, remains outside a living body, to a distal end which, in the operative configuration, extends through a body to a position adjacent to a target portion of tissue to be treated and a spool rotatably coupled to the distal portion of the elongate body, the spool including a distal portion coupled to an end effector of the device along with a flexible member extending from the proximal portion of the elongate body, a first portion of the flexible member being wound about the spool in a first direction and a second portion of the flexible member wound about the spool in a second direction opposite the first direction, ends of the first and second portions extending to the proximal portion of the elongate body.06-27-2013
20090012537SYSTEM FOR SECURING A SUTURE - A system is disclosed for securing a suture. The system includes a deformable suture clip having a pair of closely spaced panels configured for movement between an open position wherein a suture can pass between the two panels and a closed position wherein the suture can be securely clamped between the two panels. The system further includes a clip applicator having an elongated body defining opposed proximal and distal end portions. The distal end portion of the body includes a mounting fixture having structure for supporting the suture clip in an open position. The clip applicator further includes a mechanism for dislodging the suture clip from the mounting fixture, such that the panels of the clip move to the closed position to securely clamp the suture therebetween.01-08-2009
20100082045FLIPP TACK PUSHER - A device for pushing an anchor through a bore in a bone is provided with an elongated shaft, an anchor carrying assembly disposed at a distal end of the shaft for carrying an anchor, and a plunger disposed in the elongated shaft. The plunger is movable relative to the elongated shaft. First, threads are attached to the anchor. Then, the anchor is positioned in the anchor fastener, and the elongated shaft is placed next to the bore in the bone. Next, the plunger is inserted into the elongated shaft, and a force is exerted to on the plunger to move it in direction of the distal end of the elongated shaft such that a distal end of the plunger comes into contact with the anchor and pushes the anchor through the bore in the bone.04-01-2010
20120271321System And Device For Heating Or Cooling Shape Memory Surgical Devices - A system for heating a heat-transformable shape memory surgical device. The system includes a sealed, sterilizable housing, a thermal probe for heating the shape memory surgical device, the thermal probe being connected with the housing, and a printed circuit board positioned within the housing. The printed circuit board includes a system controller having a power circuit for controlling the receipt and distribution of heating power to the thermal probe, a feedback circuit for measuring a condition of the shape memory surgical device via the thermal probe, and a control circuit for receiving data from the feedback circuit and adjustably controlling an amount of heating power that the power circuit distributes to the thermal probe. The control circuit includes an automatic-cutout circuit for terminating the distribution of heating power to the thermal probe after a specific amount of time or upon the occurrence of a predetermined condition.10-25-2012
20120004669INSERTION INSTRUMENT FOR ANCHOR ASSEMBLY - An insertion instrument is configured to eject a pair of anchor bodies across an anatomical gap so as to approximate the gap. The insertion instrument can include a single cannula that retains the pair of anchor bodies in a stacked relationship, or a pair of adjacent cannulas that each retain respective anchor bodies. The insertion instrument can be actuated so as to eject the anchor bodies into respective target anatomical locations.01-05-2012
20130023903Percutaneous Aneurysm Inversion and Ligation - Devices and methods for percutaneously treating and removing aneurysms or other anomalous tissue associated with vascular, intestinal, or other body tissue.01-24-2013
20110092985FINGER GUIDED SUTURE FIXATION SYSTEM - A suture fixation system includes a suture assembly having an anchor, an introducer, and a delivery device. The introducer is attachable to a finger of a person and includes a platform attached to an exterior of the introducer and a zip line attached to the platform. The delivery device is movable along the zip line and configured to removably retain the anchor. The introducer allows the finger to identify a target landmark within a patient and the delivery device is movable along the zip line and attachable to the platform to position the anchor for insertion to the target landmark.04-21-2011
20110282361Delivery tool for implantation of spool assembly coupled to a helical anchor - Apparatus is provided, including a tissue-adjusting member configured to be coupled to tissue of a patient, a rotatable structure that is configured to adjust a tension of the tissue-adjusting member, a tissue anchor coupled to the tissue-adjusting member and configured to screw into the tissue of the patient, and a delivery tool reversibly coupleable to the rotatable structure. The delivery tool comprises a first actuating element configured to rotate the tissue anchor so as to facilitate screwing of the tissue anchor into the tissue of the patient while not facilitating rotation of the rotatable structure, and a second actuating element configured to rotate the rotatable structure while not facilitating rotation of the tissue anchor. Other applications are also described.11-17-2011
20120109157ABSORBABLE FASTENER AND APPLYING APPARATUS - A surgical fastener apparatus, for securing a surgical mesh material to body tissue including a pair of anchors each having retaining means formed on an outer surface thereof; and a suture tether interconnecting the pair of anchors to one another. The pair of anchors having a substantially cylindrical body having a conically tapered distal end and a planar proximal end. The retaining means includes a series of semi-circular angled projections having a planar proximal surface and a tapered distal end, wherein a center of each of the angled projections is spaced a distance from a longitudinal central axis of the body portion. The surgical fastener is made from a bioabsorbable material which reabsorbs into said body tissue at an appropriate rate, such as for example, polyglycolic acid and polylactic acid.05-03-2012
20120109154WIRE SPOOL FOR PASSING OF WIRE THROUGH A ROTATIONAL COUPLING - A surgical apparatus for performance of a surgical procedure on body tissue is provided and includes a housing, an elongate tubular member, a drive assembly, an electrical coupling component, and an electrical wire. The elongate tubular member is at least partially supported by the housing and defines a center lumen and a longitudinal axis. The drive assembly extends from the housing into the center lumen of the elongate tubular member. The electrical coupling component is located about the drive assembly. The electrical wire extends from within the housing into the elongate tubular member. The electrical wire is wrapped about the electrical coupling component, which allows the elongate tubular member to rotate about the longitudinal axis while allowing the electrical wire to be fixed within the housing and the elongate tubular member.05-03-2012
20110295276SYSTEM AND METHOD FOR INTERVERTEBRAL DISC BULGE REDUCTION - A system and method for treating a bulge in an intervertebral disc annulus fibrosus adjacent to a vertebral body of a patient's spine using a repair device including a suture element, a patch element and a bone anchor. A bore is formed through a portion of the vertebral body, including an endplate thereof adjacent to the intervertebral disc. A suture picker is deployed through the bore and the annulus fibrosus, and the suture element is coupled to the suture picker. The suture picker is withdrawn from the bore. The suture element is pulled so as to draw the patch element against the bulge, and continued tension on the suture element urges the patch and the bulged anteriorly so as to re-approximate the natural shape of the annulus fibrosus. The suture element is secured to the vertebral body using the bone anchor.12-01-2011
20100036395METHOD AND APPARATUS OF ENDOSCOPIC SUTURING - An adjustable suture assembly is provided that may be employed in various surgical procedures to draw and/or hold tissue and/or muscle together. The suture assembly may include a suture lock or tensioner that is adjustably securable to two or more lengths of suture to provide a surgeon with an ability to maintain tissue or muscle in one secured position and subsequently readjust the suture assembly to maintain the tissue or muscle in a different secured position. The suture assembly may include two or more sutures having an anchor attached to an end of each suture for anchoring the suture to desired tissue or muscle. An endoscopic suturing device is provided to deliver and place two or more sutures in tissue or muscle during a surgical procedure. The suturing device may be configured to carry a plurality of sutures so that multiple sutures can be placed in tissue or muscle during a single intubation of the device. The suture assembly and suturing device may be employed with an endoscope to facilitate surgical treatment of obesity which involves narrowing and/or disabling the pyloric sphincter to reduce the rate of gastric emptying.02-11-2010
20110264117TISSUE JOINING DEVICE AND INSTRUMENT FOR ENABLING USE OF A TISSUE JOINING DEVICE - A tissue joining device and a surgical instrument for employing the tissue joining device are provided. The tissue joining device may be designed such that a first member may be inserted into a second member in discrete increments so that two lumen structures can properly be combined.10-27-2011
20100114120Assemblies for deploying fasteners in tissue and snares for use in such assemblies - An assembly is provided to facilitate the deployment of at least one fastener through tissue, such as stomach tissue. The assembly comprises a fastener deploying device arranged to deploy a fastener through the tissue and a snare arranged to bind the tissue and fastener deploying device together as the fastener deploying device deploys a fastener through the tissue.05-06-2010
20100114119Tacking Device - The present embodiments provide apparatus and systems suitable for coupling a graft member to tissue. A wire having a proximal end and a distal end are provided, each having a delivery state suitable for delivery and further comprising a deployed state. In the deployed state, the distal end is configured to engage tissue at a first location, and the proximal end is configured to engage the graft member to secure the graft member to the tissue. Optionally, a loop member may be provided for receiving a suture for further securing the graft member to the tissue. The present embodiments may also be used without a graft member to close openings in tissue.05-06-2010
20090069822TISSUE FASTENING TOOL, STENT, APPLICATOR FOR PLACING THE SAME, AND TISSUE FASTENING METHOD THROUGH NATURAL ORIFICE - The tissue fastening apparatus includes: a tissue fastening tool provided with a first tissue fixing section which is hooked onto a first biological tissue and a second tissue fixing section which is hooked onto a second biological tissue adjacent to the first biological tissue; a stent provided with a dilating portion having a diameter which increases from a front end to a rear end of the dilating portion, an indwelled portion which is connected the dilating portion, and a through hole which passes through the dilating portion and the indwelled portion in a longitudinal direction of the stent; and an applicator provided with a tubular puncturing tool in which the tissue fastening tool is inserted, a fastening tool pusher inserted into the puncturing tool to dispenses the tissue fastening tool inserted into the puncturing tool from a distal end of the puncturing tool, and a sheath into which the puncturing tool is inserted to shift the stent which is detachably disposed at the distal end of the sheath relative to the puncturing tool.03-12-2009
20090149869SYSTEM AND METHOD FOR PROVIDING SUTURES USING SELF ADHESIVE PADS WITH ANCHORS - The present invention relates to a new and improved system and method for providing sutures using self adhesive pads with anchors. Each self adhesive pad has at least one anchor or hook fixed on top of the pad to hold a suture thread in place or could contain a Micro Velcro System. By applying the pads around an open wound and connecting them with a suture thread, the wound could be closed by tightening the suture thread. The wound could be kept closed by securing the position of both ends of the suture thread. In one embodiment, the end of a suture thread may be anchored on the anchor or hook on the self adhesive pad. The system and method provides improvements over the suture techniques using stitches by securing atraumatic closure of the wound in a non-invasive way.06-11-2009
20100268252ELECTRICAL CONTACT FOR OCCLUSIVE DEVICE DELIVERY SYSTEM - A delivery wire assembly for delivery of an occlusive device to a location in a patient's vasculature includes a delivery wire conduit having a proximal tubular portion coupled to a distal coil portion, the respective tubular and coil portions defining a conduit lumen. A core wire is disposed in the conduit lumen and having a distal end coupled to an occlusive device, wherein an elongate electrical contact body at least partially seated in the conduit lumen and coupled to a proximal end of the core wire, the electrical contact body and the proximal tubular portion forming a junction. A coil collar is disposed around the electrical contact body near the junction10-21-2010
20090048613VISCERAL STAPLES FOR PURSE-STRING CLOSURE OF PERFORATIONS - Medical devices and related methods for closing a perforation in a bodily wall The medical device generally includes a suture having opposing first and second ends and a set of visceral staples. Each visceral staple includes a base and two tines connected to the base, the tines spaced apart two define a slot therebetween. The slot slidably receives the suture therein. Each visceral staple is attached to the bodily wall adjacent the periphery of the perforation. The ends of the suture are tensioned to reduce the distance between the visceral staples and compress the bodily wall around the perforation. The ends of the suture are secured to maintain the compression of the bodily wall and close the perforation.02-19-2009
20080262515Devices and methods for treatment of obesity - Methods, devices, tools and assemblies for treating a patient to effect weight loss. One method embodiment involves passing a device including an expandable member in a collapsed configuration and a buoyancy member through an opening in the skin of a patient and into the abdominal cavity of the patient, and anchoring at least a portion of the expandable member, relative to at least one structure in the abdominal cavity. Devices including at least one expandable member and at least one buoyancy member are provided.10-23-2008
20120109156METHODS FOR APPROXIMATING A TISSUE DEFECT USING AN ANCHOR ASSEMBLY - An insertion instrument is configured to eject one or more of anchor bodies across an anatomical gap so as to approximate the gap. The insertion instrument can include a single cannula that retains the pair of anchor bodies in a stacked relationship, or a pair of adjacent cannulas that each retains respective anchor bodies. The insertion instrument can be actuated so as to eject the anchor bodies into respective target anatomical locations.05-03-2012
20120109155HAND OPERATED DEVICE FOR CONTROLLED DEPLOYMENT OF A TISSUE ANCHOR AND METHOD OF USING THE SAME - A tissue anchoring system includes a tissue anchor member that is suitable for anchoring against tissue. The system also includes a tensioning member operatively connected to the anchor member such that the anchor member can slide relative to the tensioning member, the tensioning member capable of being pulled to cause the anchor member to move relative to the tensioning member into a position seated against the tissue. A hand operated deployment catheter is operable to extend and deploy the anchor member therefrom. The deployment catheter includes a rotatable member about which the tensioning member is routed and a clutch assembly for limiting tension within the tensioning member to prevent the deployed anchor from being pulled through the tissue.05-03-2012
20090082785Anvil Delivery Device Accessory - An anvil delivery system includes an anvil assembly, a flexible tube, and a fitting. The fitting is coupled to the flexible tube and includes a body having a proximal end portion and a distal end portion and a tip disposed on the distal end portion. The proximal end portion of the body is adapted to attach the body to the flexible tube. The tip is configured for insertion into a body lumen. The anvil delivery system may further include a plurality of protrusions disposed on the proximal end portion of the body of the fitting.03-26-2009
20090299381Surgical instrument for invagination and fundoplication - An endoscopic surgical instrument for deploying a two part fastener having a male fastener part and a female fastener part, includes a tube having a proximal end and a distal end. An end effector is coupled to said distal end of said tube and is configured to hold the male fastener part and the female fastener part in opposed relation. An actuator is coupled to said proximal end of said tube and is configured to actuate the end effector. A shearing device may be positioned proximate the end effector to shear off a tip of the male fastener part after the male and female fastener parts are moved into locking relation. In addition, the surgical instrument may include a male fastener part having a shaft with a plurality of detent positions. Further, the male fastener part may include a base and a shaft pivotally connected to the base.12-03-2009
20090259231IMPLANTABLE DEVICE FASTENING SYSTEM AND METHODS OF USE - A surgical fastening system for implantable devices is disclosed. The implantable device may contain a plurality of fasteners in pre-deployment position, may have a housing fitted over or around it which contains a plurality of fasteners in pre-deployment position, or may be a part of a two-part system into which it fits. Accordingly, the present invention also encompasses a deployment system or tool that optionally positions the implantable device, and which causes the fasteners to move into post-deployment position. The fasteners may be staples, metal loops, coils, springs or hooks formed of biocompatible materials, including shape memory alloys such as NiTi.10-15-2009
20090287225APPARATUS, SYSTEM, AND METHOD FOR ORTHOPEDIC FASTENER INSERTION AND EXTRACTION - An apparatus, system, and method are disclosed for positional fixation of a fastener, including but not limited to the extraction of an orthopedic screw. According to one embodiment, an instrument is provided which accepts a collet designed to conform to a proximal end of a variety of types and sizes of fasteners. The collet is installed through a chuck body, which is seated in a distal end of a handle. A closing mechanism within the handle causes the collet to tightly grip and lock onto the proximal end of the fastener. A compressible distal end of the collet may have longitudinal slits that define jaws for improving gripping flexibility.11-19-2009
20080208216METHODS AND DEVICES FOR ENDOSCOPIC TREATMENT OF ORGANS - The present invention relates to devices and methods for the endoscopic treatment of hollow organs. The invention provides improved devices and methods for apposing and fixating multiple regions of the outer surface of a hollow organ. The invention is particularly useful for procedures in which multiple regions of the outer surface of the stomach are brought into apposition and fixated, for example procedures to treat gastroesophageal reflux disease (GERD) or procedures to treat obesity.08-28-2008
20080208215Transoral endoscopic gastroesophageal flap valve restoration device, assembly, system and method - The invention provides a device, assembly, and method for transoral endoscopic restoration of a gastroesophageal flap valve. The invention also provides a self-steering and self-closing tissue fixation device for tissue fixation and an invaginator device for gripping and maneuvering tissue. The restoration device includes a longitudinal member arranged for transoral placement into a stomach, a tissue shaper carried on the longitudinal member that causes stomach tissue to assume a shape related to a gastroesophageal flap, and a tissue fixation device that maintains the shaped stomach tissue in a shape approximating a gastroesophageal flap. The tissue shaper may include a mold. The device may include the invaginator device for gripping and maneuvering esophageal tissue to aid restoration of the gastroesophageal flap, and may include the tissue fixation device.08-28-2008
20080208213Devices and methods for the controlled formation and closure of vascular openings - The present invention includes systems, devices and methods for percutaneously forming an aperture within a tissue structure or vessel and closing the aperture in a manner which optimizes hemostasis and healing. The invention in one aspect includes implantable devices which are used to seal the tissue aperture upon closure of the aperture after a percutaneous or endovascular procedure.08-28-2008
20080275470Transoral endoscopic gastroesophageal flap valve restoration device, assembly, system and method - The invention provides a device, assembly, and method for transoral endoscopic restoration of a gastroesophageal flap valve. The invention also provides a self-steering and self-closing tissue fixation device for tissue fixation, and an invaginator device for gripping and maneuvering tissue. The restoration device includes a longitudinal member arranged for transoral placement into a stomach, a tissue shaper carried on the longitudinal member that causes stomach tissue to assume a shape related to a gastroesophageal flap, and a tissue fixation device that maintains the shaped stomach tissue in a shape approximating a gastroesophageal flap. The tissue shaper may include a mold. The device may include the invaginator device for gripping and maneuvering esophageal tissue to aid restoration of the gastroesophageal flap, and may include the tissue fixation device.11-06-2008
20080275469Tack anchor systems, bone anchor systems, and methods of use - Systems, apparatuses and methods for securing tissue to bone using tack anchors, bone anchoring systems are described. The tack anchor may include a body and a securing element. The body may include one or more compressible flanges, an opening and, a cavity. The cavity may include an opening near or proximate the flanges, and be configured to receive a suture. The securing element may be configured to slide into the opening of the body to secure a portion of one or more sutures in the cavity such that the ends of the sutures are accessible through the cavity opening. In some embodiments, tack anchor tool for insertion of a tack anchor into tissue and/or bone is described.11-06-2008
20110270275METHODS AND DEVICES FOR LIGATING TUBULAR STRUCTURES - The devices and methods described herein may be used to ligate tissue, e.g., tubular structures where access is limited by using a sheath to deliver one or more sutures that can be deflected such that the end of the sheath forms a curve.11-03-2011
20110208209DEVICES AND METHODS FOR LAPAROSCOPIC GASTRIC TISSUE RECONFIGURATION - Devices and methods for forming and securing tissue folds and elongated invaginations in gastric tissue are used as a treatment for obesity. In several embodiments, a plurality of tissue folds is formed along the greater curvature of the stomach using laparoscopic tissue anchor deployment devices. Additional embodiments include various combinations of tissue folds, elongated invaginations, and other reconfigurations of stomach tissue using laparoscopic devices or laparoscopic devices in combination with endoscopic devices.08-25-2011
20100280529ENDOSCOPIC IMPLANT SYSTEM AND METHOD - A system, device, device and method for implanting a food restrictor in a patient's stomach, by coupling the restrictor to a plurality of tissue-plication anchors already placed in the stomach, are disclosed. The device includes an elongate shaft assembly for accessing the stomach transorally, and on which the restrictor can be carried, and a plurality of cable members mounted on the shaft assembly. The cable members are disposed on the shaft assembly along a distal section thereof, and releasably attached to the shaft assembly's distal end. After a cable member engages a tissue-plication anchor, retracting the cable is operable to first release the member from a holder at the the distal end of the shaft assembly, then pull a portion of the anchor through an aperture in the restrictor. This process is repeated for each anchor in the stomach for attaching the restrictor to the stomach.11-04-2010
20090264901IMPLANTABLE ACCESS PORT DEVICE AND ATTACHMENT SYSTEM - A system for attaching an access port to bodily tissue includes an access port assembly and including an access port having a generally central axis. The access port assembly further includes an attachment mechanism structured to enable the access port to be attached, for example, to an abdominal muscle of a patient. The delivery tool includes a handle having a generally longitudinal axis and a delivery head structured to engage the access port assembly, and an activation mechanism for enabling deployment of the attachment mechanism when the delivery head is so engaged with the access port assembly. The delivery tool is configured such that the longitudinal axis of the handle is spaced apart from the generally central axis of the access port when the delivery head is so engaged with the access port assembly.10-22-2009
20120296345Tissue Engaging Member - A system includes a flexible member and a tissue engaging member fixed to the flexible member. The tissue engaging member includes a barb preformed to extend rearward from a distal end of the flexible member at an acute angle relative to the flexible member.11-22-2012
20100145362APPARATUS AND METHODS FOR CONTROLLED RELEASE OF TACKING DEVICES - The present embodiments provide a tacking device for engaging tissue, which may be useful for facilitating closure of a bodily opening. The tacking device comprises a main body having proximal and distal ends, and at least one distal deployable member having contracted and expanded states that extends distally from the distal end of the main body. In use, after the distal deployable members have been at least partially expanded at a preliminary location, the distal deployable members may be contracted to permit repositioning at a different, final location. In one exemplary method, at least two tacking devices may be deployed to at least partially surround an opening in tissue, and a suture coupled to the first and second tacking devices may be actuated to facilitate closure of the opening.06-10-2010
20100145361Methods and Devices for Occlusion of an Atrial Appendage - A novel occluder application and clip device for treatment of embolic stroke caused by atrial fibrillation uses multiple sutures in a non directional handle to affix the occlusion device to the applicator and manipulate the occluder from an open and receiving position to a closed and occluding position. The occluder is retained in place by a clamping means related to locks retainers, resilient material or otherwise. An actuator mechanism is used to manipulate the occluder to a locked or occluding position. The applicator with the occluder attached has a low profile and remote manipulations to allow the occluder to be delivered to the clamping location within a patient through a small incision or delivery port such as a trocar cannula or the like.06-10-2010
20080319455METHODS AND DEVICES FOR REDUCING GASTRIC VOLUME - The present invention involves new interventional methods and devices for reducing gastric volume, and thereby treating obesity. The procedures are generally performed laparoscopically and may generally be described as laparoscopic plication gastroplasty (LPG) in which, after obtaining abdominal access, spaced apart sites on a gastric wall are engaged and approximated to create one or more tissue folds that are then secured by placing one or more tissue fasteners to produce one or more plications projecting into the gastrointestinal space. The serosal tissue may optionally be treated during the procedure to promote the formation of a strong serosa-to-serosa bond that ensures the long-term stability of the tissue plication. These procedures are preferably carried out entirely extragastrically (i.e. without penetrating through the gastrointestinal wall), thereby minimizing the risks of serious complications. Minimally invasive devices for approximating and fastening soft tissues are disclosed that enable these new interventional methods to be carried out safely, efficiently and quickly. Methods for reversing the procedure are also disclosed.12-25-2008
20090024143ENDOSCOPIC IMPLANT SYSTEM AND METHOD - Disclosed is a system for endoscopically implanting a medical implant within a body cavity such as a human stomach. The system includes one or more anchors positionable within one or more openings formed in tissue within the body cavity, such as cutouts formed in plicated body tissue. Tools are disclosed for positioning the anchors within the openings, and for coupling the implant to the anchors.01-22-2009
20090198254Methods and Devices for Tissue Reconfiguration - Methods and devices are provided for reconfiguring a tissue within a hollow body organ using an entirely endoscopic approach in order to effectively reduce flow of fluid contents into a second hollow body organ in fluid communication with the first.08-06-2009
20110144660APPARATUS AND METHOD FOR THE LIGATION OF TISSUE - A novel catheter-based system that ligates the left atrial appendage (LAA) on the outside of the heart, preferably using a combination of catheters and/or instruments, e.g., a guide catheter inserted into the interior of the left atrial appendage that may assist in locating the left atrial appendage and/or assist in the optimal placement of a ligature or constricting element on the outside of the appendage, and a ligating catheter and/or instrument outside the heart in the pericardial space to set the ligature or constricting element at the neck of the left atrial appendage.06-16-2011
20090054911SURGICAL THREADING DEVICE AND METHOD FOR USING SAME - Described herein is a threading device that includes an elongated rod having first and second opposite ends, and a suture having first and second opposite ends. The first end of the suture is associated with the rod. The rod is at least partially covered with a coating that secures the first end of the suture to the rod. The second end of the suture extends outside the coating. This provides a threading rod having a suture permanently attached thereto.02-26-2009
20090093824Wound closure fasteners and device for tissue approximation and fastener application - A tissue fastening device for approximating tissue edges with successive placement of fasteners therebetween comprising a proximal portion having a handle and a trigger; a distal portion having an effector end responsive to depression of the trigger; an actuator assembly operably coupled with the trigger; approximation arms disposed in the effector end. The approximation arms are rotatably coupled to the actuator assembly; and a gear mechanism enenmeshingly engageable with the trigger. The gear mechanism is configured to rotate an arcuate needle disposed in the effector end. Method to fasten opposing tissue comprises (a) approximating two opposing tissue edges, the tissue edges comprising a dermal layer; (b) driving an H-fastener vertically through the dermal layer of each of the tissue edges using a tissue fastening device, and (c) advancing the device to an adjacent position between the tissue edges and repeating steps (a) and (b).04-09-2009
20090204127SYSTEM AND METHOD FOR TYING SURGICAL KNOTS - A system and method for passing a suture through a tissue and tying a surgical knot. The system may comprise a suture and a first and a second arm. The first arm may comprise a needle and the second arm may comprise a tube configured to allow the needle of the first arm to pass through. One end of the suture may be wrapped around the tube and the other end of suture secured to the needle. The arms may engage. The needle and suture may pass through the tube and the portion of the suture wrapped around the tube. A knot is formed with the suture. The suture may be secured to the opposite site of the arm with the needle. The arms may disengage which may remove the needle from the tube. The knot may be tensioned by pulling on opposite ends of the suture in opposite directions.08-13-2009
20090005792Medical Suturing and Ligating Apparatus - A medical suturing and ligating apparatus is provided which enable to cut a suturing and ligating member such as a ligating wire in a simple manner while preventing a holding member from being removed from a flexible sheath. When a slider 01-01-2009
20090209978Systems and Methods For Real-Time Winding Analysis For Knot Detection - Embodiments of systems, methods, and computer-readable media for real-time winding analysis for knot detection are disclosed. For example, one embodiment of the present invention includes a method having the steps of receiving a first wrapping signal indicating a first wrapping of the simulated thread around a second tool to create a first loop. The method further includes determining a first wrapping direction based at least in part on the first wrapping signal; receiving a first tightening signal indicating a pulling of a first end of the simulated thread through the first loop; determining a first half-hitch based at least in part on the first winding direction and the first tightening signal; and outputting the first half-hitch. In another embodiment, a computer-readable media includes code for a carrying out such a method.08-20-2009
20090222025DEVICES, SYSTEMS AND METHODS FOR RETRACTING, LIFTING, COMPRESSING, SUPPORTING OR REPOSITIONING TISSUES OR ANATOMICAL STRUCTURES - Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues, organs, anatomical structures, grafts or other structures within the body of human or animal subjects for the purpose of treating a diseases or disorders and/or for cosmetic or reconstructive purposes and/or for research and development purposes or other purposes.09-03-2009
20090240262Device for affixing prosthesis to a vessel - Embodiments of the present invention are directed to devices, systems and methods (both in operation of the devices and systems, and methods of treatment on a mammal) for affixing a prosthesis, e.g. graft to a first end and to a second end of a vessel is described. Such embodiments include a device which may comprise a rear handle portion, a frontal working portion and an intermediate barrel portion. The working portion may be loaded with a first plurality of staples and with a second plurality of staples. The barrel portion is preferable adapted to carry the graft thereon and the device is preferably provided with a pushing rod which may be displaceable along the barrel portion so as to cause protrusion of the first and the second plurality of staples towards the first end and towards the second end of the vessel respectively.09-24-2009
20090254100ULTRASONIC NEEDLE DRIVER - An ultrasonic needle driver is provided. The driver includes a housing, an ultrasonic transducer mounted within the housing, a coupling mechanism operably connected to and extending distally from the ultrasonic transducer, and a tool assembly operably connected to the coupling mechanism. The tool assembly may be configured for selectively retaining a suture needle. The housing may include a handle assembly for actuating the tool assembly. The handle assembly may include a pair of handles. The handles are spaced apart from the housing when in a first position. The handles may be approximated toward the housing to actuate the tool assembly. The tool assembly may include a jaw member. The housing may be configured for operable engagement by a user and may define a substantially elongated body. The housing may define a pistol or pencil grip. The driver may also include an activation mechanism for activating the ultrasonic transducer. The driver may further include a control module integrally formed therewith.10-08-2009
20090254099Invaginator for gastroesophageal flap valve restoration device - An assembly for restoring a gastroesophageal flap valve includes a restoration device substantially free for rotation. The assembly comprises an elongated member configured to be fed through a throat, down an adjoining esophagus and into an associated stomach. The elongated member has a distal end. The assembly further comprises a gastroesophageal flap valve restoration device carried on the distal end of the elongated member for placement in the stomach, and an invaginator carried by the elongated member. The invaginator is configured to grip the esophagus and the elongated member and invaginator are coupled for restricted relative axial movement and substantially free relative rotational movement.10-08-2009
20090254101Suturing Device for Anastomisis of Lumens - A surgical device that includes an outer hollow body and an inner hollow body. The inner hollow body is slidably disposed within said outer hollow body and the inner hollow body includes at least two hollow arms located at the distal end of the inner hollow body. An inflatable member is rotatably attached to each hollow arm of the inner hollow body. At least a pair of suture rings are rotatably coupled to the outer hollow body wherein the suture rings are in parallel to each other and are coupled to each other by a plurality of suture clips.10-08-2009
20090018552APPARATUS AND METHODS FOR FORMING AND SECURING GASTROINTESTINAL TISSUE FOLDS - Apparatus and methods are provided for forming a gastrointestinal tissue fold by engaging tissue at a first tissue contact point, moving the first tissue contact point from a position initially distal to a second tissue contact point to a position proximal of the second contact point to form a tissue fold, and extending an anchor assembly through the tissue fold near the second tissue contact point. Adjustable anchor assemblies, as well as anchor delivery systems, are also provided.01-15-2009
20100160934Device and Method for Endoluminal Therapy - A device and method for selectively engaging or penetrating a layer of a luminal organ wall where the luminal organ wall has a plurality of layers including an outermost layer and an innermost layer adjacent to the lumen of the organ. The device and method select one of the plurality of layers of the organ wall other than the innermost layer and deploy from within the lumen of the organ a tissue device through the innermost layer to a specific depth to engage or penetrate the selected one of the plurality of layers. The device and method may be employed to create luminal pouches or restrictive outlets. In a stomach organ, the device and methods may be employed to treat obesity by forming a gastric pouch with or without a restrictive outlet.06-24-2010
20100160932MARKER ATTACHING DEVICE FOR ATTACHING A MARKER DEVICE - The present application relates to a marker attaching device for attaching a marker device to an object, comprising a part for fastening a marker device and comprising an attaching part for attaching the marker attaching device, wherein the attaching part can be deformed in order to enter into a mechanical connection with the object.06-24-2010
20100160931VARIABLE THICKNESS TACKING DEVICES AND METHODS OF DELIVERY AND DEPLOYMENT - The present embodiments provide a tacking device for engaging tissue, which may be useful for coupling a graft member to tissue or facilitating closure of a bodily opening. In one embodiment, the tacking device comprises a main body having proximal and distal ends, a proximal base member disposed at the proximal end of the main body, and at least one tissue engaging member disposed at the distal end of the main body. A spring member is disposed to surround the main body and extends from the proximal base member. In use, the spring member has a relaxed state in which it is biased to extend distally towards the at least one tissue engaging member, and further has a compressed state in which the distal end of the spring member is spaced further apart from the at least one tissue engaging member. Therefore, one or more tissue segments of varying thickness are adapted to be captured between the distal end of the spring member and the at least one tissue engaging member. A delivery system and methods for deploying the tacking device also are provided.06-24-2010
20090318936METHODS, DEVICES AND SYSTEMS FOR APPROXIMATION AND FASTENING OF SOFT TISSUE - This invention provides minimally invasive mechanical instruments that are capable of laparoscopic or endoscopic approximation and fastening of soft tissues in a variety of interventional procedures. The devices of the present invention generally consist of a proximal handle assembly incorporating actuation means, an elongate tubular assembly (which may be flexible, rigid or combinations thereof) and a distal tool assembly incorporating mechanisms for engaging tissue at two or more spaced-apart locations on a tissue surface as well as mechanisms for deploying one or more tissue fasteners to securely hold the tissues in the approximated configuration. Typically the devices are provided in an initial collapsed (i.e. pre-deployed) configuration for insertion into the patient. After being deployed to an expanded configuration, tissue is contacted and engaged at two or more locations, and upon subsequent actuation by the user, at least one of the tissue engagement mechanisms, with tissue engaged, is repositioned by moving it toward another engaged tissue location, thereby approximating the engaged tissue locations near the distal end of the device. A variety of fasteners and fastener delivery mechanisms may be integrated into the devices of the present invention to securely and permanently hold the approximated tissues in the approximated configuration. Devices of the present invention provide surgeons the ability to carry out a variety of interventional procedures in which tissue approximation and fastening is required, in a safer and more efficient manner. Certain embodiments of the present invention enable entirely new minimally invasive tissue approximation and fastening procedures to be performed, such as closure of holes in the gastrointestinal lumen created to provide access to the abdominal cavity during natural orifice transluminal endoscopic surgery (NOTES) or laparoscopic plication gastroplasty procedures that reduce stomach volume from its external surface in the treatment of obesity.12-24-2009
20100179566Dissecting-swatting surgical stapling device and methods of use - A material-fastening device and related fastener and methods for use, and more particularly, a device with segments of the fastener capable of being independently exposed from a holding mechanism and independently attached to or placed in proximity to the material.07-15-2010
20090076525PFO CLOSING DEVICE - A PFO closing device includes a suction and hold portion at a distal portion of a catheter for sucking and holding biological tissue of a foramen ovale valve and an atrial septum secundum from one side, an electrode portion on the side contacting the biological tissue; a negative pressure supply unit for applying negative pressure to the suctional portion and hold portion, a hold mechanism adapted to protrude from the distal tip of the catheter, and be inserted into the foramen ovale to hold the foramen ovale valve while pressing it from the other side and an energy supply unit for supplying energy to the electrode portion. Energy is supplied from the energy supply unit to the electrode portion, and the foramen ovale valve and the atrial septum secundum are mutually fused together.03-19-2009
20100222788FLEXIBLE ENDOSCOPIC SURGICAL INSTRUMENT FOR INVAGINATION AND FUNDOPLICATION - An endoscopic surgical instrument includes a flexible tube, a grasping and fastening end effector coupled to the distal end of the tube, and a manual actuator coupled to the proximal end of the tube. The manual actuator is coupled to the end effector by a plurality of flexible cables which extend through the tube. The tube contains a lumen for receiving a manipulable endoscope and the end effector includes a passage for the distal end of the endoscope. The end effector has a store for a plurality of male fastener parts, a store for a plurality of female fastener parts, a rotatable grasper, a rotatable fastener head for aligning a female fastener part and a male fastener part with tissues therebetween, and a firing member for pressing a male fastener part through tissues grasped by the grasper and into a female fastener part. According to a presently preferred embodiment, the overall diameters of the flexible tube and the end effector (when rotated to the open position) do not exceed approximately 20 mm so that the instrument may be delivered transorally to the fundus of the stomach. The manual actuator is provided with a lock-out feature which prevents firing male fastener parts before the fastener head is closed. The instrument is advantageously utilized in a fundoplication procedure.09-02-2010
20100160933METHODS OF SURGICALLY MODIFYING THE DUODENUM - The present application provides methods and devices for inducing weight loss. In particular, the present application provides methods for modifying a duodenum to induce weight loss.06-24-2010
20100249801METHODS AND DEVICES FOR DELIVERING AND AFFIXING TISSUE SCAFFOLDS - Methods and devices are provided for delivering and affixing tissue replacements. In one embodiment, a tissue scaffold can be delivered into a patient through a cannula to a cavity formed at a defect site in tissue, e.g., cartilage. A delivery shaft can be used to deliver the scaffold through the cannula, and a loading device can help load the scaffold onto the delivery shaft. A delivery guide device can position and temporarily hold the scaffold within the cavity. The delivery guide device can guide one or more surgical instruments to the scaffold to affix the scaffold within the cavity, e.g., to bone underlying the scaffold, using at least one securing mechanism.09-30-2010
20110130771PROCESS AND A DEVICE FOR SURGICAL TREATMENT OF RECTAL AND HAEMORRHOIDAL PROLAPSE - A process for surgical operations on a rectal/haemorrhoidal prolapse comprises stages of realising, in the anal canal, at least a first circular stitching at a first portion of a haemorrhoidal prolapse; realising at least a second circular stitching in a second portion of the haemorrhoidal prolapse, and nearing the first circular stitching and the second circular stitching in order to create a constriction of the haemorrhoidal prolapse. The invention also relates to a device, preferably for actuating the process, which comprises a hollow divaricator (06-02-2011
20120143215INSERTION INSTRUMENT FOR ANCHOR ASSEMBLY - An insertion instrument is configured to eject at least one anchor body into respective target locations, and subsequently apply a predetermined tensile force at least one actuation member of the at least one anchor member so as to actuate the at least one anchor body from a first configuration to a second expanded configuration. The insertion instrument can include a tension assembly that applies the predetermined tensile force to the at least one actuation member. The predetermined tensile force can be defined by a distance of travel, a predetermined failure force of a fuse, or a combination of distance of travel and a predetermined failure force of a fuse.06-07-2012
20090112232Method for Deploying A Device For Gastric Volume Reduction - A method for approximating tissue within a body including the step of providing a device having a handle, at least one actuator, an elongated hollow housing having a proximal end attached to the handle and a distal end extending therefrom, a first and second cartridge. Each the cartridge contains at least one fastener having at least two anchors connected together by a non-resilient flexible suture which does not resist deformation under compressible loads. The first cartridge being releasably connected to the distal end of hollow housing. The method also includes the step of inserting the first cartridge into a body and deploying each anchor into tissue in a spaced apart position. The method also involves moving the anchors adjacent one another by moving the suture in a proximal direction, and removing the first cartridge from the body and from the housing. The method then involves placing the second cartridge onto the housing thereby replacing the first cartridge with the second cartridge.04-30-2009
20090105728DEVICES AND METHODS FOR SECURING TISSUE - A compression ring to grip and compress body structure such as diverticulum, hemorrhoids, and tissue adjacent a hole. A resilient ring-shaped body defines a compression channel, and one or more axially rigid elongated spikes extend from the body into the channel. The body defines a first axial segment surrounding the compression channel and a second axial segment surrounding the compression channel, with the spike being engaged only with the second axial segment. The first axial segment more tightly compresses the body structure than the second axial segment.04-23-2009
20080228200CLOSURE AND RECONSTRUCTION IMPLANTS AND THE APPARATUS FOR DELIVERY THEREOF - A system and implant is useful for the minimally invasive closure of dura, bone, and/or ligementous defects. The delivery mechanism allows for the novel deployment of a novel closure device. The implant device with three components, an internal anchor, disc, and retaining ring, is loaded into a delivery system that allows minimally invasive closure and/or reconstruction of anatomical defects. Specifically, the device is designed to be released from the delivery system into narrow spaces of anatomical structures created during surgery. Inner and outer members are connected and locked together in situ which allows for additional anatomical manipulations to take place as required for reconstruction and closure. This allows each component, particularly the inner member, to be tailored to the anatomy.09-18-2008
20080228201MITRAL VALVE REPAIR SYSTEM AND METHOD FOR USE - The present invention is directed to various systems for repairing tissue within the heart of a patient. The mitral valve repair system of the present invention comprises a guide catheter having a proximal end, a distal end, and at least one internal lumen formed therein, a therapy catheter capable of applying a suture to the tissue, and a fastener catheter capable of attaching a fastener to the suture. The therapy catheter and the fastener catheter are capable of traversing the internal lumen of the guide catheter. In addition, the present invention discloses various methods for repairing tissue within the heart of a patient. In one embodiment, the method of repairing heart valve tissue includes advancing a guide catheter through a circulatory pathway to a location in the heart proximate to a heart valve, advancing a therapy catheter through the guide catheter to the heart valve, stabilizing a first leaflet with the therapy catheter, deploying a first suture into the stabilized first leaflet, disengaging the first leaflet from the therapy catheter while leaving the first suture attached thereto, stabilizing a second leaflet with the therapy catheter, deploying a second suture into the second leaflet, disengaging the second leaflet from the therapy catheter while leaving the second suture attached thereto, and joining the first and second leaflets by reducing the distance between the first and second sutures.09-18-2008
20090069823IMPLANT AND DELIVERY SYSTEM FOR SOFT TISSUE REPAIR - Implant and delivery systems for soft tissue repair which affix soft tissue portions to a region of bone are described. Generally, the assembly includes two bone anchors preloaded through an inserter handle such that each anchor is penetrated into the bone directly. The first anchor is inserted through the tissue and into the bone, where it is locked into position. The first anchor has a suture or wire that protrudes through the tissue and threads through the second anchor and is secured to a rotatable suture reel located along the handle. The second anchor is inserted through the tissue and into the bone independently of the first anchor. Once the second anchor is deployed, the suture or wire is tensioned to secure the soft tissue to the bone and a suture plug within the second anchor is deployed to lock the suture or wire in place.03-12-2009
20130138120TISSUE ACQUISITION DEVICES AND METHODS - A staple housing includes an array of staples each in a staple delivery position or “ready position” ready to be fired into target tissue. A staple driver is advanceable to drive the ready-position staples from the staple head into the tissue using staple pushers. During use, the staples in the ready positions are simultaneously fired into the target tissue using the staple pushers, forming an array of staples in the target tissue. After the array has been fired, one or more feed mechanisms within the staple housing advance a second group of staples from one or more staple storage locations into the ready positions in preparation for firing of the second group of staples.05-30-2013
20110245846ENDOSCOPIC TISSUE ANCHOR DEPLOYMENT DEVICES AND METHODS - An endoscopic tissue anchor deployment device includes a handle, an elongated shaft defining an internal lumen, and an end effector attached to the distal end of the elongated shaft. A tissue anchor catheter is removably inserted through the lumen of the elongated shaft, the catheter having a tissue anchor assembly that is deployable from its distal end. In some embodiments, the handle includes a pin and track assembly that defines a series of handle actuation steps corresponding to deployment steps for the deployment device end effector and the tissue anchor catheter. In some embodiments, the handle includes a catheter stop member that prevents movement of the tissue anchor catheter under certain circumstances, and a handle stop member that prevents actuation of the handle under certain circumstances.10-06-2011
20090082786MEDICAL DEVICES, SYSTEMS, AND METHODS FOR USING TISSUE ANCHORS - Medical devices, systems and related methods for delivering a tissue anchor. The medical devices generally comprise a needle and a sheath that assist in retaining the tissue anchor at the distal end of the need during manipulation of the medical device. The medical systems include one or more tissue anchors in conjunction with one of the medical devices.03-26-2009
20110082473WOUND CLOSURE DEVICE INCLUDING RELEASABLE BARBS - A suturing device includes an elongated tubular member defining a longitudinal axis. The elongated tubular member has a proximal portion and a distal portion. A head assembly extends from the distal portion of the elongated tubular member and is disposed about the longitudinal axis. The head assembly includes one or more rotatable barb holders coupled thereto. The rotatable barb holders are configured to releasably retain a barb thereon. The rotatable barb holders are rotatable between a first position, wherein the barb is positioned adjacent the elongated tubular member, and a second position, wherein the barb is radially spaced from the elongated tubular member.04-07-2011
20100010508TISSUE FASTENING TOOL AND APPLICATOR FOR INDWELLING THE SAME WITHIN BODY, AND TISSUE FASTENING METHOD THROUGH NATURAL ORIFICE - A tissue fastening apparatus related to the present invention includes; a tissue fastening tool formed of a wire wound into a coil shape provided with a first tissue fixing section which is hooked onto a first biological tissue and a second tissue fixing section which is hooked onto a second biological tissue; a tubular puncturing tool which extends a tissue fastening tool and accommodates the stretched tissue fastening tool inside of the puncturing tool; a fastening tool pusher in which the distal end thereof is inserted into the puncturing tool and dispenses the tissue fastening tool inserted into the puncturing tool from a distal end of the puncturing tool when the fastening tool pusher advances; and a rotating mechanism to rotate the puncturing tool when the fastening tool pusher advances.01-14-2010
20110178534TISSUE REPAIR IMPLANT AND DELIVERY DEVICE AND METHOD - A device for the repair of tissue and methods of use and manufacturing thereof are described herein. Applications for the use of the device include, e.g., repair of atrial septal defects (ASD), patent foramen ovale (PFO), left atrial appendage closure and stent graft fixation among other applications throughout the anatomy. The implant portion of the device is available in a variety of sizes and configurations to accommodate the vast complexity of the target anatomy.07-21-2011
20100069923Suture Anchor Inserter - The present disclosure relates to a suture anchor inserter. The suture anchor inserter includes a handle having a proximal component, a central component coupled to the proximal component, and a distal component coupled to the proximal component and the central component, the central component capable of rotating relative to the proximal component; and a shaft comprising a proximal end and a distal end, the proximal end coupled to the handle. A method of inserting a suture anchor into bone is also disclosed.03-18-2010
20110082472Method For Deploying Fasteners For Use In a Gastric Volume Reduction Procedure - A method for deploying fasteners including the steps of providing a device having a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends. The device has a first cartridge containing at least one fastener releasably connectable to the handle and an elongated pusher movable through the hollow housing from the distal to the proximal end for deploying the fastener from the distal end. The method includes increasing the stiffness of the pusher at a distal end thereof and advancing the pusher through the elongated housing to deploy the fasteners.04-07-2011
20110098725DEVICES AND METHODS FOR ENDOLUMENAL WEIGHT LOSS TREATMENTS - Devices and methods for forming and securing tissue folds, elongated invaginations, and tissue appositions in stomach tissue are used as a treatment for obesity. In a first embodiment, a plurality of tissue folds is formed in the fundus region of the stomach. In a second embodiment, one or more elongated invaginations are formed in the body region and/or antrum of the stomach. In a third embodiment, a plurality of tissue folds is formed in the fundus region of the stomach and one or more elongated invaginations is formed in the body region and/or antrum of the stomach. In other embodiments, a plurality of tissue folds is formed in the fundus region of the stomach and one or more tissue appositions are formed in the body region and/or antrum of the stomach. Additional embodiments include various combinations of tissue folds, elongated invaginations, tissue appositions, and other reconfigurations of stomach tissue.04-28-2011
20110098726SHAPE MEMORY FILAMENT FOR SUTURE MANAGEMENT - A member of a rigid flexible elastic material, the member including a body portion and an aperture portion with the member adapted for delivery through an axial longitudinal channel of a percutaneous delivery subsystem, the aperture portion including an expanded mode having a lateral dimension greater than an inner diameter of the channel when the aperture portion extends outside the channel and a collapsed mode wherein the lateral dimension is not greater than the inner diameter of the channel when the aperture portion is within the channel, the channel including a first axial opening and a second axial opening with the aperture portion transitioning from the expanded mode to the collapsed mode when inserted into the openings and the aperture transitioning from the collapsed mode to the expanded mode when exiting from the openings.04-28-2011
20110087240ABSORBABLE FASTENER FOR HERNIA MESH FIXATION - A method of forming and deploying an improved absorbable fastener for hernia mesh fixation is disclosed. The absorbable fastener of the present invention functions to securely fasten tough, non macro-porous, and relative inelastic mesh to soft tissue. The fastener is formed from co-polymers of lactide and glycolide.04-14-2011
20110082471Reloadable Laparoscopic Fastener Deploying Device - A device for deploying fasteners including a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends. The device has a first cartridge containing at least one fastener releasably connectable to the handle. The device also includes an elongated pusher movable through the hollow housing from the proximal to the distal end to deploy the fasteners. The device further includes a deforming member for deforming the pusher at a proximal end thereof while advancing the pusher to the distal end of the housing.04-07-2011
20110152885System And Method For Attaching Soft Tissue To Bone - A system and method for attaching soft tissue to bone is provided. In general, the apparatus includes an expandable body that is configured to expand into bone, and an expander pin that is adapted to be driven into the expandable body. The device can also include a tissue attachment apparatus that can be used to secure tissue to the device, thereby providing a method for attaching tissue to bone.06-23-2011
20110071545METHOD AND APPARATUS FOR RE-ATTACHING THE LABRUM TO THE ACETABULUM, INCLUDING THE PROVISION AND USE OF A NOVEL SUTURE ANCHOR SYSTEM - Apparatus for securing a first object to a second object, the apparatus comprising: 03-24-2011
20110077666LIGATING BAND DISPENSER DEVICE - A ligating band dispenser device and method for deploying ligating bands are disclosed. The device may comprise a ligating band support structure, at least one ligating band mounted around the outer surface of the ligating band support structure, a ligating band deployment structure, the ligating band deployment structure having an engagement structure for engaging and deploying the ligating bands, and a displacement mechanism adapted to displace one or the other of the ligating band deployment structure or ligating band support structure in an axial direction distally and proximally relative to the other structure.03-31-2011
20110077667SUTURE BASED TISSUE REPAIR - The present invention provides an apparatus for suture-based tissue repair, preferably for the annulus of a spinal disc, that includes a suture loop preferably pre-tied with a sliding knot, a clasp-type component that captures the ends of the suture loop, and an optional plug member that fills the tissue defect. Also disclosed is a method that places the suture loop in a full-thickness stitch encircling the tissue defect, secures the ends of the suture loop to the clasp, and cinches the suture loop to approximate the tissue without the need to tie knots. Also disclosed is a suture passer that enables a suture strand or loop to be passed through the tissue wall, captured, and retrieved. The suture passer may optionally incorporate a clasp in such an arrangement that enables a suture loop passed through the tissue wall to be captured directly by the clasp.03-31-2011
20110071546SHAFTED SURGICAL INSTRUMENT FOR REMOTE ACCESS SURGICAL PROCEDURES - An instrument for use in minimally-invasive procedures generally including a pair of coaxially arranged shafts, an end-effector at the distal ends of the shafts, and an actuator at the proximal ends of the shafts. The end-effector is in the form of a suture holder which includes a first, fixed arm at a distal end of a first, fixed outer shaft, and a second, movable arm at a distal end of a second, movable inner shaft. The fixed arm includes a u-shaped end, which defines an opening adapted to receive a portion of an elongate flexible suture material. A closure pin fixed at an end of the movable arm moves back and forth, opening and closing the opening in the u-shaped end of the fixed arm. The closure pin extends from the movable arm into a pin guide opening through one leg of the u-shaped end of the fixed arm.03-24-2011
20110060349ANCHOR DELIVERY SYSTEM - A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchor devices for such purposes.03-10-2011
20120150193SYSTEM AND METHODS FOR HYSTEROSCOPIC TUBULAR LIGATION - A system for tubular ligation is disclosed. The system may include an anchor designed to advance into a channel and engage the walls of the channel. The anchor may have mechanisms that allow it to securely attach to walls of the channel and pull the channel. The system may also include a body for placement adjacent to the channel to align the anchor with the channel. The anchor and body may be arranged so that subsequent retreat of the anchor toward the body pulls and inverts a portion of the channel. The system may also include an occlusion mechanism for placement about the inverted portion of the channel to seal the channel. The occlusion mechanism may be configured to bias between an open state for placement on the body, and a compressed state for sealing the channel. A method for tubular ligation is also disclosed.06-14-2012
20110178535TISSUE REPAIR IMPLANT AND DELIVERY DEVICE AND METHOD - A device having a temporary frame configured to carry an implant, the temporary frame being selectably movable between a retracted position and a deployed position, the implant being in a relaxed state when carried by the frame in the retracted position, the implant being in a taut state when carried by the frame in the deployed position.07-21-2011
20110152886APPLICATOR AND TISSUE FASTENING METHOD THROUGH NATURAL ORIFICE - The applicator related to the present invention is provided with a flexible sheath longer than the overall length of an instrument channel of a flexible endoscope; an operation part used outside the instrument channel; a deployed section that can be made to protrude from the front end of the sheath by operating the operation part and to pierce a tissue; a tissue fastening tool made of a superelastic wire formed in coil shape and housed inside the deployed section in a substantially extended condition; and a pusher that pushes out the tissue fastening tool from the deployed section when the operation part is operated.06-23-2011
20080243144METHODS AND SYSTEMS FOR MANIPULATING TISSUE - An endoluminal treatment device and method includes introducing an endoluminal device into a lumen of a patient and engaging a wall of the lumen with an implant device. The implant device can be a drug delivery device or medical device.10-02-2008
20080243143Surgical instrument having a fastener delivery mechanism - A delivery device for delivering a plurality of individual surgical fasteners. The delivery device includes a drive mechanism having distal and proximal ends. The drive mechanism has a moving member and a fixed opposing member, wherein the moving member is moveable proximally and distally with respect to the delivery device. The moving member has a sharpened distal end for piercing tissue. The device includes at least one surgical fastener located between the first and the second members. Each of the at least one surgical fasteners has a proximal end and a distal end. The device also has an actuator having at least two sequential positions. A first position for moving the moving member distally and piercing tissue, and a second position for moving the moving member proximally, thereby deploying the distal end of the fastener.10-02-2008
20090105729MINIMALLY INVASIVE REPAIR OF A VALVE LEAFLET IN A BEATING HEART - A valve repair device with a replaceable suture cartridge for repair of a valve leaflet in a beating heart of a patient comprises a valve repair device and a replaceable suture cartridge.04-23-2009
20080294177METHODS AND DEVICES FOR TERMINATION - Devices and methods used in termination of a tissue tightening procedure are described. Termination includes the cinching of a tether to tighten the tissue, locking the tether to maintain tension, and cutting excess tether. In procedures involving anchors secured to the tissue, the tether is coupled to the anchors and the tissue is tightened via tension applied to the anchors by cinching the tether. In general, the devices and methods can be used in minimally invasive surgical procedures, and can be applied through small incisions or intravascularly. A method for tightening tissue by fixedly coupling a first anchor to a tether and slidably coupling a second anchor to the tether, securing both anchors to the tissue, applying tension to the tether intravascularly, fixedly coupling the tether to the second anchor, and cutting the tether is described. The tissue to be tightened can comprise heart tissue, in particular heart valve annulus tissue. Various devices and methods for locking the tether in place and cutting excess tether are described.11-27-2008
20080255588Tool with multi-state ratcheted end effector - The invention provides surgical or diagnostic tools and associated methods that offer improved user control for operating remotely within regions of the body. These tools include a proximally-located actuator for the operation of a distal end effector, as well as proximally-located actuators for articulational and rotational movements of the end effector. Control mechanisms and methods refine operator control of end effector actuation and of these articulational and rotational movements. A multi-state ratchet for end effector actuation provides enablement-disablement options with tactile feedback. The tool may also include other features. A force limiter mechanism protects the end effector and manipulated objects from the harm of potentially excessive force applied by the operator. An articulation lock allows the fixing and releasing of both neutral and articulated configurations of the tool and of consequent placement of the end effector. A rotation lock provides for enablement and disablement of rotatability of the end effector.10-16-2008
20110054493Multi-Actuating Trigger Anchor Delivery System - A single trigger system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchor devices for such purposes.03-03-2011
20110022061APPARATUS AND METHOD FOR REPAIRING TISSUE - Assemblies and methods suitable for knotless arthroscopic repair of tissue defects include two fixation members coupled by two limbs of suture comprising a continuous loop. A unidirectional restriction element that can be a preformed locking, sliding suture knot proximate to one of the fixation members, provides tensioning of the repair.01-27-2011
20110112550SYSTEM AND METHOD FOR SECURING TISSUE TO BONE - Disclosed herein are methods and devices for securing soft tissue to a rigid material such as bone. A tissue capture anchor is described that comprises an anchor body and a spreader such that tissue may be captured or compressed between outside surfaces on the anchor and spreader and inside surfaces of a bone hole to secure the tissue within the hole. A bone anchor is described that comprises an anchor body with expandable tines and a spreader that expands the tines into bone. The spreader captures tissue via a suture loop at the distal end of the bone anchor. Also described is an inserter that can be used to insert the anchor into bone and move the spreader within the anchor to expand the anchor and capture the tissue between the anchor and the bone. Methods are described that allow use of single bone anchor to secure tissue to bone or also to use more than one bone anchor to provide multiple lengths of suture material to compress a large area of soft tissue against bone.05-12-2011
20100305581Suture Passing Instrument - A method for passing suture through tissue and a suture passing instrument having a first jaw coupled to an end of an elongated shaft, a second jaw coupled to the first jaw, and formed with a holder for supporting a suture, and a needle slidably disposed within the first jaw, having a hook on a side for releasably capturing a portion of a suture, is provided. The first jaw defines a channel for receiving the needle and a ramp for deflecting the needle transversely of the shaft when advanced to an extended position.12-02-2010
20100179567CLOSURE DEVICES, SYSTEMS, AND METHODS - The present disclosure includes anchor members configured to locate and/or anchor tissue surrounding a body lumen opening comprising. In one implementation, the anchor member can include an elongate portion configured to be manipulated by a user and an anchor portion. In a further implementation, the anchor portion can have one or more contracted configurations capable of passing through a body lumen opening and one or more expanded configurations capable of anchoring tissue surrounding a body lumen opening.07-15-2010
20100179565Rail for Delivering an Endovascular Stapler - An endovascular stapler delivery apparatus having a continuous geometrically non-symmetrical delivery rail operable to guide a stapling device to one or more stapling locations within a body vessel is disclosed. The delivery rail includes a first elongated leg, a second elongated leg in parallel with the first leg, and a self-expanding distal loop extending between a distal end of the first leg and a distal end of the second leg. The distal loop self-expands at a delivery site within the vessel at an angle with a longitudinal axis of the vessel and includes at least first and second portions that abut the vessel at opposing and longitudinally offset locations of a wall of the vessel. The self-expanding distal loop operates to press and align the stapling device against one or more stapling locations.07-15-2010
20100121348INSERTION TOOL FOR KNOTLESS SUTURE ANCHOR FOR SOFT TISSUE REPAIR AND METHOD OF USE - An insertion tool is used to implant a knotless suture anchor to secure soft tissue to a rigid structure such as bone. The anchor has an inner member that receives suture thread and rotates within an outer tubular member. An inner shaft on the insertion tool engages the inner tubular member and is used to rotate the inner tubular member so that the suture thread is wrapped onto the inner tubular member thereby increasing contact with the outer tubular member of the anchor which applies pressure to the wrapped suture thread to retain it in position on the inner tubular member while simultaneously and adjustably tensioning the suture thread. The insertion tool has an outer shaft that engages the outer tubular member of the anchor and prevents the outer tubular member from rotating as the inner shaft on the insertion tool rotates the inner tubular member on the anchor.05-13-2010
20120172896TISSUE FASTENING METHOD - A tissue fastening apparatus related to the present invention includes; a tissue fastening tool formed of a wire wound into a coil shape provided with a first tissue fixing section which is hooked onto a first biological tissue and a second tissue fixing section which is hooked onto a second biological tissue; a tubular puncturing tool which extends a tissue fastening tool and accommodates the stretched tissue fastening tool inside of the puncturing tool; a fastening tool pusher in which the distal end thereof is inserted into the puncturing tool and dispenses the tissue fastening tool inserted into the puncturing tool from a distal end of the puncturing tool when the fastening tool pusher advances; and a rotating mechanism to rotate the puncturing tool when the fastening tool pusher advances.07-05-2012
20100191254Band Forming Apparatus - A band forming apparatus for banding an internal body part and method of using same. The band forming apparatus is initially supplied as a relatively straight structure so that it can be, for example, inserted through a catheter or narrow incision such as when using endoscopic or robotic surgery techniques. Alternatively, the band forming apparatus may be used or inserted using conventional surgical techniques. In use, the initially straight assembly can be formed into a loop or band around an internal body part. Embodiments of the band forming apparatus include a compressible tube having first and second tube ends and an orifice in the tube wall between the first and second tube ends. A string is received in the tube, the string having a first end extending out of the first end of the tube and a second end extending out of the orifice. Alternatively the second string end may extend out of the second tube end. Means are provided for drawing an securing the band forming apparatus into a band of selected diameter.07-29-2010
20120265219ARTHROSCOPIC TECHNIQUE FOR LOAD SHARING WITH PATCH AND SUTURE ASSEMBLY - A method according to embodiments of the present invention includes attaching an assembly of suture and patch across a tendon to be repaired, for example a rotator cuff, and adjusting the tension of the suture and patch assembly independent of the tension of the repaired tendon.10-18-2012
20110190791SURGICAL CLAMP AND SURGICAL CLAMP INSTALLATION TOOL - A surgical clamp in certain embodiments may be configured to operate with a surgical installation tool. The clamp may have two elongated members with a bight portion that joins the two elongated members at a proximal end of the clamp and that may bias the two elongated members in an open position at a distal end. The bight portion may have one or more engagement features, such as a slotted aperture or other engagement or coupling feature. A clasp mechanism at the distal end of the clamp may have a male or first component disposed on or adjacent one of the two elongated members and a female or second component disposed on or adjacent the other of the two elongated members at the distal end of the clamp. The installation tool may include an elongated member with a proximal end and a distal end that has an engagement feature to engage the clamp, such as at the bight portion. A handle in one embodiment may be provided at the proximal end of the installation tool, while a head at the distal end may be configured to receive and/or engage the proximal end of the clamp and may also be operable to articulate in at least one plane.08-04-2011
20120150194THREAD HAVING COATED ANCHORING STRUCTURES FOR ANCHORING IN BIOLOGICAL TISSUES AND PROCESS FOR PRODUCTION THEREOF - A thread includes an elongate thread body having on its surface protruding anchoring structures that anchor in biological tissues, and a stiffening coating on the anchoring structures.06-14-2012
20100016866APPARATUS AND METHOD FOR MINIMALLY INVASIVE SUTURING - The invention includes a needle loader that may be used with a suturing device. The needle loader includes a generally planar needle supporting surface, a hub configured and adapted for receiving a generally toroidally shaped suturing needle around the hub, and means for retaining a suturing needle in a fixed toroidal rotational position with respect to the hub about a center axis of needle rotation. Generally, a needle mounted around the hub is selectively disposable on and removable from the hub. In accordance with a further aspect, the loader may further include an opening for retaining suture material attached to a suturing needle. The opening may include a groove defined through the needle supporting surface. The needle loader may further include a guard for preventing access to the point of a suturing needle to protect the needle and/or to prevent accidental needle sticks.01-21-2010
20080262514Systems and methods for endoscopic treatment of diverticula - Systems and methods are disclosed for the inversion of gastro intestinal diverticula and repair of associated intestinal wall tissue by means of endoscopy through a natural orifice such as the mouth or anus without making incisions in the abdominal wall or opening the peritoneal cavity.10-23-2008
20100268251DELIVERY WIRE FOR OCCLUSIVE DEVICE DELIVERY SYSTEM AND METHOD OF MANUFACTURE - A delivery wire assembly for delivery of an occlusive device to a location in a patient's vasculature includes a delivery wire conduit having a proximal tubular portion coupled to a distal coil portion, the respective tubular and coil portions defining a conduit lumen, a plug at least partially seated in the conduit lumen and coupled to an interior surface of the coil portion so as to form a substantially fluid tight seal of the conduit lumen, and a core wire disposed in the conduit lumen, the core wire having a distal end extending through the plug and coupled to an occlusive device10-21-2010
20100179568Methods for the Surgical Application of a Fastener and the Endoluminal Treatment of Gastroesophageal Reflux Disease (GERD) - A surgical instrument includes an end effector having a clevis and first and second jaws mutually rotatable between open and closed positions. The jaws are proximally directed and laterally displaced relative to a longitudinal axis of a control shaft of the instrument. The jaws hold first and second parts of a fastener, respectively. The first part includes a base having upstanding tissue piercing posts, and the second part includes another base defining apertures for receiving the posts, as well as a portion movable relative to the second base. When the upstanding posts are inserted into the apertures, the movable portion can be moved into a second configuration to lock the parts of the fastener together. The instrument is adapted to move the second part into the second configuration. A method for using the apparatus and fastener are also provided.07-15-2010
20110306988DUAL OFFSET ARC NEEDLE FOR ANCHOR PLACEMENT OF A MALE INCONTINENCE SLING - In some embodiments, an apparatus includes a handle and an elongate member coupled to the handle. The elongate member has a first portion, a second portion and a third portion. The first portion of the elongate member extends from the handle and defines a first longitudinal axis. The second portion of the elongate member extends from the first portion and defines a second longitudinal axis. The first longitudinal axis and the second longitudinal axis define a first angle and a first plane. The third portion of the elongate member extends from the second portion of the elongate member and defines a third longitudinal axis. The third longitudinal axis and the second longitudinal axis define a second angle and a second plane. The second plane is non-parallel with the first plane.12-15-2011
20120041454TISSUE ANCHOR INSERTION SYSTEM - A tissue anchor insertion system for inserting a tissue anchor into a body tissue such as bone, comprising a cutting device having a sharp leading end to create an aperture in the bone for insertion of the tissue anchor therein. The cutting device is deployed through a sleeve which is a close fit with the cutting device. The distal end of the sleeve is typically configured to penetrate the tissue in which the tissue anchor is to be inserted. A tissue anchor is also deployed through the sleeve, after the sleeve is in position, on a delivery device configured to support the tissue anchor during its insertion into the tissue. Typically the leading end of the sleeve is embedded within the tissue when the tissue anchor emerges from the distal end during the insertion process, so the tissue anchor is not damaged by insertion through the tissue.02-16-2012
20120041453Fastening Device for a Mitral Valve and Method - A fastening device connecting two flaps of a mitral valve of a human heart is provided. The fastening device has a pair of fixing arms each with a connection side. The fixing arms are connected to each other at a first end by a joint and each have a second free end. The fixing arms are able to be moved from an opened position, in which the connecting sides enclose an angle of at least 5° to each other, into the closed position in which the connecting sides rest essentially in parallel on one another. The fastening device has grip elements, which together with the fixing arms, at least partly connect the two flaps of the mitral valve in the closed position of the fixing arms. The fastening device has a position detection system which measures the spatial position and the orientation of the fastening device.02-16-2012
20110172681POWERED TACKER INSTRUMENT - There is provided a powered tacker device for use in installing multiple surgical fasteners through a prosthetic mesh into tissue. The powered tacker device generally includes a handle assembly and a tacker assembly extending distally from handle assembly. The handle assembly includes a motor and self-contained power assembly to rotate the surgical fasteners into tissue. The handle assembly is provided with a drive assembly which allows for rotation, as well as distal longitudinal movement, of a surgical fastener relative to the powered tacker device. The tacker assembly includes an inner tube for containing the plurality of surgical fasteners and a driver which is movable out of alignment with the inner tube so as to install a single fastener at a time into tissue.07-14-2011
20110098724Antimicrobial Coatings with Preferred Microstructure for Medical Devices - A medical device having an antimicrobial coating. The device has a first coating layer having an antimicrobial agent over at least part of the outer surfaces of the device. The first coating has an outer surface. There is a second discontinuous polymeric coating containing an antimicrobial agent, which is on top of and covering part of the outer surface of the first coating. The second discontinuous coating has a microstructure.04-28-2011
20110054492MEDICAL DEVICE FOR REPAIRING A FISTULA - A closure element applying medical device for repairing a fistula is described. The closure element applying medical device can be configured for repairing any type of fistula that provides an abnormal channel from one body part to another body part (e.g., organ to organ, organ to vessel, and/or vessel to vessel). Examples of fistulas that can be repaired with the present invention include anorectal fistulas, enteroenteral fistulas, enterocutaneous fistulas, vesicovaginal fistulas, arteriovenous fistulas, perilymph fistulas, rectovaginal fistulas, ureterocolon fistulas, and the like. The medical device can include a closure element, a shaft, a carrier assembly, and controller systems. The medical device can also include a locator assembly. Additionally, the closure element applying medical device can include endoscope components so as to function also as an endoscope.03-03-2011
20120004670Suturing Device for Anastomisis of Lumens - A surgical device that includes an outer hollow body and an inner hollow body. The inner hollow body is slidably disposed within said outer hollow body and the inner hollow body includes at least two hollow arms located at the distal end of the inner hollow body. An inflatable member is rotatably attached to each hollow arm of the inner hollow body. At least a pair of suture rings are rotatably coupled to the outer hollow body wherein the suture rings are in parallel to each other and are coupled to each other by a plurality of suture clips.01-05-2012
20120022557MULTIPLE ANCHOR DELIVERY TOOL - An anchor deployment tool includes a flexible outer tube, within which is positioned a flexible inner shaft, and a rotating deployment element coupled to a distal end of the shaft. The tool is configured to provide an anchor storage area, which initially stores a plurality of tissue anchors, such that the inner shaft passes through channels of the anchors along entire longitudinal lengths of the anchors, and the anchors are within the outer tube. The rotating deployment element is configured to directly engage the anchors in the anchor storage area one at a time, advance each of the anchors while engaged in a distal direction, and deploy each of the anchors through the distal tube end and into tissue of a subject. Other embodiments are also described.01-26-2012
20120022558TISSUE LIGATION DEVICES AND METHODS - Devices and methods for ligating structures where the loop of the ligation element can be temporarily pre-tightened without locking the loop. This pre-tightening without locking allows the loop of the ligation element to be loosened and repositioned, if necessary, before locking the loop around the anatomical structure.01-26-2012
20090157099DEVICE AND METHOD FOR PLACEMENT OF TISSUE ANCHORS - Medical devices and methods for deploying tissue anchors for simple and reliable closure of openings in tissue are disclosed. The medical device generally includes an access sheath and a flexible puncturing device. The flexible puncturing device is sized to be slidably received by the access sheath. The flexible puncturing device has a lumen sized to receive the tissue fastener. The flexible puncturing device is operable between a first linear configuration and a second non-linear configuration. A distal end of the flexible puncturing device is laterally spaced from the access sheath in the second non-linear configuration, and preferably retroflexes to provide placement of the tissue anchors on a proximal side of the tissue.06-18-2009
20110092987FINGER GUIDED SUTURE FIXATION SYSTEM - A suture fixation system includes a suture assembly having an anchor, an introducer, and a delivery device. The introducer is attachable to a finger of a person and includes a platform attached to an exterior of the introducer and a zip line attached to the platform. The delivery device is movable along the zip line and configured to removably retain the anchor. The introducer allows the finger to identify a target landmark within a patient and the delivery device is movable along the zip line and attachable to the platform to position the anchor for insertion to the target landmark.04-21-2011
20110092986FINGER GUIDED SUTURE FIXATION SYSTEM - A suture fixation system includes a suture assembly having an anchor, an introducer, and a delivery device. The introducer is attachable to a finger of a person and includes a platform attached to an exterior of the introducer and a zip line attached to the platform. The delivery device is movable along the zip line and configured to removably retain the anchor. The introducer allows the finger to identify a target landmark within a patient and the delivery device is movable along the zip line and attachable to the platform to position the anchor for insertion to the target landmark.04-21-2011
20120071897ATTACHABLE CLAMP FOR SURGICAL STAPLER - A surgical fastener applying instrument including a handle portion, an elongated portion, a pair of jaw members and a removable clamp. One of the jaw members contains a plurality of fasteners arranged in at least one row substantially transverse to a longitudinal axis of the elongated portion. At least one of the jaw members is movable with respect to the other between an open position and an approximated position for engaging body tissue therebetween. The removable clamp has an elongated member and a tissue clamping surface extending substantially transverse to a longitudinal axis of the elongated member. The clamp is movable from a proximal position to a distal position for engaging body tissue and is releasably mountable to the elongated portion of the instrument.03-22-2012
20120071896SOFT TISSUE REPAIR METHODS AND APPARATUS - Instruments and methods facilitate reconstruction, repair, and the closure of apertures in soft tissues, including the anulus fibrosus (AF), heart, lung, abdomen, thorax, vascular structures and other organs. Flexible longitudinal fixation components (i.e., sutures) are positioned across apertures in soft tissues, preferably to closes the inlets and/or outlets of such apertures. Tension on the flexible longitudinal fixation components may be used to narrow or close the apertures. Knotless fixation technologies such as suture welding are preferably used to fasten the ends of the flexible longitudinal fixation components. Certain embodiments include an intra-aperture component dimensioned for positioning within a defect in the AF, with one or more components being used to maintain the intra-aperture component in position. For example, the flexible longitudinal fixation component(s) may be anchored to one of the upper and lower vertebral bodies.03-22-2012
20100121349TERMINATION DEVICES AND RELATED METHODS - Devices and methods for locking and/or cutting tethers during a tissue modification procedure are described. In some variations, a tether may be used to tighten tissue by bringing two pieces or sections of the tissue together. The tether, which may be under tension, may be locked to maintain the tension, and excess tether may be severed, using one or more of the devices and/or methods. The devices and/or methods may be used, for example, in minimally invasive procedures.05-13-2010
20120078270SYSTEM FOR PROVIDING SURGICAL ACCESS - One embodiment is directed to a system for providing surgical access across a wall of a tissue structure, comprising: a delivery member having proximal and distal ends; a first helical member having proximal and distal ends and a helical shape, the proximal end coupled to the delivery member distal end, the distal end extending distally of the delivery member distal end; an anchor member removably coupled to the helical member distal end; and a suture member coupled distally to a portion of the anchor member and extending proximally to a position wherein at least a portion of it may be freely manipulated by an operator; wherein the proximal end of the suture member extends proximally beyond the deployed suture pattern into a local suture length storage reservoir coupled to the delivery member, the reservoir containing an additional length of suture and being configured such that upon rotation of the delivery member in the first direction, the anchor member pulls along the distal portion of the suture member causing at least a portion of the additional length of suture to be extended out from the local suture length storage reservoir, and causing the distal portion of the suture member to form a deployed suture pattern which remains coupled to the anchor member.03-29-2012
20120158021STEERABLE GUIDE CATHETER HAVING PREFORMED CURVED SHAPE - In one embodiment, a steerable guide catheter includes a handle and an elongated shaft extending outwardly away from and being coupled to the handle. The shaft has a distal end opposite the handle. The shaft further has a first preformed curved section at the distal end and a second preformed curved section that is located proximal to the first preformed curved section. The two preformed curved sections can be fabricated as part of a molding process whereby the two preformed curved sections are effectively “baked in” the catheter shaft. The guide catheter also has a steering mechanism for controllably steering at least the first preformed curved section at the distal end. The steering mechanism is coupled between the handle and elongated shaft and being configured such that actuation of the steering mechanism causes the first preformed curved section to be bent in at least two planes.06-21-2012
20120158020DEVICES, SYSTEMS AND METHODS FOR TISSUE REPAIR - Devices, systems and methods are disclosed for repairing soft tissue. The surgical system allows for the creation of tissue repair by grasping, aligning and sewing or fixing tissue. For example, this system may be used for clipping together excessive capsular tissue and reducing the overall capsular volume. The deployment device includes a central grasping mechanism and an outer clip delivery system. The clip embodiments may be single or multi-component (penetration and locking base components) that penetrate tissue layers and deploy or lock to clip the tissue together. An example of the system is used to reduce the joint capsule tissue laxity and reduces the potential for subluxation or dislocation of the joint by either restricting inferior laxity (anterior or posterior) and resolving or eliminating pathologic anterior or posterior translation.06-21-2012
20120078271ENDOLUMINAL FUNDOPLICATION DEVICE AND RELATED METHOD - A distal assembly of an endoscopic surgical device, and a related method, having a first arm and a second arm pivotal relative to the first arm. Each arm is configured to hold a part of a two-part fastener at a distal end of the arm. A closing mechanism is positioned proximate a proximal end of each of the first and second arms opposite the distal end of each of the first and second arms. The dosing mechanism is configured to move in relation to the first and second arms so as to close over at least one of the first and second arms to cause the distal ends of the arms to come together. An actuation member is also attached to the closing mechanism actuable to cause the closing mechanism to move in relation to the first and second arms.03-29-2012
20110106107APPARATUS AND METHODS FOR MAINTAINING A FORCE UPON TISSUE USING A LOOP MEMBER - The present embodiments provide apparatus and methods for treating tissue by applying a force to the tissue. In one embodiment, the apparatus comprises a deployable segment having proximal and distal regions, a main body extending therebetween, and a loop member formed at the distal region of the deployable segment. A cannula having a bore is dimensioned to circumferentially surround at least a portion of the main body at a location proximal to the loop member, and a spring member is disposed between the cannula and the loop member. The proximal end of the spring member is affixed to the cannula, and the distal end of the spring member is movable to apply a compressive force to adjust the size of the opening of the loop member and compress tissue disposed within the opening of the loop member. In an alternative embodiment, the cannula is omitted, and a diameter of the loop member is configured to be reduced and increased any number of times before final deployment of the deployable segment.05-05-2011
20110106108DEVICE AND METHOD FOR DELIVERY OF MESH-BASED DEVICES - In some embodiments, a stylet includes a proximal end portion, a distal end portion, and a medial portion between the proximal end portion and the distal end portion. The distal end portion of the stylet is configured to be releasably coupled to a first portion of an implant. The medial portion of the stylet has at least one retention member configured to be releasably coupled to a second portion of the implant.05-05-2011
20110106106TERMINATION DEVICES AND RELATED METHODS - Devices, methods and kits for forming and/or advancing one or more knots in a tether (e.g., during a tissue modification procedure) are described. In some variations, a tether may be used to gather or compress tissue by bringing two pieces or sections of the tissue together. The tether, which may be under tension, may then be locked to maintain the tension (e.g., by forming one or more knots in the tether). In some variations, an open knot may be advanced along a tether before being converted into a closed knot. The devices, methods and/or kits may be used, for example, in minimally invasive procedures.05-05-2011
20100094314TETHER TENSIONING DEVICES AND RELATED METHODS - Devices, methods, and kits for tensioning tethers during a tissue modification procedure are described. In some variations, a tether coupled to anchors embedded in tissue may be tensioned to provide a cinching effect that tightens or compresses the tissue by bringing two pieces or sections of the tissue together. In certain variations, the tether may then be locked (e.g., to maintain the tension), and/or excess tether may be severed. The devices, methods, and/or kits may be used, for example, in minimally invasive procedures.04-15-2010
20100249803GASTRIC BAND INSERTION INSTRUMENT - An endoscopic surgical instrument is used in minimally invasive laparoscopic surgery for inserting a gastric band into a patient's abdomen through a laparoscopic port. The gastric band insertion instrument includes a handle, an elongated shaft and a distal end assembly. The elongated shaft includes an actuator rod that opens and closes a movable jaw at the distal end. A pin at the distal end assembly engages a hole in the front of the gastric band, and the movable jaw is closed thereby securely capturing the front end of the gastric band. The shaft and the captured gastric band are inserted through a laparoscopic port into the patient's abdomen.09-30-2010
20100249802Soft Tissue Graft Preparation Devices and Methods - A soft tissue graft preparation device includes a handle portion, a body portion extending distally from the handle portion, and an end effector operatively connected to a distal end of the body portion. The end effector includes first and second members. The soft tissue graft preparation device also includes a filamentous material attachment structure that includes at least one filamentous material attached thereto, wherein the filamentous material attachment structure is placed in longitudinal juxtaposition to a tissue contacting surface of the first member and/or a tissue contacting surface of the second member.09-30-2010
20120221018DEVICE FOR IMPLANTING A PROSTHESIS IN A TISSUE - A device for implanting a prosthesis 08-30-2012
20120130402Fluid Delivery System For Surgical Instruments - There is provided a penetratable toothed fastener for clamping tissue during surgery. The toothed fastener includes first and second legs each having longitudinal rows of transverse teeth and a securing member configured to pass through the transverse teeth to hold first and second legs closed relative to each other and about tissue. A locking mechanism is provided to retain the securing member within the first and second legs of the toothed fastener. The toothed fastener additionally includes receptacles for the receipt of medicant materials and holes in the teeth to dispense the materials to clamped tissue.05-24-2012
20120316578SYSTEMS AND METHODS FOR ATTACHING A PROSTHESIS WITH A BODY LUMEN OR HOLLOW ORGAN - Systems and methods introduce and deploy prosthesis into a blood vessel or hollow body organ by intra-vascular access. The prosthesis is secured in place by fasteners which are implanted by an applier that is also deployed by intra-vascular access. The applier is configured to permit controlled, selective release of the fastener in a step that is independent of the step of implantation.12-13-2012
20120215233SYSTEM FOR SECURING A PORTION OF A BODY - Embodiments may have one or more projections which engage one or more recesses to position the sections of the retainer relative to each other. An applicator assembly may be used to apply energy to the retainer. Energy applied to the retainer may affect bonding of end portions of the projections to bottom portions of recesses in the retainer. The end portions of the projections may function as energy directors which concentrate energy. The applicator assembly may grip the retainer with a predetermined force. While the applicator assembly is gripping the retainer, the applicator assembly may apply energy to the retainer to effect bonding of sections of the retainer together.08-23-2012
20120215232SURGICAL FASTENER AND ASSOCIATED SYSTEMS AND METHODS - According to one embodiment, an apparatus for installing and removing a fastener includes a handle and a shank coupled to the handle. The shank includes an external periphery, an interior channel, and at least one fastener engagement element at least partially positionable within the interior channel. The apparatus further includes a wire positioned within the interior channel and an actuator coupled to the wire. The actuator is actuatable to move the wire within the interior channel and into contact with the at least one fastener engagement element to move the at least one fastener engagement element into a fastener engagement position. In the fastener engagement position, at least a portion of the at least one fastener engagement element is positioned external to the external periphery of the shank.08-23-2012
20120172895LAPAROSCOPIC DEVICE INSERTION CANNULA - The present invention is directed to a laparoscopic device insertion cannula (“LDIC”). The LDIC can be configured to store a surgical implant and can be formed from a hollow cylindrically shaped tube including a tapered closed tip at a distal end and a cap at a proximal end. The hollow tube can also include an opening adjacent the distal end. The opening can be covered, for example, by a flexible window. The flexible window can include a slit from which the surgical implant can be extracted from the LDIC. The surgical implant can be, for example, a gastric band.07-05-2012
20120316577ANCHOR TIP ORIENTATION DEVICE AND METHOD - A surgical device for inserting an anchor, including a handle having an actuator, an outer barrel shaft extending from the handle to a distal end and having a channel therethrough, and an outer barrel tip the distal end thereof having an elastomeric septum, a drive pin within the channel, and an implantable anchor removably coupled to the drive pin. The outer barrel shaft is coupled to an actuator for movement between a first extended position wherein the outer barrel shaft tip substantially cover the anchor, and a second retracted position where the outer barrel shaft tip do not cover the anchor. When the shaft is in the first position, the elastomeric septum of the outer barrel tip circumferentially surrounds and engages the anchor to thereby stabilize the anchor prior to deployment, and when the shaft is in the second position, the elastomeric septum does not engage the anchor.12-13-2012
20100049215APPARATUS AND METHOD FOR SURGICAL FASTENING - Apparatus and methods for applying fasteners during endoscopic surgery. The apparatus generally comprises a handle portion, a triggering mechanism and a fastener applicator. One embodiment of the invention forms the fastener around a single focal point on an anvil. Another embodiment vertically stacks the fasteners in a fastener applicator which is readily detachable from the handle portion by virtue of a rotational locking system and which may be replaced with a new fastener applicator having a fresh load of vertically stacked fasteners. A third embodiment of the invention has a fastener applicator having only one actuated part in its. Application mechanism, and makes use of biased springs controlled by position of the actuated part for the remaining part of the mechanism. A fourth embodiment of the invention deploys a plunger/ratchet assembly and pawl within the handle portion of the apparatus to ensure that the apparatus application mechanism will not reverse in the middle of a triggered application stroke. The various embodiments may be variously combined together in a single device. The methods generally include the following steps: forming a fastener by placing it over a single focal point anvil, pressing the fastener against the single focal point anvil using a slide; discharging the fastener into the tissue of the patient. The method may be executed within the fastener applicator that is detachable from the handle portion. According to another method, the fastener is applied by the following steps: the fastener is moved, from the storage channel, where it has been vertically stacked, to the driving channel by the biased fastener positioning spring as the slide is retracted; the slide is then advanced until the slide engages the fastener in the driving channel and drives the fastener over the anvil to form the fastener. During advancement of the slide the biased stop spring is forced back into a recess in the insert thereby allowing the next fastener to move forward in the storage channel in response to the force of the biased pusher spring; the slide is then retracted, freeing the biased ejector springs to kick the formed fastener off the end of the anvil; finally the slide is further retracted, until the fastener positioning spring is once again free to move the distal-most fastener from the storage channel into the driving channel.02-25-2010
20100049214IMPLANTABLE MEDICAL IMPLANTS HAVING FASTENERS AND METHODS OF FASTENING - A surgical fastening system for implantable devices such as injection port systems. The implantable device may contain a plurality of fasteners in pre-deployment position, may have a housing fitted over or around it which contains a plurality of fasteners in pre-deployment position, or may be a part of a two-part system into which it fits. Accordingly, the present invention also encompasses a deployment system or tool that optionally positions the implantable device, and which causes the fasteners to move into post-deployment position. The fasteners may be staples, metal loops, coils, springs or hooks formed of biocompatible materials, including shape memory alloys such as NiTi.02-25-2010
20100049213DEVICES AND METHODS FOR TERMINATION - Devices and methods for locking and/or cutting tethers during a tissue modification procedure are described. In some variations, a tether may be used to tighten or compress tissue by bringing two pieces or sections of the tissue together. The tether, which may be under tension, may be locked to maintain the tension, and excess tether may be severed, using one or more of the devices and/or methods. The devices and/or methods may be used, for example, in minimally invasive procedures.02-25-2010
20100049212METHOD AND APPARATUS FOR MENISCAL REPAIR - An anchor for securing suture to tissue, the anchor comprising: 02-25-2010
20100010509TISSUE FASTENING APPARATUS - A tissue fastening apparatus includes a tissue fastening tool, with fastens a first biological tissue and a second biological tissue so as to bring the tissues into close contact and an applicator for indwelling the tissue fastening tool. The tissue fastening tool is made of an elastic wire rod and is wound in a coil shape. The applicator includes a needle tube accommodated in an inner cavity with the tissue fastening tool stretched, a stylet inserted into the inner cavity of the needle tube nearer to the proximal side than the tissue fastening tool, and a rotating mechanism that rotates the stylet around an axis when the stylet is moved toward a distal end of the needle tube. The tissue fastening tool and the stylet are disengageably engaged with each other and integrally and rotatably connected with each other. The rotating mechanism rotates the stylet in a direction opposite to the winding direction of the tissue fastening tool as seen from the proximal side.01-14-2010
20120221019SURGICAL FASTENING SYSTEM AND METHOD FOR USING THE SAME - A surgical fastening system for attaching one piece of tissue to another piece of tissue. The system comprises a surgical fastener, an installation tool for deploying the surgical fastener in tissue, and a method for using the same.08-30-2012
20080300609 ANASTOMOSIS DEVICE AND METHOD OF USING SAME - An anastomosis device for reestablishing continuity to an associated human luminal structure at an associated damaged tissue region is provided. The device includes a first insert for supporting a first portion of the associated damaged tissue region. The first insert includes a generally cylindrical body, a tip, a base, and a bore extending through the body from the base to the tip. A second insert is provided for supporting a second portion of the associated damaged tissue region. The second insert includes a generally cylindrical body, a tip, a base, and a bore extending through the body from the base to the tip. An electromagnet is disposed in the tip of one of the first or the second insert for generating a magnetic field. A magnetically responsive member is disposed in the other of the first or the second insert. The member is attracted towards the electromagnet when the electromagnet is powered to an on state. Wherein the tips of the first and second inserts are adapted to self-align when electromagnetically engaged and hold together the first and second portions of the associated damaged tissue region to promote an anastomosis therebetween. A method is also provided.12-04-2008
20080300608Surgical Instrument - A surgical instrument for applying a fastener to tissue. The instrument includes an shaft having a working end and a grip end, a first jaw pivotally mounted on the working end including a receiver for releasably holding a male component and a second jaw statically mounted on the working end including a receiver for releasably holding a female component. The fist jaw is pivotally moveable between an open position in which the first jaw is sufficiently spaced from the second jaw so tissue can be received between a male component and a female component, and a closed position in which a protrusion of the male component is aligned with and received in a recess of the female component. The instrument includes a mechanism operatively connected to the first jaw for moving the first jaw between the open position and the closed position.12-04-2008
20110130772Device For Deploying A Fastener For Use In A Gastric Volume Reduction Prodecure - A method and device for manipulating gastric tissue about a greater curvature of a stomach. The method includes the steps of creating at least one incision to gain access to the peritoneal cavity, and dissecting at least a portion of the greater omentum. Then the method includes accessing the exterior of the gastric tissue through the incision and folding at least a portion of the greater curvature of the stomach. The fold is constructed having serosa to serosa contact substantially along its entire length. The method further involves securing the fold with a flexible member wherein the flexible member comprises at least one tissue securing feature.06-02-2011
20120265218DEVICES AND METHODS FOR LAPAROSCOPIC HERNIA REPAIR - Devices and methods for laparoscopically repairing a hernia are described. In some embodiments, a laparoscopic instrument is used to deploy one or more tissue anchor assemblies into the edges of the fascia tissue surrounding or adjacent to the hernia defect. The tissue anchor assemblies are used to cause the fascia tissue to be approximated to facilitate the repair procedure, to improve healing, and to reduce the incidence of recurrence.10-18-2012
20110046642SUTURE ASSEMBLY AND SYSTEM - A suture assembly configured to load a suture instrument with suture includes a cap attached to an end of the suture, a suture container configured to retain a portion of the suture, and a cap retainer having a wall and a suture channel formed in the wall. The suture channel is configured to receive a length of the suture, and the wall is configured to deny passage of the cap into the suture channel and align the cap with the length of the suture for loading into the suture instrument.02-24-2011
20110046641DEVICES, SYSTEMS AND METHODS FOR TISSUE RESTORATION - Devices, systems and methods are disclosed for providing chronic or temporary tissue support and/or restoration that does not require that the targeted tissue be severed and/or punctured. A device having two components and at least one connector for maintaining a prescribed distance between the two components is described. Such devices, systems and methods may be used on any tissue of a body and may be delivered through laparoscopic and/or endoscopic procedures.02-24-2011
20100228269VESSEL CLOSURE CLIP DEVICE - A clip-based vascular closure devices is configured to be pre-applied to a blood vessel prior to insertion of a vascular access device (such as a procedural sheath) through an incision, puncture, penetration or other passage through the blood vessel. In an embodiment, the disclosed closure device is applied in a carotid artery via a transcervical access such as by forming an incision in the patient's neck to in order to access the blood vessel or other body lumen.09-09-2010
20110238088DEVICES, SYSTEMS, AND METHODS FOR SUPPORTING TISSUE AND/OR STRUCTURES WITHIN A HOLLOW BODY ORGAN - Devices, systems and methods support tissue in a body organ for the purpose of restoring or maintaining native function of the organ. The devices, systems, and methods do not require invasive, open surgical approaches to be implemented, but, instead, lend themselves to catheter-based, intra-vascular and/or percutaneous techniques.09-29-2011
20120089157STOMACH INSTRUMENT AND METHOD - An endoscopic instrument adapted to engage the stomach tissue and/or the esophagus tissue of a patient from the inside and/or outside thereof is provided. The esophagus being a substantially tube shaped tissue leading to the stomach comprising stomach tissue, the esophagus having an esophagus center axis, being substantially aligned with a cranial-caudal axis of the patient and having a substantially circular circumference substantially aligned with a horizontal plane of the patient, the esophagus further having an inner and outer substantially cylindrical surface extending radially in relation to the esophagus center axis, wherein said instrument is adapted to deliver at least one fixating member, such that said at least one fixating member engages at least the stomach tissue.04-12-2012
20110276063DEVICE FOR FASTENING TISSUE LAYERS - Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The endoluminal device includes a tissue fastener, a flexible needle having means for grasping and releasing a portion of the tissue fastener, and a deflector for deflecting and guiding the needle toward the multiple tissue layers.11-10-2011
20110276062DEVICES, SYSTEMS, AND METHODS FOR PROSTHESIS DELIVERY AND IMPLANTATION, INCLUDING THE USE OF A FASTENER TOOL - Devices, systems, and methods for implanting radially expandable prostheses in the body lumens rely on tacking or anchoring the prostheses with separately introduced fasteners. The prostheses may be self-expanding or balloon expandable, and may include a single lumen or more than one lumen. After initial placement, a fastener applier system is introduced within the expanded prostheses to deploy a plurality of fasteners to at least one prosthesis end. The fasteners are usually helical fasteners which are releasably restrained on the fastener driver, and are delivered by rotation of the fastener driver. The fasteners may be applied singly, typically in circumferentially spaced-apart patterns about the interior of at least one end of the prosthesis. A lumen extension or lumens may be coupled to the prosthesis to extend the reach of the prosthesis within the implantation site. Fasteners may also be applied to the lumen extensions.11-10-2011
20110282362Sheaths for Implantable Fixation Devices - Sheaths for implantable fixation devices are disclosed. Sheaths have a flexible body with a perforated wall, an open end, a closed end, and a body interior sized and shaped to receive the fixation device.11-17-2011
20100168767APPARATUS AND METHODS FOR DELIVERING HEMOSTATIC MATERIALS FOR BLOOD VESSEL CLOSURE - Apparatus for sealing a vascular wall penetration disposed at the end of the tissue tract comprises a shaft, an occlusion element, a hemostatic implant, and a protective sleeve. The apparatus is deployed through the tissue tract with the occlusion element temporarily occluding the vascular wall penetration and inhibiting backbleeding therethrough. The hemostatic implant, which will typically be a biodegradable polymer such as collagen carrying an anti-proliferative agent or coagulation promoter, will then be deployed from the sealing apparatus and left in place to enhance closure of the vascular wall penetration with minimum scarring. The implant may be radiopaque to allow observation before release.07-01-2010
20100168768Devices and Methods for Treating Morbid Obesity - A surgical method of treating morbid obesity via bariatric procedures, carried out endoluminally and transluminally using endoscopic devices that are introduced through natural body openings without the necessity of creating any incisions in the abdominal wall.07-01-2010
20130012961Surgical Tack and Tack Drive Apparatus - An applicator for applying a barbed fastener to a body tissue-is provided. The applicator comprises an elongated tubular portion having a longitudinal axis extending from a proximal end to a distal end and having a tube interior sized and configured for receiving the barbed fastener. An elongate driver is disposed at least partially inside the tube interior, the driver having a driver engaging portion at its distal end. The driver engaging portion is adapted to engage the barbed fastener in a firing position adjacent the distal end of the elongated tubular portion. The applicator also comprises; a driver actuator assembly adjacent the driver at its proximal end, the driver actuator assembly being adapted for selectively imparting an impulse force to the driver. The driver is configured for transmitting the impulse force to the barbed fastener.01-10-2013
20120150195TREATMENT OF SPHINCTER DYSFUNCTION - A dysfunctional sphincter muscle may be treated by shortening the muscle to plicate it and restore its functionality. Plicating the sphincter muscle as described effectively shortens the muscle and permits the muscle to perform its function of closing off the body passage or opening with which it is associated without conventional surgery to expose the sphincter muscle and shorten it. Thus, treatment for incontinence can be achieved by shortening the associated sphincter muscle without surgery that exposes the muscle itself and requires the surgeon to manually grab hold of the muscle and shorten it.06-14-2012
20130018392MULTIPLE MEMBER INTERCONNECT FOR SURGICAL INSTRUMENT AND ABSORBABLE SCREW FASTENER - An absorbable screw fastener and a method of firing with an applicator capable of applying a surgical fastener to tissue in order to form tissue connection to secure objects to tissue, the fastener including a body portion having a helical thread, a head portion disposed at the proximal end of the body portion. The head portion includes a driver receiving configuration on its outer surface. The screw fastener further includes a cannulated center lumen with an opening extending from the head portion through the longitudinal length of the body portion.01-17-2013
20110160747Continuous Indentation Lateral Lobe Apparatus and Method - A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchor devices for creating continuous defects or indentations in lobes of a prostate.06-30-2011
20130172909LINEAR ROTATION MECHANISM FOR HEMOSTASIS CLIP DEVICE AND OTHER DEVICES - A medical device includes a handle, a flexible member extending from a proximal end connected to the handle to a distal end, a rotation mechanism connected to the distal end of the flexible member, an end effector coupled to a distal portion of the rotation mechanism and a push member extending through the handle and flexible member and connecting to the rotation mechanism, the rotation mechanism being configured and dimensioned to convert axial movement of the push member into rotation of the end effector.07-04-2013
20080255587MEDICAL APPARATUS AND METHOD OF MAKING THE SAME - The invention relates to a medical apparatus including a device used in the treatment of weight loss, obesity and potentially other associated health problems, e.g., type II diabetes. The device is used to impede absorption of nutrients within the gastrointestinal tract, i.e., bypassing a portion of the gastrointestinal tract. The medical apparatus enables implantation of the device using minimally invasive techniques, such a transesophageal approach under visualization. The device may be implanted via a working channel of a medical scope, e.g., an endoscope or in combination with a medical scope.10-16-2008
20080234702DEVICES AND METHODS FOR HEART VALVE REPAIR - Methods and devices provide constriction of a heart valve annulus to treat cardiac valve regurgitation and other conditions. Embodiments typically include a device for attaching a cinching or tightening apparatus to a heart valve annulus to reduce the circumference of the annulus, thus reducing valve regurgitation. Tightening devices may include multiple tethered clips, multiple untethered crimping clips, stabilizing devices, visualization devices, and the like. In one embodiment, a plurality of tethered clips is secured circumferentially to a valve annulus, and the tether coupling the clips is cinched to reduce the circumference of at least a portion of the annulus. Methods and devices may be used in open heart surgical procedures, minimally invasive procedures, catheter-based procedures, and/or procedures on beating hearts or stopped hearts.09-25-2008
200802347003D Tool Path Planning, Simulation and Control System - A system, apparatus, and method are provided for control of a catheter (including an ablation catheter), bronchoscope/endoscope and beveled needle. Control of a bronchoscope (09-25-2008
20080228199ENDOSCOPIC TISSUE APPROXIMATION METHOD - The present invention generally provides methods and devices for approximating tissue. The methods and devices utilize a device for applying an implantable tissue fastener and a variety of implantable tissue fasteners. The tissue-fastening device can be delivered endoscopically and can be adapted to function along side or in conjunction with a flexible endoscope. In general, the device can include a flexible shaft having an implantable tissue fastener applier disposed at a distal end thereof and a handle for operating the implantable tissue fastener applier disposed at a proximal end thereof. A variety of implantable tissue fasteners can be used with the tissue fastener applier device including single and multi-anchor embodiments.09-18-2008
20110264116Compressive Denervation Apparatus for Innervated Renal Vasculature - Devices, systems, and methods facilitate modification of renal sympathetic nerve activity using a force generating arrangement. A device for mechanically modifying renal sympathetic nerve activity includes a contact arrangement having a shape that generally conforms to a portion of a renal artery wall and is configured for placement at the renal artery wall portion. A compression arrangement is configured to cooperate with the contact arrangement to place the wall portion of the renal artery in compression sufficient to achieve a desired reduction in renal sympathetic nerve activity. The compression arrangement and the contact arrangement are preferably configured to cooperatively place the wall portion of the renal artery in compression sufficient to irreversibly terminate renal sympathetic nerve activity.10-27-2011
20130204275METHODS, DEVICES AND APPARATUS FOR PERFORMING A VASCULAR ANASTOMOSIS - Methods, devices, apparatus, assemblies, and kits for performing a vascular anastomosis are disclosed. A device for a vascular anastomosis includes tissue engaging portions that can move between at least two configurations. In some embodiments, the tissue engaging portions move without the aid of moving parts, while in other embodiments the tissue engaging portions extend from one or more movable wings. The tissue engaging portions may be separated by a first distance when in a pre-deployment configuration and by a second distance when in a deployed configuration. A method includes engaging a plurality of tissue engaging members of a coupling device against first end tissue. After selectively engaging the tissue engaging members and first end tissue, the first end tissue is stretched by at least moving the tissue engaging members. The stretched first end tissue is coupled to the second end tissue by mating the coupling device to a mating anastomosis device.08-08-2013
20130096579OVER-THE-WIRE CARDIAC IMPLANT DELIVERY SYSTEM FOR TREATMENT OF CHF AND OTHER CONDITIONS - Medical devices, systems, and methods reduce the distance between two locations in tissue in a minimally invasive manner, often for treatment of congestive heart failure. In one embodiment, an anchor of an implant system may, when the implant system is fully deployed, reside within the right ventricle in engagement with the ventricular septum. A tension member may extend from that anchor through the septum and an exterior wall of the left ventricle to a second anchor disposed along an epicardial surface of the heart. Deployment of the anchor within the right ventricle may be performed by inserting a guidewire through the septal wall into the right ventricle. The anchor may be inserted into the right ventricle over the guidewire and through a lumen of a delivery catheter. Delivering the anchor over the guidewire may provide improved control in the delivery and placement of the anchor within the right ventricle.04-18-2013
20130096580METHOD AND APPARATUS FOR TREATING A PATIENT BY INTENTIONALLY OCCLUDING A BLOOD VESSEL, INCLUDING METHOD AND APPARATUS FOR INDUCING WEIGHT LOSS IN A PATIENT BY INTENTIONALLY OCCLUDING THE CELIAC ARTERY - A method for inducing weight loss in a patient, the method comprising: 04-18-2013
20130103054Blended Shaft Drive - A solid, monolithic shaft member has an engagement end. The engagement end has a proximal end a distal end. The proximal end has a first cross-sectional geometry, and the distal end has a second cross-sectional geometry. The first cross-sectional geometry of the proximal end is different from the second cross-sectional geometry of the distal end. The cross-sectional geometry of the distal end transitions to the a cross-sectional geometry of the proximal end along a longitudinal axis of the engagement end of the solid, monolithic shaft member. This transition provides a gradual, blending, continuously transitioning cross-sectional geometry along the entire length of the longitudinal axis of the engagement end of the solid, monolithic shaft member.04-25-2013
20130144310METHOD AND APPARATUS FOR REPAIRING A TENDON OR LIGAMENT - The invention comprises methods and apparatus for reattaching anatomical members, such as tendons, ligaments, or bone, during preparing and healing of the member using a surgical repair device that can be securely attached to the member and then safely guided through tortuous anatomy for reattachment and repair. The repair device further includes structural means to secure opposed ends of the member against separation during healing. Devices for aiding in the positioning of the surgical repair device also are provided, such as a crimp connector holder tool for holding the crimp connector during threading therethrough of two sutures attached to two tendon stumps for bringing the two stumps into abutment and crimping them in place.06-06-2013
20130144311TISSUE LIGATION DEVICES AND TENSIONING DEVICES THEREFOR - Described here are closure devices and methods for ligating tissue, such as the left atrial appendage, and tensioning devices and mechanism for actuating these devices. The tensioning mechanisms and devices may allow a user to apply one or more predetermined forces to a suture or other portion of the closure devices. The closure devices may comprise a suture loop releasably attached to a snare loop assembly, and a tensioning mechanism or device may be configured to tighten the suture loop and/or release the suture loop from the snare loop assembly06-06-2013
20080208214Applicator and tissue fastening method through natural orifice - The applicator related to the present invention is provided with a flexible sheath longer than the overall length of an instrument channel of a flexible endoscope; an operation part used outside the instrument channel; a deployed section that can be made to protrude from the front end of the sheath by operating the operation part and to pierce a tissue; a tissue fastening tool made of a superelastic wire formed in coil shape and housed inside the deployed section in a substantially extended condition; and a pusher that pushes out the tissue fastening tool from the deployed section when the operation part is operated.08-28-2008
20080200930APPARATUS FOR MANIPULATING AND SECURING TISSUE - Apparatus for manipulating and securing tissue are described herein. In creating tissue folds within the body of a patient, a tissue manipulation assembly may generally have an elongate tubular member, an engagement member slidably disposed through the tubular member and a distal end adapted to engage tissue via a helical member, tissue stabilizing members positioned at the tubular member distal end which are adapted to stabilize tissue therebetween, and a delivery tube pivotable about the tissue stabilizer. The stabilizing members can be adapted to become angled relative to a longitudinal axis of the elongate tubular member. Moreover, one or all the articulation controls and functions can be integrated into a singular handle assembly connectable to the tissue manipulation assembly via a rigid or flexible tubular body.08-21-2008
20100286714INSERTER DEVICE WITH CONTROLLED ACCELERATION - The invention concerns an inserter device for inserting a medical device into the subcutaneous or intramuscular area of a patient. More specifically, this invention relates to an inserter device comprising means for providing a controlled and defined acceleration and deceleration of a penetrating member. The inserter device (11-11-2010
20130150868APPARATUS AND METHOD FOR MANIPULATING STOMACH TISSUE AND TREATING GASTROESOPHAGEAL REFLUX DISEASE - Stomach tissue is manipulated to form, for example, a restored flap of a gastroesophageal flap valve. The manipulation includes gripping stomach tissue from within the stomach while the stomach is inflated to promote visualization and stabilization of the gripped stomach tissue. Once the stomach tissue is gripped, the stomach is deflated and pulled into a mold. The molded tissue is then fastened with at least one fastener. The stomach is inflated to a first pressure during visualization and then to a second higher pressure during the stomach tissue gripping.06-13-2013
20100318102Needle holder with integrated scissors for microsurgery - A needle holder with integrated scissors for microsurgery is disclosed, which comprises a pair of elongated arms, and a pivot means. Each of the elongated arms includes: a clamping part disposed at a first end of the elongated arm, and having a clamping surface; a holding part disposed at a second end of the elongated arm; a hole disposed at a location intermediate the clamping part and the holding part; and a scissor blade disposed at a location intermediate the hole and the clamping part. In addition, the clamping surfaces correspond to each other, and the scissor blades are arranged to be in an overlapping cutting relation when the clamping surfaces are in a closed position. Further, the pivot means is disposed in the holes for pivoting the elongated arms.12-16-2010
20120283748SURGICAL FASTENER AND CUTTER WITH MIMICKING END EFFECTOR - Methods and devices are provided for controlling movement of a working end of a surgical device. In one embodiment, methods and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting. In other embodiments, a single cable actuator is provided and is movable between a first position, in which it is effective to rotate an end effector without actuating (i.e., closing and firing) the end effector, and a second position, in which it is effective to actuate the end effector without rotating the end effector. In other aspects, methods and devices are provided for moving a flexible neck formed on a distal end of an accessory channel for use with an endoscope. Movement of the flexible neck can be used to control positioning of a tool extending through the flexible neck.11-08-2012
20130184718POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM - In one general aspect, various embodiments of the present invention can include a motorized surgical cutting and fastening instrument having a drive shaft, a motor selectively engageable with the drive shaft, and a manual return mechanism configured to operably disengage the motor from the drive shaft and retract the drive shaft. In at least one embodiment, a surgeon, or other operator of the surgical instrument, can utilize the manual return mechanism to retract the drive shaft after it has been advanced, especially when the motor, or a power source supplying the motor, has failed or is otherwise unable to provide a force sufficient to retract the drive shaft.07-18-2013
20130184719SURGICAL INSTRUMENT - A surgical instrument. The surgical instrument has an end effector and a trigger in communication with the end effector. The surgical instrument also has a first sensor and an externally accessible memory device in communication with the first sensor. The first sensor has an output that represents a first condition of either the trigger or the end effector. The memory device is configured to record the output of the first sensor. In various embodiments, memory device may include an output port and/or a removable storage medium.07-18-2013
20110313431SUTURE AND ANCHOR FOR PERIODONTAL PROCEDURES AND METHOD OF USING THE SAME - A suture system that includes at least one suture having an end portion, a loop portion configured to be disposed about a fixed point and an anchor configured to be connected to the end portion for anchoring the suture to tissue adjacent to the fixed point, wherein the loop portion of the suture is disposed about the fixed point so as to reduce a gap between the tissue and the fixed point. A kit including at least one suture system, a surgical tool for manipulating the suture and written instructions of use are disclosed. A method for using the suture system is also described.12-22-2011
20120029532Wound Closure Device Including Mesh Barrier - A suturing device includes an elongate shaft defining a longitudinal axis, a trajectory guide translatably mounted on the elongate shaft and an introducer guard member operatively coupled to a distal portion of the elongate shaft. The introducer guard member includes at least one arm member which is movable between a first position in which the arm member is retracted, substantially in alignment with the longitudinal axis and a second position in which the at least one arm member is deployed. The introducer guard member includes an attaching member for releasably retaining a suture. The trajectory guide defines at least one bore therethrough. The bore obliquely extends through the trajectory guide and defines an angle with respect to the longitudinal axis. The bore aligns with the attaching member when the introducer guard member is in the second position.02-02-2012
20130197544FLEXIBLE ENDOSCOPIC SURGICAL INSTRUMENT FOR INVAGINATION AND FUNDOPLICATION - An instrument for fastening tissue within a body includes an elongated tube having a proximal end for extending outside of the body and a distal end for positioning proximate the tissue; and a distal member configured to fold the tissue together. The distal member includes a first member having a proximal end coupled to the distal end of the tube; and a second member pivotably coupled to the distal end of the first member. The first and second members are configured to install at least one fastener. A grasper is coupled to at least one of the first member and the second member. The second member is pivotable between an open position for receiving tissue and a closed position for folding tissue therebetween. The grasper is configured to project outward from at least one of the first member and the second member when in the open position.08-01-2013
20130211426TISSUE REPAIR IMPLANT AND DELIVERY DEVICE AND METHOD - A device for the repair of tissue and methods of use and manufacturing thereof are described herein. Applications for the use of the device include, e.g., repair of atrial septal defects (ASD), patent foramen ovale (PFO), left atrial appendage closure and stent graft fixation among other applications throughout the anatomy. The implant portion of the device is available in a variety of sizes and configurations to accommodate the vast complexity of the target anatomy.08-15-2013

Patent applications in class Suture, ligature, elastic band or clip applier

Patent applications in all subclasses Suture, ligature, elastic band or clip applier