Entries |
Document | Title | Date |
20080228202 | ENDOSCOPIC TISSUE APPROXIMATION SYSTEM - 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 |
20080234703 | TISSUE APPROXIMATION SYSTEM - Methods and devices for approximating tissue are disclosed. 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 self-deploying implantable tissue fasteners can be used with the tissue fastener applier device. | 09-25-2008 |
20080249539 | DEVICE FOR PLICATING AND FASTENING GASTRIC TISSUE - A device for creating a plication within a hollow organ. The device has an elongated member with distal and proximal ends. The distal end is for insertion into a body cavity. The elongated member has an end effector at its distal end. The end effector includes an outer cylinder having at least one opening in its cylindrical wall. The end effector also has an inner cylinder having at least one opening in its cylindrical. The inner cylinder is at least partially disposed within the outer cylinder such that the apertures can at least partially overlap. In addition, the cylinders are rotatable with respect to each other. In addition, the device includes a tubular channel running through the elongated member which is in fluid communication with the end effector. The channel has a vacuum source attached at its proximal end. | 10-09-2008 |
20080249540 | METHOD FOR PLICATING AND FASTENING GASTRIC TISSUE - A method for creating a plication within a hollow organ. The method uses an elongated member having an end effector at its distal end. The end effector has an outer cylinder having at least one opening in its cylindrical wall, and an inner cylinder having at least one opening in its cylindrical wall. The inner cylinder is at least partially disposed within the outer cylinder such that the apertures can at least partially overlap. The cylinders are rotatable with respect to each other. The method includes the step of inserting the end effector within an organ of a patient such that it is in contact with tissue. The method also involves applying vacuum through the elongated member so as to dispose tissue within the inner cylinder. The method also involves creating a plication by rotating the cylinders with respect to each other. | 10-09-2008 |
20080249541 | DEVICE FOR PLICATING AND FASTENING GASTRIC TISSUE - A device for maintaining a plication within a hollow organ. The device includes an elongated member having distal and proximal ends. The distal end is for insertion into a body cavity. The elongated member has an end effector at its distal end. The end effector has an outer cylinder having at least one opening, and an inner cylinder having at least one opening. The inner cylinder is at least partially disposed within the outer cylinder and the cylinders are rotatable with respect to each other. The end effector is detachable from the elongated member such that it can remain within the body cavity. | 10-09-2008 |
20080249542 | DEVICE FOR PLICATING AND FASTENING GASTRIC TISSUE - A device for creating a plication within a hollow organ. The device includes an elongated member having distal and proximal ends. The device has an end effector attached to the distal end of the elongated member. The end effector has a substantially hollow housing, a fixed jaw extending distally from the housing, and a retractable jaw located within the housing. The jaw is slidable distally such that the retractable jaw can juxtapose the fixed jaw. | 10-09-2008 |
20080255589 | Multi-function clipping and harvesting device - A multi-function minimally invasive vessel clipping and harvesting device includes at least two clipping devices positioned to advance surgical clips onto a tissue, and a severing device positioned to sever the tissue between the clips. | 10-16-2008 |
20080275471 | ENERGY STORED IN SPRING WITH CONTROLLED RELEASE - There is provided a surgical instrument including a handle having an elongated tubular member extending distally from the handle and one or more end effectors mounted on the distal end of the elongate tubular member. A driver is movably mounted within the handle and elongate tubular member in order to operate the end effectors. The surgical instrument includes an energy storage mechanism for storing and providing energy to move the driver and thereby actuate the surgical instrument. Various actuation mechanisms are disclosed which are operable on the energy storage mechanism to control the rate of release of the energy stored in the energy storage mechanism. | 11-06-2008 |
20080281336 | Multiple member interconnect for surgical instrument and absorbable screw fastener - An absorbable surgical screw fastener is provided which includes a head and a tapered shaft extending distally of the head. Buttress threads are provided about the tapered shaft to secure the fastener in tissue. The fastener includes slots formed in the head and buttress threads. A gap is provided between the buttress threads in the head to secure a prosthetic. There is also provided a surgical instrument having novel lockout structure to prevent inadvertent actuation. | 11-13-2008 |
20080281337 | Transoral 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. | 11-13-2008 |
20080287966 | Transoral 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. | 11-20-2008 |
20080294178 | Surgical clip application assembly - An apparatus for the transoral invagination and fundoplication of the stomach to the esophagus includes a clip applier having sharp toothed jaws for grasping and damaging the fundus prior to applying the clip. The clip applier has an overall diameter of less than 7 mm. The clip applier jaws are coupled to a pull wire via a linkage which increases the mechanical advantage and thus permits greater grasping force. A plurality of clip designs are also provided. | 11-27-2008 |
20080306491 | SINGLE STAGE HEMOSTASIS CLIPPING DEVICE - A tissue clipping apparatus comprises a clip including a proximal end received within a capsule. The clip includes a clip locking member biased to engage a first locking structure of the capsule to lock the clip in the capsule in a closed configuration. The apparatus also comprises a tension member releasably coupling the clip to a proximal end of the device which, during use, remains accessible to a user. The tension member is coupled to the clip by a joint designed to release when subject to a predetermined load to separate the clip from the device, release of the joint releasing the locking member to engage the first locking structure. | 12-11-2008 |
20080312664 | LEFT ATRIAL APPENDAGE CLOSURE - A medical device is disclosed for tissue, body lumen and/or cavity closure inside a body of a patient. In one particular application, the medical device can be used for minimally invasive access and closure of a left atrial appendage of the heart. The medical device generally includes a tool used for grasping the appendage, a closure member, and at least one tool to deploy, control, and position the closure member for closing the appendage. The device can also include an expander tool for expanding the working area around the left atrial appendage to improve visibility during the procedure. In other embodiments, the medical device may include other tools, for example an imaging tool for viewing the target area and/or other tools that are considered useful in a left atrial appendage closure procedure. | 12-18-2008 |
20080312665 | CLIPPING INSTRUMENT FOR AN ENDOSCOPIC SURGICAL DEVICE - A clipping instrument for an endoscope is provided. The clipping instrument includes a flexible sheath, an operation wire, at least one detachable clip assembly, including a pair of clipping arms and a fastening ring. The clipping arms are configured to be projected forward to open outside the flexible sheath and to be closed to clip onto a treatment object outside the flexible sheath according to movements of the fastening ring. The clipping instrument further includes a sleeve formed to have a plurality of slits and a blade spring piece to be attached to the sleeve. The sleeve includes a plurality of blade springs, each of which is settled in one of the plurality of the slits of the sleeve when the blade spring piece is attached to the sleeve. The plurality of blade springs can resiliently hold the detachable clip assembly in a posture with respect to the flexible sheath. | 12-18-2008 |
20080312666 | CLIP APPLIER AND METHODS OF USE - An apparatus for delivering a closure element can include a splittable carrier tube and a splitter to split the tube. The carrier tube can have an outer surface retaining a closure element in a tubular configuration and can be split into radially-expandable flaps. A closure element has can have shape-memory body having a relaxed configuration with a planar-annular body defining a lumen with tines directed inwardly from the body. The clip can be held in a retaining configuration having a substantially asymmetrically-elongated tubular shape with a trapezoidal longitudinal cross-sectional profile and a proximal end having the tines being longitudinally directed with a first tine being more distally oriented compared to a substantially opposite second tine being more proximal, and retracting to a deploying configuration having a tubular shape with a rectangular longitudinal cross-sectional profile with the first tine being even with the second tine when being delivered. | 12-18-2008 |
20080319456 | SURGICAL STAPLE-CLIP AND APPLIER - A surgical staple-clip including a clip component and a securing member is used in a wide range of surgical procedures. The staple-clip may be introduced to a surgical site in an un-assembled condition through a small port or trocar. An applier for the staple-clip comprising a pair of opposed jaw-like channels is provided to position and apply the clip component and the securing member. The clip component is positioned around a target tissue and is compressed or clamped upon the tissue using only the force required for a specific surgical procedure such as occlusion, ligation or fixation. When the clip component is properly applied, the securing member is urged forward and over the clip component to secure the staple-clip. The clip component may include traction enhancement features such as surface interruptions, bumps, valleys and ridges. With the staple-clip of the invention, the force required to constrict or occlude the tissue is separate from the force required to secure and maintain the staple-clip in position and, as a result, the body tissue is not over-compressed and nourishment to the body tissue is maintained. Other aspects of the invention include thumb actuated clip appliers for use in hand assisted laparoscopy (HAL) In one embodiment, a clip applier includes a handle and a thumb actuated mechanism that is used to slidably release clips onto a body tissue or vessel by sliding the thumb actuated mechanism forward and backward using only one hand. In another aspect of the invention, a two-stage clip is disclosed having a clip component and a staple component for securing the clip after it has been properly positioned. | 12-25-2008 |
20090024144 | HYBRID ENDOSCOPIC/LAPAROSCOPIC DEVICE FOR FORMING SEROSA TO SEROSA PLICATIONS IN A GASTRIC CAVITY - A device for manipulating gastric tissue with an elongated hollow housing having distal and proximal ends. The housing contains at least one fastener. The fastener includes at least two anchors connected together by a flexible member. The flexible member has a knot disposed thereon. The knot is movable to draw together the anchors and lock them into position with respect to each other. The device also includes a penetrating member disposed at the distal end of the housing, and an actuator for deploying the fasteners distally through the housing and the penetrating member. | 01-22-2009 |
20090043316 | Through the Scope Tension Member Release Clip - A hemostatic clip assembly for mounting on a delivery device comprises a capsule and a clip slidably mounted within the capsule so that, when the clip is drawn proximally into the capsule, arms of the clip are drawn together to a closed position, an abutting surface of at least one of the arms contacting a corresponding surface of the capsule when the clip is drawn to a predetermined position within the capsule to provide a first user feedback indicating closure of the clip in combination with a tension member connected to the clip arms and biasing the clip arms toward an open, tissue receiving configuration and a yoke slidably received within the capsule and releasably coupled to the tension member, the yoke including a ball cavity for receiving a ball connector of a control element of the delivery device to maintain the clip assembly coupled to the delivery device, wherein the control element is frangible to detach the yoke from the delivery device and to provide a second user feedback and, wherein release of the yoke from the tension member provides a third user feedback. | 02-12-2009 |
20090054912 | Systems and Methods for Treating Septal Defects - A system for treating a septal defect having an implantable treatment apparatus and devices for delivering the implantable treatment apparatus, devices for controlling delivery of the treatment apparatus and methods for treating a septal defect are provided. The implantable treatment apparatus is preferably implantable through a septal wall or portion thereof. The treatment system can include a flexible elongate body member, a delivery device configured to deliver the implantable apparatus, and a proximal control device for controlling delivery of the implantable apparatus, among others. | 02-26-2009 |
20090088777 | CLIP APPLIER - A clip applier includes a body | 04-02-2009 |
20090118744 | HEART VALVE REPAIR - The invention relates to a system for repairing a heart valve comprising a catheter, said catheter comprising an engagement member, the engagement member having at its distal end a hook capable of engaging with the surface of a prolapsed heart valve leaflet; and a fastener capable of deploying a fastening means to said leaflet. | 05-07-2009 |
20090125038 | ENDOSCOPIC LIGATION - A ligature delivery device includes a control member, an elongated shaft, and an end effector attached to the distal end of the elongated shaft. An activation mechanism provides an user-operable connection between the control member and the end effector. In several embodiments, the end effector includes a reverse grasping mechanism. Several embodiments of ligature devices are adapted to be deployed endoscopically and/or translumenally using the reverse-grasping delivery device. | 05-14-2009 |
20090138028 | Through the Scope Tension Member Release Clip - An apparatus for deployment of a hemostatic clip comprises a handle assembly, a shaft connected to a distal portion thereof and a clip assembly releasably coupled to a distal portion of the shaft. The clip assembly includes clip arms and a capsule cooperating with the clip arms to provide a first user feedback indicating a decision configuration of the clip assembly. In addition, the apparatus includes a control wire including a ball connector, the control wire extending from the handle assembly and coupled to the clip assembly by the ball connector to maintain the clip assembly coupled to the shaft, wherein the ball connector is detachable from the clip assembly to provide a second user feedback indicating separation of the clip assembly from the shaft. | 05-28-2009 |
20090143789 | VASCULAR CLOSURE DEVICES, SYSTEMS, AND METHODS OF USE - A tissue closure system can include a deployment instrument and a sealing element. The deployment instrument can be slidably mounted to and guided by a tubular medical device. The deployment instrument can be advanced over the tubular medical device to the desired location. The sealing element can then be advanced off of the end of the tool. The sealing element can include tissue engaging elements that are configured to automatically close upon deployment to bring together tissue. A slidably attached guided skin (or other tissue) cutter can also be used if desired to facilitate entry of the deployment instrument. | 06-04-2009 |
20090149870 | APPARATUS AND METHOD FOR COMPRESSING BODY TISSUE - A system and method for delivering a surgical clip to a surgical site within a patient's body to compress body tissue is disclosed. In one embodiment for the system of the present invention, the system includes an endoscopic device that has an endoscope cap disposed on a distal end of the endoscopic device. A surgical clip is removably disposed on an outside surface of the endoscope cap. A deployment device is associated with the surgical clip for deploying the surgical clip from the endoscope cap to the body tissue that is to be compressed. The surgical clip can be a deformable clip that is deployed in a non deformed configuration, and is then deformed so as to apply compression on selected tissue. The surgical clip can be a multi-legged clip, having a plurality of legs that can be locked in a closed position to apply compression to body tissue. | 06-11-2009 |
20090157101 | TISSUE CLOSURE SYSTEM AND METHODS OF USE - A closure element includes a coiled body and a plurality of tissue engaging portions. The tissue engaging portions disposed about at least a portion of the coiled body. The coiled body is formed of a resilient material according to one example. According to another example, a closure element includes a spiral body and a plurality of tissue engaging portions disposed about the spiral body. The spiral body is formed from a resilient material. | 06-18-2009 |
20090157102 | CLIP APPLIER AND METHODS OF USE - An apparatus for placement into an opening formed in a wall of a body lumen to deploy a closure element. The apparatus comprising a housing having a handle portion formed at a distal end, the handle portion configured to be engaged by a user when advancing the housing to deploy the closure element. A locator assembly and a carrier assembly are at least partially received in the housing. The locator assembly can have a distal end that contains notches or a shaped edge which are designed to help prevent the misfiring of the tines of the closure element. A triggering system cooperates with the locator assembly and is moveable toward the one or more expansion members of the locator assembly upon the locator control system being operated to expand the one or more expansion members. | 06-18-2009 |
20090157103 | MODULAR CLIP APPLIER - An apparatus for placement into an opening formed in a wall of a body lumen to deploy a closure element. The apparatus comprising a housing having a handle portion formed at a distal end, the handle portion configured to be engaged by a user when advancing the housing to deploy the closure element. A triggering element deploys the closure device and can at least be partially formed in the housing. A throw reducing mechanism can slide relative to the housing and reduce the distance a user must stretch a hand to move a triggering system within the housing. The housing can include, or be connected to, a handle member having one or more expansion members which expand to provide a stable base for manipulating the apparatus. | 06-18-2009 |
20090157104 | SURGICAL ROTARY CAPTURE INSTRUMENT FOR GASTRIC BAND CLOSING - An endoscopic surgical rotary capture instrument is used in minimally invasive laparoscopic surgery for closing a gastric band having a buckle end a free end. The rotary capture instrument includes a pusher end that has a stationary jaw and a movable jaw. The movable jaw is actuated by rotary motion of an inner shaft. The jaws are used to gasp securely and push the tube end of the gastric band after it has been threaded through the buckle end of the band. A hook instrument is used to hold the buckle end securely while the rotary capture instrument is used to push the free end of the gastric band. | 06-18-2009 |
20090192526 | Apparatus and method for concurrently forming a gastroesophageal valve and tightening the lower esophageal sphincter - An apparatus enables concurrent restoration of a gastroesophageal valve and tightening of the lower esophageal sphincter. The apparatus comprises a longitudinal member having a distal end arranged to be received within a stomach, a tissue shaper at the distal end of the longitudinal member that forms a gastroesophageal valve from stomach tissue, and a tissue gatherer that gathers fundus tissue at or aboral to the gastroesophageal junction to reduce an esophageal opening into the stomach and tighten the lower esophageal sphincter. A fastener deployer then deploys at least one fastener pair to maintain both the restored gastroesophageal valve and the tightened lower esophageal sphincter. | 07-30-2009 |
20090222026 | SURGICAL FASTENING CLIPS, SYSTEMS AND METHODS FOR PROXIMATING TISSUE - A surgical fastener clip for proximating tissue, the clip providing an undeflected state in which the clip comprises a center portion, a first leg, and a second leg. The center portion has a perimeter defining a circle-like shape. The legs project outwardly relative to the perimeter from a point of departure to a tip. Extension of each of the legs relative to the perimeter defines an identical wind direction that is either clockwise or counterclockwise. The clip optionally includes a linear cross-member extending across the perimeter. The surgical clip can be formed by a wire that is partially wound onto itself in a spiral-like fashion, with the center portion and the legs being co-planar in the undeflected state. During use, the clip is rotated, drawing tissue into the center portion. Systems incorporating the clip are also provided. | 09-03-2009 |
20090228023 | CLIPPING DEVICE - A clipping device comprises: a clip loaded into a forward end portion of a sheath; a manipulating wire connected to a rear end of the clip; and a retention ring fitted onto the clip and fitted into the sheath so as to be capable of advancing and retreating. The retention ring includes: a resin retaining portion which has two or more skirt portions which, when being situated inside the sheath, are closed inwardly by being pressed by an inner wall of the sheath and which, when being situated outside of a forward end of the sheath, are opened in a width larger than an inner diameter of the sheath to prevent retreat into the sheath, and a metal clamping portion arranged on a forward end side of the retaining portion and, when being situated on a forward end side of the clip, abutting the clip to clamp it. | 09-10-2009 |
20090264903 | APPARATUS AND METHODS FOR MINIMALLY INVASIVE VALVE REPAIR - A surgical fastening apparatus including at least one self-closing clip and a deployment device. The self-closing clip comprises a wire defining an intermediate portion interconnecting opposing, first and second side portions having a memory set loop shape. The deployment device includes a clip holding assembly and an actuator. The clip holding assembly includes first and second containment arms and a transfer rod. The containment arms have a distal segment defining a lumen extending from an open, distal end. The transfer rod is associated with at least one of the containment arms in an axially movable fashion and forms an engagement feature. The actuator is connected to the transfer rod for controlling movement of the rod. Upon final assembly in a pre-deployment state, the engagement feature of the transfer rod engages the intermediate portion of the clip, and the side portions are captured by the containment arms. | 10-22-2009 |
20090270885 | TISSUE CLOSING DEVICE - A tissue closing device includes an elongate arrangement device of which a distal end portion can penetrate an opening penetrating an living tissue membrane and which has a handling portion on the proximal side, and a clip which is detachably retained at a distal end portion of the arrangement device and which closes the opening. The arrangement device includes a retaining member for detachably retaining the clip and pulling the clip in the proximal direction, a cover tube, and a fixed tube. The handling portion has a first elastic member. When a restriction for maintaining the coil spring in a deformed state is canceled, the thread is moved to the proximal direction by the restoring force of the coil spring in the condition where the clip is locked to a distal end portion of the fixed tube, and the clip is pulled in the axial direction by the thread, whereby a deformation portion is deformed. | 10-29-2009 |
20090275957 | CLIP AND DELIVERY ASSEMBLY USED IN FORMING A TISSUE FOLD - A system for tissue apposition includes a delivery assembly having a tissue clip selectively secured thereto for the deployment and application of the tissue clip. The tissue clip is shaped and dimensioned for engaging spaced locations along a span of tissue and upon rotation thereof drawing the spaced locations together into apposition to thereby create a fold of tissue. | 11-05-2009 |
20090275958 | CLIP AND CLIPPING INSTRUMENT FOR BIOLOGICAL TISSUES - A clipping instrument for biological tissues equipped with an outer tube which can be inserted into a biological cavity, an operating member freely passed through the outer tube, an operating wire freely passed though the operating member, a self-opening holder which can be opened and closed by the action of the operating member attached to the edge of the operating wire, and a self-opening clop having a clipping member for clopping a biological tissue which is attached to the edge of the holder in a detachable manner by opening/closing the holder. Using this clopping instrument, a lesion site can be surely clipped over a long period of time in ligating a breeding site in a biological tissue, stitching a laceration, making in excision of a mucosal tissue and so on with an endoscope. | 11-05-2009 |
20090281554 | VARIABLE COMPRESSION SURGICAL FASTENER APPARATUS - A surgical fastener applying apparatus includes an anvil section and a cartridge section, where the cartridge section and the anvil section are movable from an unclamped position to a clamped position to clamp tissue therebetween. The cartridge section has a plurality of retention slots. A plurality of first surgical fasteners and a plurality of second surgical fasteners are disposed within a corresponding retention slot. The plurality of first surgical fasteners has a first backspan with a first configuration and the plurality of second surgical fasteners has a second backspan with a second configuration. The first configuration is different from the second configuration. In addition, when the first configuration applies a first compressive force to tissue upon formation of the plurality of first surgical fasteners and the second configuration applies a second compressive force to tissue upon formation of the plurality of second surgical fasteners, the second compressive force is different from the first compressive force. | 11-12-2009 |
20090299382 | SURGICAL CLIP APPLIER AND METHOD OF ASSEMBLY - Surgical clip appliers are provided and includes a channel assembly extending distally from a housing; a clip carrier disposed within said channel assembly and defining a channel and a plurality of windows therein; a plurality of clips slidably disposed within said channel of said clip carrier; a wedge plate reciprocally disposed within said channel assembly, said wedge plate being operatively connected to said handles and including a plurality of apertures formed along a length thereof; and a clip follower slidably disposed within said channel of said clip carrier and disposed proximally of said plurality of clips, said clip follower being configured and adapted for selective engagement with said windows of said clip carrier and said apertures of said wedge plate. The clip follower is configured and adapted to urge said plurality of clips, in a distal direction relative to said clip carrier, upon reciprocal movement of said wedge plate. The clip applier may be adapted to different size clips by the method of replacing modular components. | 12-03-2009 |
20090299383 | DEVICE AND METHODS FOR NON-SURGICAL CLIPPING OF ANEURYSMS - The present invention relates to a device for the non-surgical clipping of aneurysms. The invention also includes methods of use to treat aneurysms, including intracranial aneurysms. The aneurysm is clipped by positioning a wire comprising a shape memory alloy, pre-set to a mutually twisted conformation, on opposite sides of the neck of the aneurysm and causing the wires to twist around each other. Thus, the aneurysm neck is substantially closed. The resulting thrombosis in the aneurysm further excludes the aneurysm from blood flow and pressure. | 12-03-2009 |
20100010510 | DEVICES AND METHODS FOR PLACING OCCLUSION FASTNERS - Methods and devices are provided for placing occlusion fasteners. In general, a surgical instrument is provided having a shaft configured to be introduced into a body through a scoping device and to deliver a ligating clip to occlude tissue in the body. The scoping device and the shaft can each be flexible, with the shaft configured to be advanced through a working channel of the scoping device. The shaft can have a size configured to allow a plurality of surgical instruments to be concurrently disposed in the scoping device's working channel and for one or more of the surgical instruments to extend beyond a distal end of the scoping device. | 01-14-2010 |
20100016867 | MANIPULATING HANDLE FOR SUCCESSIVE CLIPPING DEVICE, SUCCESSIVE CLIPPING DEVICE, MANIPULATING HANDLE FOR CLIPPING DEVICE, AND CLIPPING DEVICE - A manipulating handle for a successive clipping device comprises: a cylindrical handle main body connected to a sheath with a manipulating wire extending from the sheath being arranged in an interior thereof; a slider engaged with the manipulating wire for moving the manipulating wire in the axial direction of the handle main body; and a slider-movement-amount regulating member attached onto the outer circumferential surface of the handle main body so as to be rotatable in a circumferential direction of the handle main body, for regulating, according to a rotational position in a circumferential direction thereof, an amount of movement of the slider in the axial direction of the handle main body to one of a plurality of different amounts of movement required for respective clipping manipulations using a plurality of clips connected to the manipulating wire. | 01-21-2010 |
20100023023 | DEVICE, CLIP, ENDOSCOPE AND METHOD FOR THE INTRALUMINAL TREATMENT OF TISSUE, E.G. HEMORRHOIDS - A device for the intraluminal treatment of tissue comprises a handle, a shaft which extends from the handle and a head arranged at the distal end of the shaft, wherein the head comprises at least one jaw, movable between an open position, wherein it defines a window for the insertion of the tissue and surrounding tissue, and a closed position, and wherein the shaft extends between the handle and head in a curvilinear longitudinal direction. | 01-28-2010 |
20100042115 | NEEDLE ASSEMBLY FOR TISSUE MANIPULATION - Needle assemblies for tissue manipulation 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. A needle deployment assembly is deployable through the tissue manipulation assembly via a handle assembly, through the tubular member, and into or through tissue. An elongate pusher is translationally disposed within a sheath of the needle deployment assembly and can be urged distally for deploying an anchor assembly from the sheath distal end. The anchor assembly is positioned distally of the pusher within the sheath. | 02-18-2010 |
20100069924 | METHODS FOR ACHIEVING SEROSA-TO-SEROSA CLOSURE OF A BODILY OPENING USING ONE OR MORE TACKING DEVICES - The present embodiments provide methods for facilitating closure of a bodily opening. In one exemplary method, a compressive force is imposed upon first and second tissue segments that at least partially surround an opening in tissue. The first and second tissue segments are positioned in a manner where a first serosal tissue region of the first tissue segment is compressed against a second serosal tissue region of the second tissue segment to facilitate sealing of the opening. At least one tacking device having proximal and distal deployable members may be deployed using a suitable insertion tool to impose a compressive force to hold the first serosal tissue region in a sealing relationship against the second serosal tissue region. | 03-18-2010 |
20100106167 | FLEXIBLE CLIP APPLIER - A clip applier includes a shaft having a proximal end and a distal end. Further, the distal end of the shaft includes a flexible tool having at least two rails connected to each other by at least one jointed connection, and the at least two rails configured to rotate about the jointed connection. Additionally, a pair of jaws may be provided at a distal end of the flexible tool. Further, an actuator may be provided at the proximal end of the shaft to advance the surgical clip within the flexible tool. | 04-29-2010 |
20100106168 | BIOPSY DEVICES AND METHODS - An improved system for mammography analysis and methods of using the same. In one aspect, a clip comprises a first portion and at least one additional second portion connected to the first portion, the first and second portions adapted for elastic deformation for engaging tissue. In anther aspect, an improved actuator for performing a breast biopsy is used to deploy a clip. In yet another aspect of the invention, there is contemplated a system for marking an evacuated breast cyst. | 04-29-2010 |
20100121350 | INSTANTANEOUS MECHANICAL DETACHMENT MECHANISM FOR VASO-OCCLUSIVE DEVICES - Disclosed herein are mechanical detachment mechanisms for vaso-occlusive devices that allow for instantaneous, operator-controlled release of the vaso-occlusive device into the selected site. Also disclosed are vaso-occlusive assemblies comprising these detachment mechanisms and methods of using these detachment mechanisms and vaso-occlusive assemblies. | 05-13-2010 |
20100137884 | METHOD AND DEVICE FOR THE CONTROLLED DELIVERY AND PLACEMENT OF SECURING ELEMENTS IN A BODY | 06-03-2010 |
20100137885 | Method And Apparatus For Endoscopically Performing Gastric Reduction Surgery In A Single Pass - A gastric reduction apparatus provides for the secure attachment of multiple fasteners into the gastric wall, the fasteners being linked with a flexible member in a manner permitting the reduction of the effective size of an individual's stomach. The apparatus includes an applicator head including a proximal end and a distal end. The applicator head of the gastric reduction apparatus includes a cavity shaped and dimensioned for receiving tissue. A fastener attachment mechanism is positioned within the cavity for access to tissue that is pulled within the cavity and the fastener attachment mechanism includes a plurality of fasteners. | 06-03-2010 |
20100145363 | BIOPSY DEVICES AND METHODS - An improved system for mammography analysis and methods of using the same. In one aspect, the present invention provides a biopsy instrument having a side opening that generally coexists or is aligned with a central portion of a cyst, tissue or otherwise for deploying a marking device to the central region of the same. In another aspect, the present invention provides an encasement, adapted to receive a marking clip, for deployment into a tissue region for marking and/or treatment of the same. | 06-10-2010 |
20100160935 | CLIP DEVICES AND METHODS OF DELIVERY AND DEPLOYMENT - The present embodiments provide a clip device for engaging tissue. The clip device comprises at least first and second arms having proximal and distal ends. The clip device comprises an open state when the spring member is in a compressed state in which the distal end of the spring member is spaced further apart from the distal ends of the first and second arms. In the open state, the distal ends of the first and second arms tend to be spaced apart from each other. Further, the clip device comprises a closed state when the spring member is in a relaxed state in which the spring member is biased to extend distally towards the distal ends of the first and second arms. In the closed state, the distal ends of the first and second arms are adjacent to each other and may engage tissue and promote hemostatis. A delivery system and methods for deploying one or more clip devices also are provided. | 06-24-2010 |
20100174295 | DEVICES, SYSTEMS, AND METHODS FOR ORGAN RESTRICTION - A device, system and method for providing tissue and organ restriction. Embodiments of an implantable magnetic device are described with respect to restricting gastric capacity while avoiding nutritional deficiencies and other complications. Further, a delivery device is described for facilitating the delivery of the magnetic device to a targeted site. Additionally, methods are described for delivering the magnetic devices to a stomach. | 07-08-2010 |
20100179569 | Laparoscopic Anastomosis Tools And Technique - An anastomosis clip comprising a first side including a first end portion and at least one first suture guide, the first suture guide being disposed on a top of the clip, the first end portion and the first suture guide defining a first suture space open toward the top of the clip, the first side further including a first carrier slot on the bottom of the clip. The clip further includes a second-side, including a second end portion and at least one second suture guide, the second suture guide being disposed on the top of the clip, the second end portion and the second suture guide defining a second suture space open toward the top of the clip, the second side further including a second carrier slot on the bottom of the clip. The clip further includes a hinge connecting the first and second side, the hinge being disposed on the top of the clip. The first side is biased toward the second side. An introducer device including handles and posts may be used to introduce the anastomosis clip into a patient. In use, the posts on the introducer device are inserted into the suture guides. The introducer is manipulated to open the anastomosis clip. Thereafter, the clip is inserted into a patient and placed on two organ segments. The suture spaces allow for continuous suturing of the organ segments. As the sutures spaces may communicate with each other, the anastomosis clip may be removed from the organ segments after the suturing. | 07-15-2010 |
20100179570 | APPARATUS AND METHODS FOR DEPLOYING A CLIP TO OCCLUDE AN ANATOMICAL STRUCTURE - Apparatus and methods for deploying a clip to occlude an anatomical structure including a clip holder assembly that is an interface between the clip and a deployment device. | 07-15-2010 |
20100179571 | CLOSURE DEVICES, SYSTEMS, AND METHODS - The present disclosure includes vessel closure devices, systems, and methods. A closure system configured to close a body lumen opening may include a handle member. A tube set configured to deliver and/or deploy a closure element may be coupled to the handle member. The closure system may also include an inner lumen with an anchor member at least partially disposed in the inner lumen. A plunger member may be movably coupled to the handle member. | 07-15-2010 |
20100185215 | SURGICAL CLIP APPLIER RATCHET MECHANISM - A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and an elongate shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween. | 07-22-2010 |
20100191255 | Method for Applying A Surgical Staple - A method of deploying a surgical fastener including the step of introducing the fastener into a body of a patient while the fastener is in a first shape having a first loop with a back span and an original size and shape. The method involves moving the end segments of the fastener in a first manner away from each other while maintaining the fastener in a closed loop. The method also involves moving the end segments of the fastener in a second manner away from each other to open the loop. The method further involves forming the fastener into a second loop having a width greater than the width of the first loop. | 07-29-2010 |
20100191256 | SURGICAL DEVICE FOR CONNECTING SOFT TISSUE - The invention comprises a surgical instrument including an external tube ( | 07-29-2010 |
20100204715 | ENDOSCOPIC SURGICAL CLIP APPLIER - An apparatus for application of surgical clips to body tissue has a handle portion with a body extending distally from the handle portion defining a longitudinal axis and a plurality of surgical clips disposed within the body. The apparatus also has a jaw assembly mounted adjacent a distal end portion of the body with the jaw assembly including first and second jaw portions movable between a spaced-apart and an approximated position. The apparatus further has a wedge plate longitudinally movable between the first and the second jaw portions, and a clip pusher configured to individually distally advance a surgical clip to the jaw assembly while the jaw portions are in the spaced apart position with an actuator. The actuator is at least partially disposed within the body and longitudinally movable in response to actuation of the handle portion and has a cam link. The apparatus also has a jaw closure member positioned adjacent the first and second jaw portions to move the jaw portions to the approximated position. The cam link longitudinally moves wedge plate between the first and the second jaw portions. | 08-12-2010 |
20100204716 | METHODS AND DEVICES FOR OCCLUSION OF AN ATRIAL APPENDAGE - Some embodiments of the invention provide a system for occluding a left atrial appendage of a patient. Some embodiments of the system can include a ring occluder that can be positioned around the left atrial appendage and a ring applicator to position the ring occluder with respect to the left atrial appendage. One embodiment discloses a method of accessing endocardial surfaces of the heart through the atrial appendage. Additional embodiments of the invention provide a clip occluder that can be positioned around the left atrial appendage. A clip applicator can position the clip occluder with respect to the left atrial appendage. | 08-12-2010 |
20100222789 | METHOD AND DEVICE FOR CLOSING HOLES IN TISSUE - A device for closing holes in tissue is delivered via a catheter to the inside of a body lumen such as a heart. An elastic barbed clip is expanded, pulled into the tissue and released, pulling the tissue with it. The operation is fully reversible. | 09-02-2010 |
20100241139 | Methods and devices for forming a tissue fold - A device for forming a tissue fold includes a recess and an opening at the end of the recess. Tissue is drawn into the recess and through the opening using a tissue engaging element. As the tissue is drawn through the opening, the tissue layers are compressed together. A fastener is used to secure the tissue fold. | 09-23-2010 |
20100241140 | Medical Clip with Bridge, System and Method of Using Same - Device, system and method for drawing together patient tissue. A bridge segment has an axis and a first end and a second end opposite the first end. A first tine is coupled to the first end and projects from the bridge segment in a first direction orthogonal to the bridge segment. A second tine is coupled to the first end and projects from the bridge segment in a second direction approximately opposite the first direction. A third tine is coupled to the second end and projects from the bridge segment approximately in the first direction. A fourth tine is coupled to the second end and projects from the bridge segment approximately in the second direction. The first, second, third and fourth tines are each resiliently biased to form a coil approximately parallel to a plane orthogonal to the axis of the bridge segment. | 09-23-2010 |
20100262164 | REEL FOR SURGICAL TAPE - The present invention relates to a component ( | 10-14-2010 |
20100268253 | SYSTEM AND METHOD FOR CLOSURE OF AN INTERNAL OPENING IN TISSUE, SUCH AS A TRANS-APICAL ACCESS OPENING - A method for closing an opening at a target site including bodily tissue including embedding a plurality of self-closing clips into the target site in a spaced apart manner about a perimeter of the opening. Each of the clips has opposing clip ends and an intermediate segment. A flexible tether is coupled to the embedded clips to form a loop about the opening perimeter. A pulling force is applied onto at least one of the loop ends, thereby drawing the perimeter of the opening onto itself to completely close the opening. The loop ends are secured to maintain the target site in a closed state. In some embodiments, the target site is apical cardiac tissue, and the method is performed as part of a trans-apical access procedure. | 10-21-2010 |
20100268254 | Clamp System and Method of Using the Same - A system for deploying clamps and methods of using the same are disclosed. The system can be configured to be inserted through a percutaneous trocar with a releasably attached clamp in a closed configuration. The system can be configured to then open the clamp and position the clamp around a target vessel. The system can be configured to then close the clamp over the vessel, squeezing the vessel to partially or completely close an internal lumen in the vessel. The clamp can be detached from the remainder of the deployment system and left on the vessel, or the clamp can be opened and removed. | 10-21-2010 |
20100274262 | Surgical instrument for applying ligating clips - In a surgical instrument for applying C-shaped ligating clips having two juxtaposed legs which are joined to each other by a bridge portion and are each divided by a longitudinal slot into two juxtaposed portions joined to each other at the free end of the legs, the surgical instrument comprising two juxtaposed clamping jaws with guiding surfaces facing each other for the legs of a ligating clip that lie against the guiding surfaces when the ligating clip is inserted between the clamping jaws, in order to improve the positioning of the ligating clip between the clamping jaws, it is proposed that there be arranged on at least one of the guiding surfaces of the clamping jaws an inwardly protruding projection which, when the ligating clip is advanced along the guiding surfaces, elastically enters the longitudinal slot of the ligating clip. | 10-28-2010 |
20100274263 | Surgical instrument for the placement of ligature clips - In order to maximise the pivoting range of the arms in a surgical instrument for the placement of C-shaped ligature clips having two legs connected to one another by means of a bridge section with two clamping jaws, which in an open position receive an open ligature clip between them and are movable into a closed position by approaching one another and in so doing close the ligature clips by their legs approaching one another, with two elastically deformable arms, each bearing a clamping jaw at its distal end, and with a slide, which is displaceable relative to the arms in the longitudinal direction thereof, and which abuts against the abutment surfaces of the arms and as a result of this abutment against the abutment surfaces elastically pivots the arms relative to one another in a pivoting plane out of a starting position into an end position upon displacement of the slide relative to the arms, in association with a small size of the instrument, it is proposed that at least over a part of their length and at least over a part of their width the two arms are arranged in planes running parallel to the pivoting plane and displaced relative to one another and overlap one another at least partially. | 10-28-2010 |
20100292710 | SURGICAL FASTENERS, APPLICATOR INSTRUMENTS, AND METHODS FOR DEPLOYING SURGICAL FASTENERS - An applicator instrument for dispensing surgical fasteners includes a housing, an elongated shaft extending from the housing, the elongated shaft having a proximal end coupled with the housing and a distal end remote therefrom, and a firing system for dispensing surgical fasteners from the distal end of the elongated shaft. The firing system includes a firing rod disposed in the elongated shaft, the firing system having a firing cycle with a first stage for advancing the firing rod toward the distal end of the elongated shaft at a first rate of speed and a second stage for advancing the firing rod toward the distal end of the elongated shaft at a second rate of speed that is greater than the first rate of speed. | 11-18-2010 |
20100312259 | TISSUE CLOSURE DEVICES, DEVICE AND SYSTEMS FOR DELIVERY, KITS AND METHODS THEREFOR - The present invention relates to wound closure devices, devices and systems for delivery, kits and methods therefor. The wound closure devices can achieve wound closure in lieu of compression and can be configured to be quickly deployable by an introducer or from outside the body. | 12-09-2010 |
20100318103 | Integrated double clips applier with division device for clamping clips - The present invention relates to a clip applier for clipping and dividing blood vessels, including: a handle; a first jaw unit; and a second jaw unit. The clip applier of the present invention can bring up two ligating clips at the same time with the first jaw unit and the second jaw unit, whereas the two clamping positions of the blood vessel can be clamped with the ligating clips simultaneously by the clip applier of the present invention in a single step, and thus the operating steps can be simplified, and the time involved with the surgical operation can be shortened. | 12-16-2010 |
20100318104 | Surgical forceps for applying an aneurysm clip - In a surgical forceps comprising two rotatably connected forceps parts which are preloaded into a first forceps end position, a locking arm, one end of which is mounted to the first forceps part and the other end of which is slidably guided on the second forceps part, and a locking element which is mounted to the second forceps part and is disposed in the path of movement of the guided end of the locking arm, wherein in a intermediate position of the forceps, the locking element is engaged behind by the guided end of the locking arm and is thereby locked in the intermediate position of the forceps against the preload, in accordance with the invention the locking element is movable out of its locked position disposed in the path of movement of the guided end of the locking arm to a release position in which the locking element is not disposed in the path of movement of the guided end of the locking arm. | 12-16-2010 |
20100324572 | Endolumenal Restriction Method and Apparatus - An apparatus and method for non-surgically creating a restriction in a tissue is provided where a binding mechanism ( | 12-23-2010 |
20100331862 | TISSUE COMPRESSION USING SURGICAL CLIPS - A compression clip system where compression is used to close a tissue opening, reduce the volume of an organ, ligate dilated blood vessels or compress tissue adjacent to various other types of lesions to induce healing. Compression prevents bleeding and the leakage of body fluids into a body cavity. The opening may be surgery induced as in gastrectomies or formed naturally such as peptic ulcers and hemorrhoids. The system may include a compression clip, a suitable clip applier, a grasper assembly and an endoscope all brought to the compression site via a multi-lumen sleeve. | 12-30-2010 |
20110022062 | Application instrument for an aneurysm clip - In order, in an application instrument for an aneurysm clip comprising two clamping jaws, which are movable relative to one another and between them accommodate the aneurysm clip, as well as actuating elements for moving the clamping jaws towards and away from one another and thereby for opening and closing the aneurysm clip, to assist the surgeon with the controlled closing movement of the aneurysm clip, it is proposed that the application instrument comprises a damping element, which during closing of the aneurysm clip imposes a retarded mutual movement of the clamping jaws. | 01-27-2011 |
20110040307 | SURGICAL DEVICE FOR CONJUCTIVAL TISSUE CLOSURE - Disclosed herein is a surgical device for closing an opening in conjunctival tissue, an instrument for applying the surgical device to close an opening in conjunctival tissue, a system for closing an opening in conjunctival tissue including the surgical device and the instrument, and a method of operating the instrument and the surgical device to close an opening in conjunctival tissue. | 02-17-2011 |
20110054494 | CLIP AND CLOSURE SYSTEM - The invention generally relates to a system for closing an aperture in a patient, such as an aperture in a vessel wall of a patient. In certain embodiments, the invention provides a system for closing an aperture in a patient including a delivery device that is attachable to and removable from an exterior of the sheath, and a clip releasably disposed within the delivery device. | 03-03-2011 |
20110054495 | DEVICE FOR DELIVERING A CLIP WITHIN A PATIENT - The invention generally relates to a system for closing an aperture in a patient, such as an aperture in a vessel wall of a patient. In certain embodiments, the invention provides a system for closing an aperture in a patient including a delivery device that is attachable to and removable from an exterior of an introducer sheath, and a clip releasably disposed within the delivery device. | 03-03-2011 |
20110054496 | VASCULAR CLIP - The invention generally relates to a system for closing an aperture in a patient, such as an aperture in a vessel wall of a patient. In certain embodiments, the invention provides a system for closing an aperture in a patient including an a delivery device that is attachable to and removable from an exterior of an introducer sheath and a clip releasably disposed within the delivery device. | 03-03-2011 |
20110054497 | APPARATUS AND METHOD FOR CONCURRENTLY FORMING A GASTROESOPHAGEAL VALVE AND TIGHTENING THE LOWER ESOPHAGEAL SPHINCTER - An apparatus enables concurrent restoration of a gastroesophageal valve and tightening of the lower esophageal sphincter. The apparatus comprises a longitudinal member having a distal end arranged to be received within a stomach, a tissue shaper at the distal end of the longitudinal member that forms a gastroesophageal valve from stomach tissue, and a tissue gatherer that gathers fundus tissue at or aboral to the gastroesophageal junction to reduce an esophageal opening into the stomach and tighten the lower esophageal sphincter. A fastener deployer then deploys at least one fastener pair to maintain both the restored gastroesophageal valve and the tightened lower esophageal sphincter. | 03-03-2011 |
20110054498 | ENDOSCOPIC COMPRESSION CLIP AND SYSTEM AND METHOD FOR USE THEREOF - A compression clip assembly for compressing tissue and operable by means of a user-operated applier. The assembly comprises a compression clip and a lock element. The clip includes a pair of normally spaced apart elongate members each having an outward-facing surface, and having respective inward-facing opposing surfaces for compressing tissue; a hinge formed at least partly of a superelastic material and in operative mechanical connection with the elongate members; and a lock region formed on the outer surface of each of the elongate members adjacent to the hinge, each lock region being delimited by a first stop element proximal to the hinge and a second stop element distal from the hinge. The lock element is constructed for lockably engaging the lock regions so as to lock the clip in its closed position. The invention also encompasses a system and method for using the compression clip assembly. | 03-03-2011 |
20110066163 | Hemostatic Clip and Hemostatic Clip Operation Apparatus Using the Same - Provided are a hemostatic clip and a hemostatic clip operation apparatus using the same that can rapidly stop bleeding from a bleeding area of a blood vessel when a middle or large diameter blood vessel partially bleeds during an abdominal operation or a surgery using an endoscope. The hemostatic clip operation apparatus includes a handle, a first gripper configured to primarily stop bleeding from a bleeding area of a blood vessel, a second gripper configured to receive the first gripper and symmetrically bend a closed-loop shaped-hemostatic clip to secondarily clip a periphery of the bleeding area stopped by the first gripper, and a gripper driver configured to connect the handle to the first and second grippers to be interlocked with operation of the handle to operate sequential stopping of bleeding and clipping of the first and second grippers. | 03-17-2011 |
20110066164 | MODULAR CLIP APPLIER - An apparatus for placement into an opening formed in a wall of a body lumen to deploy a closure element. The apparatus comprising a housing having a handle portion formed at a distal end, the handle portion configured to be engaged by a user when advancing the housing to deploy the closure element. A triggering element deploys the closure device and can at least be partially formed in the housing. A throw reducing mechanism can slide relative to the housing and reduce the distance a user must stretch a hand to move a triggering system within the housing. The housing can include, or be connected to, a handle member having one or more expansion members which expand to provide a stable base for manipulating the apparatus. | 03-17-2011 |
20110071547 | Method for Applying Surgical Clips Particularly Useful in the Endoluminal Treatment of Gastroesophageal Reflux Disease (GERD) - Surgical clips, which are particularly useful in the transoral invagination and fundoplication of the stomach to the esophagus, and methods of applying the surgical clips to living tissue are disclosed. The clips include first and second arms joined by a bridge to form a substantially U-shape, and which are provided with a first structure adapted to prevent a movement of the clip in a direction perpendicular to a longitudinal axis of the clip after the clip is applied to tissue. In addition, the clips preferably also include a second structure adapted to prevent rotation of the clip about the longitudinal axis of the clip after the clip is applied to tissue. | 03-24-2011 |
20110077668 | DEVICES FOR APPROXIMATING TISSUE AND RELATED METHODS OF USE - Devices for approximating multiple tissue edges internal to a body are disclosed. | 03-31-2011 |
20110077669 | Laparoscopic Anastomosis Tools And Technique - An anastomosis normally closed clip comprising a first side including at least one first suture guide, the first suture guide being disposed on a top of the clip, the first end portion and the first suture guide defining a first suture space open toward the top of the clip, the first side further including a first carrier slot on the bottom of the clip; and a second side which is the mirror image of the first side. An introducer device is used to open the clip and introduce it into a patient over two organ segments to be sutured together and allow the clip to close. The suture spaces allow for continuous suturing of the organ segments. The introducer device is used to remove the clip from the patient after the suture procedure. | 03-31-2011 |
20110087241 | Clip Advancer - A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one embodiment, a surgical clip applier is provided and can include a shaft having a proximal end and a distal end with opposed jaws thereon, a guide member disposed within the shaft and configured to guide a clip into the opposed jaws, the guide member having a channel formed in a surface thereof, and an advancer movably disposed within the shaft and configured to advance a clip over the guide member and into the opposed jaws, the advancer having a distal tip that slidably engages the channel for maintaining contact with a surgical clip as it is advanced into the opposed jaws. In other embodiments, the guide member can also include a proximal channel formed in a superior surface thereof. The advancer can be configured to deflect downward into the proximal channel to move proximally beneath an inferior surface of the apex of the clip to position itself proximally to the clip to advance the clip into the opposed jaws. | 04-14-2011 |
20110087242 | SUTURE CLIP APPLIER - Suture clip appliers, suture clips and methods of their use for securing sutures during an endoscopic or laparoscopic procedure are provided, wherein the method includes the steps of providing a suture clip applier having a working tip configured to retain and fire a suture clip; providing a suture clip having a biased closed configuration; loading the suture clip into the working tip of the clip applier; translating the suture clip distally relative to the working tip to a first position wherein the suture clip is splayed open; inserting a suture into the opened suture clip; and translating the suture clip distally relative to the working tip such that the suture clip is ejected from the working tip and biased to the closed configuration to close on and to retain the suture. | 04-14-2011 |
20110092988 | Microdevices for Tissue Approximation and Retention, Methods for Using, and Methods for Making - Embodiments of invention are directed to micro-scale of mesoscale tissue approximation instruments that may be delivered to the body of a patient during minimally invasive or other surgical procedures. In one group of embodiments, the instrument has an elongated (longitudinal) configuration while with two sets of expandable wings that each have a toggle configuration that can be made to expand when located on opposite sides of a distal tissue region and a proximal tissue region and can then be made to move toward one another to bring the two tissue regions into more a proximal position. In some embodiments, multiple tissue approximation instruments are located within a delivery system for sequential delivery to a patient's body. | 04-21-2011 |
20110092989 | Surgical Connection Apparatus and Methods - Surgical connection apparatus comprises a support having a proximal portion with a distal end and a proximal portion. The support forms a pathway between the proximal and distal portions. A plurality of self-closing clips are slidably disposed in the pathway and a pusher is arranged to slidably move in the pathway and push the clips in a distal direction. The apparatus facilitates partial ejection of a clip after which the remainder of the clip is withdrawn therefrom. In one embodiment, the support comprises a tubular needle with the distal end being pointed. The needle can be used to penetrate the tissue or material to be joined and to manipulate or approximate tissue or material to he joined before the clip is partially ejected. | 04-21-2011 |
20110106109 | PLANAR CLAMPS FOR ANASTOMOSIS - The present embodiments provide medical apparatuses and methods for rapidly forming an anastomosis between two viscera. The medical apparatus generally comprises affixing a clamp to an elongate member. The method generally comprises positioning and then deploying the medical apparatus between and within two stomas via an elongate member. | 05-05-2011 |
20110112551 | Device and Method for Through the Scope Endoscopic Hemostatic Clipping - Medical device used to cause hemostasis of blood vessels using a clip arrangement delivered to a target region through an endoscope. Method for using the device to cause hemostasis of a blood vessel through an endoscope. Medical device including a reversibly closeable clip, a locking arrangement, a control wire, a sheath, and a handle with an actuating trigger. Through the endoscope, hemostatic clipping device that is fully reversible and lockable. Hemostatic clip that reversibly targets and clips bleeding ulcers. | 05-12-2011 |
20110125168 | Methods for the Endoluminal Treatment of Gastroesophageal Reflux Disease (GERD) - A medical method includes sliding two substantially straight unconnected arms over a fold of body tissue such that a first arm contacts a first portion of the fold and a second arm contacts a second portion. Then, each arm is bent completely through the fold such that both of the arms compress the portions of the fold into contact with each other. Another method includes releasably coupling first and second substantially linear arms to a bridge, each of the arms having a substantially straight sliding portion and a bendable piercing portion. The arms are slid over opposing sides of two body tissue layers, the first arm sliding over the first layer and the second over the second layer. While the sliding portions of the arms remain substantially straight, each piercing portion is bent completely through the adjacent layer and halfway through the other layer to compress the two layers together. | 05-26-2011 |
20110144661 | TISSUE CLOSURE DEVICES, DEVICE AND SYSTEMS FOR DELIVERY, KITS AND METHODS THEREFOR - The present invention relates to tissue closure devices, devices and systems for delivery, kits and methods therefor. The tissue closure devices can achieve tissue closure in lieu of compression and can be configured to be quickly deployable by an introducer or from outside the body. | 06-16-2011 |
20110144662 | CLIP DEVICES AND SYSTEMS AND METHODS FOR DEPLOYMENT - The present embodiments provide clip devices, along with systems and methods for delivering and deploying the clip devices. An exemplary clip device comprises inner and outer segments, and further has a delivery configuration, a tissue receiving configuration and a deployed configuration. A distal region of the outer segment is movable with respect to a distal region of the inner segment, thereby creating a spacing between the inner and outer segments for surrounding tissue in the tissue receiving configuration. The inner and outer segments may be biased to return to the deployed configuration, and may comprise generally identical shapes in the deployed configuration wherein the outer segment is proportionally larger than the inner segment. In one embodiment, the inner and outer segments each comprise “V” shapes in the unbiased state. Various delivery systems and methods are provided for delivering and deploying the clip devices disclosed. | 06-16-2011 |
20110144663 | Blood Vessel Closure Clip and Delivery Device - A clip for closing a puncture hole in a blood vessel comprises a ring having a resiliently expandable circumference and a plurality of barbed prongs extending at least approximately in the same direction from one edge of the ring. A device for deploying such a clip is also described. | 06-16-2011 |
20110144664 | CLIP APPLIER AND METHODS OF USE - An apparatus for delivering a closure element into an opening formed in a blood vessel or other body lumen and methods for manufacturing and using same. The apparatus is configured to retain the closure element such that the closure element is disposed substantially within the apparatus. The apparatus also can engage, and position the closure element substantially adjacent to, the blood vessel wall adjacent to the opening. During deployment of the closure element, the apparatus expands the closure element beyond a natural cross-section of the closure element such that the closure element, when deployed, is configured to engage a significant amount of the blood vessel wall and/or tissue. Engaging the blood vessel wall and/or tissue, the closure element is further configured to return to the natural cross-section, thereby drawing the engaged blood vessel wall and/or tissue substantially closed and/or sealed, such that hemostasis within the opening is enhanced. | 06-16-2011 |
20110152887 | MEDICAL DEVICES WITH DETACHABLE PIVOTABLE JAWS - Medical systems, devices and methods are provided for engaging tissue, e.g. for clipping tissue, closing a perforation or performing hemostasis. Generally, the medical system including a housing, first and second jaws rotatable relative to the housing, a driver, and an elongate drive wire. The elongate drive wire may be disconnected from the driver, first and second jaws, and the housing, which are left in vivo engaged with the tissue. | 06-23-2011 |
20110166584 | CLIP APPLIER AND METHODS OF USE - An apparatus for delivering a closure element into an opening formed in a blood vessel or other body lumen and methods for manufacturing and using same. The apparatus is configured to retain the closure element such that the closure element is disposed substantially within the apparatus. The apparatus also can engage, and position the closure element substantially adjacent to, the blood vessel wall adjacent to the opening. During deployment of the closure element, the apparatus expands the closure element beyond a natural cross-section of the closure element such that the closure element, when deployed, is configured to engage a significant amount of the blood vessel wall and/or tissue. Engaging the blood vessel wall and/or tissue, the closure element is further configured to return to the natural cross-section, thereby drawing the engaged blood vessel wall and/or tissue substantially closed and/or sealed, such that hemostasis within the opening is enhanced. | 07-07-2011 |
20110208210 | Resection Device - A resection device comprising a cup-shaped cap for a shaft-type inserting means is disclosed which is fixed at the distal end of the shaft-type inserting means or is formed at the same and includes an expanding sleeve portion to which a spring-biased tissue clip is attached which can be withdrawn by means of a releasing or withdrawing device over the distal front edge of the cap. | 08-25-2011 |
20110208211 | ARTICULATING ENDOSCOPIC SURGICAL CLIP APPLIER - An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly and a shaft assembly. The handle assembly includes a drive assembly; and a trigger operatively connected to the drive assembly. The shaft assembly extends from the handle assembly and includes an articulating neck assembly; and an end effector assembly supported on a distal end of the articulating neck assembly and being configured to form a surgical clip in place on the body tissue. | 08-25-2011 |
20110218553 | SURGICAL CLIP APPLIER RATCHET MECHANISM - A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and an elongate shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween. | 09-08-2011 |
20110224696 | CLIP APPLIER CONFIGURED TO PREVENT CLIP FALLOUT - A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and a shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween. The surgical clip applier can include a variety of features to facilitate use of the device, including features to align a clip with the jaws, features to prevent unintentional migration of a clip, and features to prevent clip fallout during formation. | 09-15-2011 |
20110230897 | CLIP APPLIER AND METHODS OF USE - An apparatus for delivering a closure element can include a splittable carrier tube and a splitter to split the tube. The carrier tube can have an outer surface retaining a closure element in a tubular configuration and can be split into radially-expandable flaps. A closure element can have a shape-memory body having a relaxed configuration with a planar-annular body defining a lumen with tines directed inwardly from the body. The clip can be held in a retaining configuration having a substantially asymmetrically-elongated tubular shape with a trapezoidal longitudinal cross-sectional profile and a proximal end having the tines being longitudinally directed with a first tine being more distally oriented compared to a substantially opposite second tine being more proximal, and retracting to a deploying configuration having a tubular shape with a rectangular longitudinal cross-sectional profile with the first tine being even with the second tine when being delivered. | 09-22-2011 |
20110230898 | Clip Apparatus For Closing Septal Defects And Methods Of Use - A device for closing a septal defect, such as a patent foramen ovale, includes a clip formed from a superelastic material that is inserted into a septum wall of a heart. The clip is advanced through a patient's vasculature, e.g., within a delivery apparatus, until the clip is disposed within a first chamber adjacent the septal defect. Tines of the clip are directed through a flap of tissue of the septal defect until the tines of the clip are disposed within a second opposing chamber. The clip then transforms into its relaxed state, wherein the tines of the clip engage with a surface of the second chamber, thereby substantially closing the septal opening. | 09-22-2011 |
20110238089 | TISSUE CLOSURE SYSTEM AND METHODS OF USE - A system for closing an opening in tissue includes a closure element having a coiled body and a plurality of tissue engaging portions disposed about at least a portion of the body, the body being formed of a resilient material. The system also includes a clip applier apparatus that is configured to deploy the closure element into the tissue. | 09-29-2011 |
20110245847 | Hermetic Rotating Handle Assembly for a Surgical Clip Applier for Laparoscopic Procedures - This invention provides hermetically-sealed handle assembly with a rotating trigger for use with disposable components, such as surgical clip appliers. The rotating trigger reduces the gripping force necessary to fully control the internal actuator mechanism to operate a disposable surgical clip applier to fully ligate a vessel or other tissue. The hermetic seal on the handle assembly prevents any patient fluids and other bioburden from entering the internal structures. This reduces the possibility of cross-contamination and the costs of sterilization. | 10-06-2011 |
20110245848 | NON-INVASIVE SURGICAL LIGATION CLIP SYSTEM AND METHOD OF USING - A surgical ligation clip capable of remote deployment through a cannula to engage an anatomical structure. | 10-06-2011 |
20110245849 | Systems and Methods for Accommodating Anatomical Characteristics in the Treatment of Septal Defects - Systems and methods for treating internal tissue defects, such as septal defects, with implantable devices are provided. An exemplary clip-based device includes a tubular body having at least a deflectable anchors coupled thereto. The anchors can be coupled on opposite ends of the tubular body and configured to deflect between an undeployed configuration and a deployed configuration. In the deployed configuration, each anchor extends outwardly away from the tubular body in a position configured to abut a tissue surface. The anchors are preferably configured to maintain a tissue wall therebetween and at least partially close any opening in the tissue wall. Also provided are delivery devices for delivering the implantable closure device and methods for using the various devices. | 10-06-2011 |
20110264118 | Surgical Device - A wound closure device for closing a surgical wound is provided. The device includes a flexible base sheet and at least one flexible hemostatic clip for applying pressure to a patient's tissue. The flexible base sheet includes at least a first end and a second end, as well as an aperture extending through the base sheet longitudinally from proximate to the first end toward the second end. The aperture has a first and a second longitudinally extending edge. The clip has a first end, a second end, a top, a bottom, and at least a first and a second clamping member. Each clamping member has a distal edge. The clip is attachable to the base sheet. | 10-27-2011 |
20110282363 | Surgical Instrument with Flexible Member Attachment Structures - A surgical instrument for surgically joining tissue is disclosed. The surgical instrument includes a handle portion, an endoscopic portion, a pair of jaw members and at least one flexible member attachment structure. The endoscopic portion extends distally from the handle portion and defines a first longitudinal axis. The pair of jaw members is disposed adjacent a distal end of the endoscopic portion and extends generally distally therefrom. 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 flexible member attachment structure is disposed in mechanical cooperation with at least one jaw member and is configured to facilitate the attachment of a flexible member thereto. | 11-17-2011 |
20110301618 | CLOSING OPENINGS IN ANATOMICAL TISSUE - A device for closing at least one opening leading to an anatomical cavity is delivered via a catheter positioned in a first opening leading to the anatomical cavity. An orientation control unit is positioned within the anatomical cavity. The orientation control unit defines an orientation of a portion of a tissue surface within the anatomical cavity that is skewed with respect to the first opening and orients a closure member of the device with the tissue surface. An occluding member and a constricting unit of the device are positioned within the anatomical cavity with the occluding member blocking a portion of an opening that is constricted by the constricting unit. An intermediate member of the device is positioned within the anatomical cavity and a closure unit employing at least one piercing element pierces through the intermediate member into a tissue wall surrounding the anatomical cavity. | 12-08-2011 |
20110313432 | APPLICATOR FOR SURGICAL CLIPS - A hand-operable surgical clip applicator ( | 12-22-2011 |
20120041455 | CLIP DEVICES AND METHODS OF DELIVERY AND DEPLOYMENT - The present embodiments provide systems and methods for deploying at least one clip device. In a first embodiment, the system comprises a first clip device having first and second arms. The first clip device and an associated sliding ring are configured to be selectively advanced through a lumen of an inner catheter. Selective positioning of an outer catheter over a distal region of the inner catheter causes a distal region of the inner catheter to bow radially inward to form a constriction that securely engages the sliding ring of the first clip device, thereby allowing for partial closure and repositioning of the first clip device. In an alternative embodiment, a delivery system includes a single catheter having a tapered distal region, such that upon ejection of the sliding ring from the distal end of the catheter, the sliding ring is dimensioned to abut the distal end of the catheter. In any of the embodiments, multiple clips may be sequentially loaded and deployed using the delivery systems. Various clip designs and a loading cylinder are also disclosed. | 02-16-2012 |
20120059394 | CLOSURE DEVICE AND METHOD - Devices and methods for treatment of prolapsed hemorrhoidal arteries is disclosed. The devices can identify the hemorrhoid and ligate the artery without causing significant pain or distension of the rectum. The artery can be identified with ultrasound. The ligation can be performed using energy and/or mechanical structures, such as clips or rubber bands. | 03-08-2012 |
20120065646 | RELEASE MECHANISM FOR HEMOSTASIS CLIP - Release mechanism for medical device includes a bushing having a proximal end, a distal end and a channel extending therethrough. Plurality of extend proximally from the distal end are biased toward a release configuration in which engagement surfaces at distal ends thereof retract radially into the channel. A core pin insertable through the channel applies a radially expansive pressure to move the arms radially outward to a locking configuration. Engagement surfaces of the first and second arms connect to a retaining surface of a tissue treatment device containing capsule, which extends at an angle relative to the engagement surfaces selected so that a first portion of a force transmitted along an axis of the bushing moves the arms radially inward toward the release configuration before a second portion of the force exceeds a threshold level associated with the removal of a tissue treatment device from gripped tissue. | 03-15-2012 |
20120071898 | Through the Scope Tension Member Release Clip - An apparatus for deployment of a hemostatic clip comprises a handle assembly, a shaft connected to a distal portion thereof and a clip assembly releasably coupled to a distal portion of the shaft. The clip assembly includes clip arms and a capsule cooperating with the clip arms to provide a first user feedback indicating a decision configuration of the clip assembly. In addition, the apparatus includes a control wire including a ball connector, the control wire extending from the handle assembly and coupled to the clip assembly by the ball connector to maintain the clip assembly coupled to the shaft, wherein the ball connector is detachable from the clip assembly to provide a second user feedback indicating separation of the clip assembly from the shaft. | 03-22-2012 |
20120083803 | ASYMMETRICAL SURGICAL CLIP WITH PENETRATING LOCK, NON-SLIP CLAMPING SURFACE, SEVERABLE HINGE, HINGE BOSS AND PIVOTING APPLICATOR TIP - A surgical clip includes a pair of opposed arms joined at one end by an integrally formed flexible hinge. The hinge is configured to be cut in the event removal of the clip is desired. Accordingly, the hinge has a reduced thickness and/or width and is configured to maintain cutting space between the hinge and the clamping surfaces of the opposed arms. Each arm has a free end. One arm includes a male locking pin near the free end. The opposite arm includes a female aperture near the free end. The male locking pin is configured to penetrate tissue in the path of the male locking pin when the male locking pin is urged towards the female aperture. The clip may be comprised of a biocompatible metal or plastic or a bioabsorbable plastic. Each of the pair of arms includes a clamping side. The clamping side of one arm includes a wedge-shaped feature. The clamping side of the second arm includes a V-shaped trough that conforms to the shape of the wedge shaped feature. Each clamping side includes non-slip protrusions such as non-slip protruding ribs. The clip includes a plurality of bosses, including a hinge boss, for gripping by an applicator and stabilizing during use. A clip applicator includes a pivoting jaw assembly operably coupled to a rotating cuff. An actuator handle assembly is operably coupled to the pivoting jaw assembly. A rotating cuff is operably coupled to the pivoting jaw assembly. The pivoting jaw assembly pivots at an angle relative to the longitudinal axis of the shaft of the applicator upon rotation of cuff. | 04-05-2012 |
20120083804 | MARKER CLIP DEVICE - A marker clip device and system for marking tissue within a body cavity comprising a plurality of deployable marker clips having unique markings or other indicia to thereby allow each clip to be individually identified subsequent to clip deployment. A clip delivery device configured to deploy the plurality of marker clips at various locations within a body cavity is also provided. | 04-05-2012 |
20120089158 | MEDICAL DEVICES WITH DETACHABLE PIVOTABLE JAWS - Medical systems, devices and methods are provided for engaging tissue, e.g. for clipping tissue, closing a perforation or performing hemostasis. Generally, the medical system including a housing, first and second jaws rotatable relative to the housing, a driver, and an elongate drive wire. The elongate drive wire may be disconnected from the driver, first and second jaws, and the housing, which are left in vivo engaged with the tissue. | 04-12-2012 |
20120095480 | Apparatus and Method for Compressing Body Tissue - A system and method for delivering a surgical clip to a surgical site within a patient's body to compress body tissue is disclosed. In one embodiment for the system of the present invention, the system includes an endoscopic device that has an endoscope cap disposed on a distal end of the endoscopic device. A surgical clip is removably disposed on an outside surface of the endoscope cap. A deployment device is associated with the surgical clip for deploying the surgical clip from the endoscope cap to the body tissue that is to be compressed. The surgical clip can be a deformable clip that is deployed in a non deformed configuration, and is then deformed so as to apply compression on selected tissue. The surgical clip can be a multi legged clip, having a plurality of legs that can be locked in a closed position to apply compression to body tissue. | 04-19-2012 |
20120109158 | SELF-CENTERING CLIP AND JAW - An apparatus for applying surgical clips to tissue includes a handle assembly having a trigger and a shaft extending therefrom. The shaft includes at least one surgical clip therein. Each clip includes a pair of legs connected by a crossbar. Each of the pair of legs has an inwardly and an outwardly facing surface, the outwardly facing surface having a raised profile protruding therefrom and extending longitudinally therealong. A jaw assembly is disposed at a distal end of the shaft and includes first and second opposed jaws moveable between a spaced apart and an approximated position. Each jaw defines a recess extending longitudinally along opposing inner surfaces thereof. Each recess defines a longitudinally extending groove having a profile substantially complementary to the raised profile of the legs of the clips. The legs of each clip are positionable at least partially within respective grooves of the recesses of the jaws. | 05-03-2012 |
20120109159 | TISSUE CLOSURE - A device for fastening tissue includes (a) a shaft extending longitudinally from a distal end insertable into a body to a proximal end attached to a controller which remains outside of the body, the shaft including a lumen extending therethrough and an opening extending through a wall of a distal portion thereof to open the lumen to an exterior of the shaft; (b) a first roller housed within the lumen adjacent to a first longitudinal edge of the opening such that a rotation of the first roller grasps and draws tissue from the body into the lumen in combination; and (c) a fastening element housed within the lumen adjacent to the opening and movable from a tissue receiving configuration to a tissue gripping configuration. | 05-03-2012 |
20120109160 | MEDICAL DEVICES WITH DETACHABLE PIVOTABLE JAWS - Medical systems, devices and methods are provided for engaging tissue, e.g. for clipping tissue, closing a perforation or performing hemostasis. Generally, the medical system including a housing, first and second jaws rotatable relative to the housing, a driver, and an elongate drive wire. The elongate drive wire may be disconnected from the driver, first and second jaws, and the housing, which are left in vivo engaged with the tissue. | 05-03-2012 |
20120109161 | APPENDAGE CLAMP DEPLOYMENT ASSIST DEVICE - The instant disclosure is directed to devices and methods for deploying a biased occlusion clamp. In addition, the present disclosure includes devices and methods for deploying a biased occlusion clamp using robotics. Moreover, the present disclosure includes devices and methods for reducing the force necessary to open an occlusion clamp without permanently compromising the clamping force of the clamp itself. | 05-03-2012 |
20120109162 | Through the Scope Tension Member Release Clip - Apparatus includes Flexible Sheath extending from a proximal end which extends into living body; Capsule extending from a proximal to a distal end and having an opening formed in a proximal end thereof; Clip Assembly provided in Capsule and configured to be operably movable between a closed configuration in which first and second arms of Clip Assembly are drawn toward one another and an expanded configuration in which the first and second arms are separated from one another to receive target tissue therebetween; Bushing extending between a proximal end coupled to Sheath and a distal end releasably coupled to Capsule via a tab on the distal end of Bushing engaging the opening of Capsule; and Control Member a distal end of which is releasably coupled to Clip Assembly to transmit to Clip Assembly forces applied thereto to move Clip Assembly between the insertion and expanded configurations. | 05-03-2012 |
20120116419 | CLIP SYSTEM HAVING TETHER SEGMENTS FOR CLOSURE - The present embodiments provide systems and methods for deploying at least one clip during a medical procedure. In one embodiment, the system comprises a clip having first and second arms. A locking pin is coupled to the clip and disposed for incremental movement relative to the clip. Further, a tether is coupled to the locking pin, wherein a first tether segment is secured to a distal region of the second arm, and a second tether segment is secured to a distal region of the first arm. In use, proximal retraction of the locking pin causes a proximal retraction of the first and second tether segments to move the clip between open and closed states. Incremental retraction of the locking pin incrementally advances the clip between the open and closed states. | 05-10-2012 |
20120123445 | CLIP APPLICATOR - A clamp assembly comprising: (a) a clamping device biased toward a closed position; (b) a first retainer bar removably coupled to the clamping device; (c) a second retainer bar removably coupled to the clamping device, where the first retainer bar and the second retainer bar are oriented in parallel to one another. | 05-17-2012 |
20120136376 | Multiple Hemoclip System for an Endoscope - Spring clips are arranged end to end in a cavity of an inner shaft. Such shaft slides within an outer shaft, and a pusher member slides in the cavity behind the clips. The clips have jaws biased together, but which are wedged apart by an opener as the pusher is moved distally. An opened clip is ejected by relative movement of the inner and outer shafts to clamp body tissue at a desired site. | 05-31-2012 |
20120143216 | CLIP APPLIER HAVING IMPROVED HEMOSTASIS AND METHODS OF USE - A hemostasis assembly having a selectively expandable hemostasis member can be used with a medical device and in a method for delivering a closure element through tissue and into an opening formed in, or adjacent to, a wall of a blood vessel or other body lumen of any size while maintaining or improving hemostasis. The medical device and method of use utilizes such an expandable hemostasis member to maintain or improve hemostasis throughout a medical procedure for closing and/or sealing openings through tissues and/or blood vessels. | 06-07-2012 |
20120143217 | METHOD AND APPARATUS FOR CIRCULATORY VALVE REPAIR - An apparatus for the repair of a cardiovascular valve has leaflets comprising a grasper capable of grabbing and co-apting the leaflets of the valve. In a preferred embodiment, the grasper has jaws that grasp and immobilize the leaflets, and then a fastener is inserted to co-apt the leaflets. The apparatus is particularly useful for repairing mitral valves to cure mitral regurgitation. | 06-07-2012 |
20120143218 | Dissection Tip and Introducer for Surgical Instrument - The present disclosure describes a surgical fastener applying apparatus that includes an elongate body portion having proximal and distal ends, an end effector including a first movably coupled to a second jaw that is positioned at the distal end of the elongate body portion, and an introducer member. The introducer member has proximal and distal portions, and is configured and dimensioned for releasable connection with the end effector. The introducer member is at least partially formed from a flexible material, and is configured and dimensioned to separate target tissue from collateral tissue prior to positioning of the target tissue between the first and second jaws of the end effector. | 06-07-2012 |
20120143219 | ACTUATOR AND DETACHABLE CONNECTOR OF FLEXIBLE CLIP APPLIER - A clip applier for deploying a surgical clip includes an actuator having a flexible wire and a collet chuck coupled to a piston. Further, actuation of the piston in a forward direction towards a distal end of the clip applier advances the flexible wire in the forward direction. | 06-07-2012 |
20120179171 | Single Stage Hemostasis Clipping Device - A tissue clipping apparatus comprises a clip including a proximal end received within a capsule. The clip includes a clip locking member biased to engage a first locking structure of the capsule to lock the clip in the capsule in a closed configuration. The apparatus also comprises a tension member releasably coupling the clip to a proximal end of the device which, during use, remains accessible to a user. The tension member is coupled to the clip by a joint designed to release when subject to a predetermined load to separate the clip from the device, release of the joint releasing the locking member to engage the first locking structure. | 07-12-2012 |
20120179172 | VESSEL CLOSURE DEVICE - A device and system for closure of an opening formed in a body vessel includes a bioabsorbable grasping member and locking member. The grasping member includes grasping lingers that are radially collapsible to the closed positions by movement of the locking member over the fingers. A distal portion of the fingers is configured to grasp an outer wall portion of the body vessel surrounding the opening when the fingers are in the open position. Movement of the locking member can cause the fingers to at least substantially close the vessel opening. Structural features on the fingers and/or locking member can inhibit proximal or distal movement of the locking member when in a locking position. A detachable arm can be coupled to the grasping member to facilitate placement of the grasping member. A sheath can fit over the detachable arm and be configured to move the locking member over the fingers. | 07-12-2012 |
20120197269 | LOCKING CAM DRIVER AND JAW ASSEMBLY FOR CLIP APPLIER - The present disclosure relates to an apparatus for endoscopic application of surgical clips to body tissue. The apparatus includes a handle portion, an elongated tubular member, one or more surgical clips, a jaw assembly and a locking cam driver. The elongated tubular member extends distally from the handle portion and defines a longitudinal axis. The surgical clips are disposed within the tubular member. The locking cam driver includes a bifurcated distal end portion that has a pair of angled camming surfaces to facilitate closure of the jaw assembly. | 08-02-2012 |
20120209297 | Apparatus and Method for Compressing Body Tissue - A system and method for delivering a surgical clip to a surgical site within a patient's body to compress body tissue is disclosed. In one embodiment for the system of the present invention, the system includes an endoscopic device that has an endoscope cap disposed on a distal end of the endoscopic device. A surgical clip is removably disposed on an outside surface of the endoscope cap. A deployment device is associated with the surgical clip for deploying the surgical clip from the endoscope cap to the body tissue that is to be compressed. The surgical clip can be a deformable clip that is deployed in a non deformed configuration, and is then deformed so as to apply compression on selected tissue. The surgical clip can be a multi-legged clip, having a plurality of legs that can be locked in a closed position to apply compression to body tissue. | 08-16-2012 |
20120259347 | Biocompatible Sleeve for Mesh Insertion Instrument - At least one aspect of this disclosure includes a system for closing an aperture in a biological tissue, the system comprising a handle, an elongate shaft connected to the handle, a deployment scaffold connected to the shaft, the deployment scaffold comprising a frame and a plurality of deployment arms hingedly connected to the frame, wherein the frame is configured to move from a retained position to at least one deployed position, a plurality of clips connected to the arms, wherein the clips are configured to releasably retain a surgical implant, and at least one sleeve selectively disposed at least partially over at least one of the plurality of arms when the frame is in the retained position, and selectively exposing at least one of the clips in the deployed position. | 10-11-2012 |
20120265220 | Articulating Steerable Clip Applier for Laparoscopic Procedures - A long articulating steerable clip applier affixed to a user-operated handle. A surgical jaw assembly is attached to the other end of the clip applier. The clip applier is composed of articulating phalanges that are connected end to end by pivoting links and capable of angulations relative to one another when subjected to a tensile force. Each phalange has opposing s-shaped exterior grooves that form two continuous spiral-shaped channels for holding tension wires once the phalanges are assembled. Multiple tension wires are attached to opposite ends of adjacent phalanges. When each wire is pulled, this tensile force causes the phalanges to pivot at equivalent angles with each other. As each individual phalange pivots by an equivalent angle, the sum of these angles causes the free end of the clip applier to pivot by a large angle or a cascading actuation effect. | 10-18-2012 |
20120277765 | SURGICAL CLIP APPLIER INCLUDING CLIP RELIEF FEATURE - A surgical clip applier includes a jaw assembly having first and second jaws. Each jaw defines an opposed surface configured to receive a portion of a surgical clip. The jaws are moveable between a spaced-apart position and an approximated position for forming the surgical clip about tissue. Each jaw includes a relief element disposed on a surface adjacent to and substantially transverse relative to the opposed surface thereof. The relief elements are cooperable to define a relief recess upon movement of the jaws to the approximated position. The relief recess is configured to receive at least a portion of a previously formed surgical clip during formation of a subsequent surgical clip about tissue adjacent to the previously formed surgical clip. | 11-01-2012 |
20120296346 | Clip Apparatus for Closing Septal Defects and Methods of Use - A device for closing a septal defect, such as a patent foramen ovale, includes a clip formed from a superelastic material that is inserted into a septum wall of a heart. The clip is advanced through a patient's vasculature, e.g., within a delivery apparatus, until the clip is disposed within a first chamber adjacent the septal defect. Tines of the clip are directed through a flap of tissue of the septal defect until the tines of the clip are disposed within a second opposing chamber. The clip then transforms into its relaxed state, wherein the tines of the clip engage with a surface of the second chamber, thereby substantially closing the septal opening. | 11-22-2012 |
20120330326 | SURGICAL CLIP APPLIER INCLUDING ATRAUMATIC JAW FEATURE - An improved jaw blade for a surgical clip applier includes first and second legs and first and second jaws integrally connected to the first and second legs, respectively. Each of the jaws includes an inner surface having a channel oriented substantially along a longitudinal axis of the jaw. The channels each have a depth less than the width of the leg of the clip to be received therein. The jaw legs each define a longitudinal axis substantially parallel to one another and a plane therebetween. The jaw legs are movable in the plane between an open position for receiving a clip in the channels thereof, and a closed position for forming the clip received therein. When the jaw legs are in the closed position, the legs of the clip contact with one another and the inner surfaces of the jaws are spaced-apart from one another defining an atraumatic area therebetween. | 12-27-2012 |
20130006271 | Fasteners, Deployment Systems, and Methods for Ophthalmic Tissue Closure and Fixation of Ophthalmic Prostheses and Other Uses - Methods and devices for ophthalmic tissue closure and fixation of ophthalmic prostheses are provided. In accordance with some embodiments, devices for both grasping and clipping a plurality of ocular tissue and ocular prostheses are provided. Various device embodiments are provided for both malleable clips and delivery of normally closed clips (i.e. shape memory). The device may accommodate a plurality of clips which include, but are not limited to: malleable metals, absorbable, shape memory, drug-eluting, and adhesive dispensing. The clips may be pigmented to match the colors of associated tissue (cornea, iris, conjunctiva, sclera, retina) to serve to camouflage fixation clips for healing duration or permanently. According to one aspect, shallow angle access to anatomy may be provided by specialized angulation of device shaft and closure jaws that are intended to access the eye through a small self-healing cornea incision and/or any ocular tissue. | 01-03-2013 |
20130006272 | Sealing Clip, Delivery Systems, and Methods - A sealing clip for sealing or holding punctures or openings in tissue closed is applied from the inner surface of the tissue. A delivery apparatus is used to releasably hold the clip in one configuration for introduction of the clip through the puncture or opening and expand the clip to a more open configuration for pulling the clip through the tissue as the delivery apparatus is retracted. Further retraction of the delivery apparatus causes the edges of the tissue surrounding the opening to move along the clip and come together after which the clip is released and closed to hold the tissue edges of the opening together. In the case where the clip has a memory set closed shape, the clip returns toward that shape after being released to hold the tissue edges of the opening together, thereby holding the opening closed. | 01-03-2013 |
20130006273 | Device and Method for Through the Scope Endoscopic Hemostatic Clipping - Medical device used to cause hemostasis of blood vessels using a clip arrangement delivered to a target region through an endoscope. Method for using the device to cause hemostasis of a blood vessel through an endoscope. Medical device including a reversibly closeable clip, a locking arrangement, a control wire, a sheath, and a handle with an actuating trigger. Through the endoscope, hemostatic clipping device that is fully reversible and lockable. Hemostatic clip that reversibly targets and clips bleeding ulcers. | 01-03-2013 |
20130006274 | CLIP APPLIER AND METHODS OF USE - An apparatus for placement into an opening formed in a wall of a body lumen to deploy a closure element. The apparatus comprising a housing having a handle portion formed at a distal end, the handle portion configured to be engaged by a user when advancing the housing to deploy the closure element. A locator assembly and a carrier assembly are at least partially received in the housing. The locator assembly can have one or more expansion members that can selectably contact the wall of the body lumen and a proximal end configured to cooperate with a portion of a locator control system operable to expand the one or more expansion members. A triggering system cooperates with the locator assembly and is moveable toward the one or more expansion members of the locator assembly upon the locator control system being operated to expand the one or more expansion members. | 01-03-2013 |
20130041386 | Multiple member interconnect for surgical instrument and absorbable screw fastener - An absorbable surgical screw fastener is provided which includes a head and a tapered shaft extending distally of the head. Buttress threads are provided about the tapered shaft to secure the fastener in tissue. The fastener includes slots formed in the head and buttress threads. A gap is provided between the buttress threads in the head to secure a prosthetic. There is also provided a surgical instrument having novel lockout structure to prevent inadvertent actuation. | 02-14-2013 |
20130072945 | CLIP UNIT AND LIGATION DEVICE USING THE SAME - A clip unit for ligating a biological body includes: a clip body having a pair of arm parts; and a fastening ring arranged in an outside of the clip body, and configured to fasten the arm parts, in which: the fastening ring includes a flap part configured to expand diametrically outward from the fastening ring, and a flap retaining unit configured to retaining an expansion extent of the flap part at a given extent. | 03-21-2013 |
20130072946 | LIGATION DEVICE, CLIP UNIT, CLIP MANIPULATION DEVICE, AND ENDOSCOPE SYSTEM - A clip unit used in a ligation device for ligating a biological tissue, includes: arms protruding from a rear end of the clip unit to define a space for accommodating a hook; and engagement claw parts respectively extending from rear ends of the arms toward a front side, in which: when the clip unit and a transmission member are connected, front ends of the engagement claw parts abut against a rear side inclined surface of the hook. | 03-21-2013 |
20130072947 | CLIP UNIT, LIGATION DEVICE USING THE SAME, AND METHOD FOR FABRICATING THE CLIP UNIT - A clip unit includes: a clip body having a pair of arm parts; and a fastening ring arranged in the outside of the clip body and configured to maintain the arm parts in the closed state, in which the clip body includes a connection base section connecting the base end side of the pair of arm parts, and a connection tail section provided on the connection base section to extend opposite to the arm parts and connected to the front end of a transmission member, and the connection base section has a flat part perpendicular to the axial direction of the fastening ring, and the arm parts and the connection tail section are connected on a side of the flat part. | 03-21-2013 |
20130123807 | Through the Scope Tension Member Release Clip - An apparatus for deployment of a hemostatic clip includes a clip assembly releasably coupled to a distal portion of a shaft, wherein the clip assembly includes a capsule releasably coupled to the shaft, clip arms slidably received within the capsule and cooperating with the capsule to provide a first user feedback indicating a decision configuration of the clip assembly and a yoke slidably received within the capsule, the yoke including proximal and distal portions releasably and rotatably connected to one another via a first control wire, a distal end of the distal portion being connected to proximal ends of the clip arms. A second control wire extends from the handle assembly and is coupled to a proximal end of the second portion to move the clip assembly between open and closed configurations. | 05-16-2013 |
20130123808 | Heart-Shaped PFO Closure Device - Patent foramen ovale (PFO) closure clip include two closure members, which may be heart shaped, joined by at least two spaced central connecting members. Each of the at least two spaced central connecting members is attached to each closure member at a location on the periphery of the closure member. The connecting member may be generally square shaped or include other shapes. The clips of the present invention may be formed of various materials, including metals, nonmetallic materials, bioresorbable polymers, spring steel, shape memory materials, bioresorbable shape memory polymers, or combinations thereof. The clips can take various forms depending, in part, upon the distribution of force required to close a given PFO. At least one of the closure members can include a tissue scaffold. | 05-16-2013 |
20130144312 | IMPLANTING APPARATUS - An endoscope-like implanting instrument includes an endoscope cap having a holding and withdrawing means for a tissue clip adapted to be slipped onto an expanding sleeve of the endoscope cap. The endoscope cap has a front groove opening at the front edge of the sleeve. A withdrawing thread radially crosses the front groove at an axial front cap portion. The endoscope-like implanting instrument further includes a tissue grasping means being shiftably inserted into the working channel for manually grasping and drawing the tissue inside the endoscope cap. A clamping means is integrally arranged inside the endoscope cap in axial extension to the working channel, holding a capsule-like device and connected with the tissue clip via a thread, band or string such that the capsule-like device will be automatically detached by the grasping means when being manually actuated for tissue grasping. | 06-06-2013 |
20130144313 | SURGICAL FORCEPS - This application presents a bifurcated, optimally-angled surgical forceps. In one example, this surgical forceps may enable a more natural maneuver for initial clamping of the vas deferens through the scrotal skin. This may be more comfortable for users and easier to maintain, and may provide greater tactile surface contact between the thumb and vas deferens. This device also may provide the surgeon with an entire segment of vas deferens upon which the vasectomy may be performed, thus reducing the need for frequent repositioning of instruments. The device may also be applied to other surgical procedures that may benefit from the features of the device and where a section of a tubular anatomical structure may need clamping at two points along its length. Examples include blood and lymphatic vessels, ducts of the digestive system, and large nerves or nerve bundles. | 06-06-2013 |
20130158566 | ROTATIONAL MECHANISM FOR ENDOSCOPIC DEVICES - A medical device includes a flexible member extending from a handle at a proximal end to a distal end sized and shaped for insertion to a target position in a living body and having a first channel extending longitudinally therethrough in combination with an elongated rotation tube positioned in the first channel and being rotatable relative to the flexible member and a rotation drive device at a distal end of the rotation tube, a proximal end of the rotation drive device being permanently attached to the rotation tube, a distal end of the rotation drive device having a first protrusion extending distally therefrom and a drive element having a substantially cylindrical shape with a groove on an inner wall thereof mating with the first protrusion of the rotation drive device, the drive element configured to transmit rotational movement of the rotation tube to an end effector connected to a distal end thereof to rotate the rotation tube relative to the flexible member. | 06-20-2013 |
20130190777 | CLIP DEPLOYMENT TOOL AND ASSOCIATED METHODS - A laparoscopic device comprising: (a) a housing operatively coupled to a first control and a second control; (b) an end effector operatively coupled to the first control, the end effector comprising a first component and a second component selectively repositionable with respect to one another within an X-Y plane, the end effector also including a third component selectively repositionable with respect to the second component within an Y-Z plane; (c) a laparoscopic conduit extending between the housing and the end effector; and, (d) an occlusion clip deployment device operatively coupled to the end effector and the second control. | 07-25-2013 |
20130190778 | CLIP APPLIER AND METHODS OF USE - An apparatus for delivering a closure element can include a splittable carrier tube and a splitter to split the tube. The carrier tube can have an outer surface retaining a closure element in a tubular configuration and can be split into radially-expandable flaps. A closure element can have a shape-memory body having a relaxed configuration with a planar-annular body defining a lumen with tines directed inwardly from the body. The clip can be held in a retaining configuration having a substantially asymmetrically-elongated tubular shape with a trapezoidal longitudinal cross-sectional profile and a proximal end having the tines being longitudinally directed with a first tine being more distally oriented compared to a substantially opposite second tine being more proximal, and retracting to a deploying configuration having a tubular shape with a rectangular longitudinal cross-sectional profile with the first tine being even with the second tine when being delivered. | 07-25-2013 |
20130226199 | OMNIDIRECTIONAL CLOSURE CLIP - A tissue clipping device includes a capsule extending from a proximal end to a distal end and including a lumen extending therethrough, a clip including at least three arms biased toward an open configuration and connected to one another at proximal ends thereof, the arms separated from one another circumferentially about a centerline of the clip and the proximal ends of the arms slidable within the lumen of the capsule to move the clip between the open configuration, in which distal ends of the arms are separated from one another to receive tissue therebetween and a closed configuration in which distal ends of the arms are moved toward one another to grip tissue in combination with a tension member releasably coupling the clip to a proximal end of the device which remains accessible to a user, to control movement of the clip between the open and the closed configurations. | 08-29-2013 |
20130226200 | CLIP APPLIER - A system for performing a medical operation includes an end effector having first and second arms, each extending from a distal end to a proximal end, the proximal ends being connected to one another, the end effector being movable between a closed configuration wherein the first and second arms are separated from one another by a first distance and an open configuration wherein the first and second arms are separated from one another by a second distance greater than the first distance, a distance between the first and second arms being substantially constant from the proximal ends to the distal ends, wherein the end effector is biased to the open configuration. A first plate element extends from a first surface configured to engage a first wall of the first arm to a second surface configured to contact target tissue in an operative configuration. A second plate element extends from a first surface configured to engage a first wall of the second jaw to a second surface configured to contact target tissue in an operative configuration. | 08-29-2013 |
20130226201 | METHOD AND APPARATUS FOR OCCLUDING A BLOOD VESSEL - Apparatus for percutaneously occluding a hollow structure, said apparatus comprising:
| 08-29-2013 |
20130231684 | SEALING DEVICE AND DELIVERY SYSTEM - The invention relates to a sealing device for repair of cardiac and vascular defects or tissue opening such as a patent foramen ovale (PFO) or shunt in the heart, the vascular system, etc. and particularly provides an occluder device and trans-catheter occluder delivery system. The sealing device would have improved conformity to heart anatomy and be easily deployed, repositioned, and retrieved at the opening site. | 09-05-2013 |
20130231685 | Device and Method for Through the Scope Endoscopic Hemostatic Clipping - Medical device used to cause hemostasis of blood vessels using a clip arrangement delivered to a target region through an endoscope. Method for using the device to cause hemostasis of a blood vessel through an endoscope. Medical device including a reversibly closeable clip, a locking arrangement, a control wire, a sheath, and a handle with an actuating trigger. Through the endoscope, hemostatic clipping device that is fully reversible and lockable. Hemostatic clip that reversibly targets and clips bleeding ulcers. | 09-05-2013 |
20130231686 | Device and Method for Through the Scope Endoscopic Hemostatic Clipping - Medical device used to cause hemostasis of blood vessels using a clip arrangement delivered to a target region through an endoscope. Method for using the device to cause hemostasis of a blood vessel through an endoscope. Medical device including a reversibly closeable clip, a locking arrangement, a control wire, a sheath, and a handle with an actuating trigger. Through the endoscope, hemostatic clipping device that is fully reversible and lockable. Hemostatic clip that reversibly targets and clips bleeding ulcers. | 09-05-2013 |
20130253538 | Device with Biological Tissue Scaffold for Percutaneous Closure of an Intracardiac Defect and Methods Thereof - The invention provides an intracardiac occluder, which has biological tissue scaffolds as occlusion shells, for the percutaneous transluminal treatment of an intracardiac defect. The intracardiac occluder includes a proximal support structure supporting the proximal occlusion shell and a distal support structure supporting the distal occlusion shell. In one embodiment, biological tissue derived from the tunica submucosa layer of the porcine small intestine forms the occlusion shells. | 09-26-2013 |
20130253539 | CLIP APPLIER AND METHODS OF USE - An apparatus for placement into an opening formed in a wall of a body lumen to deploy a closure element. The apparatus comprising a housing having a handle portion formed at a distal end, the handle portion configured to be engaged by a user when advancing the housing to deploy the closure element. A locator assembly and a carrier assembly are at least partially received in the housing. The locator assembly can have one or more expansion members that can selectably contact the wall of the body lumen and a proximal end configured to cooperate with a portion of a locator control system operable to expand the one or more expansion members. A triggering system cooperates with the locator assembly and is moveable toward the one or more expansion members of the locator assembly upon the locator control system being operated to expand the one or more expansion members. | 09-26-2013 |
20130282026 | ENGAGEMENT DEVICE AND METHOD FOR DEPLOYMENT OF ANASTOMOTIC CLIPS - A coupling system includes an applicator tool, an anastomotic prosthesis mounted on the applicator tool, and an engagement device. The applicator tool deploys a securement through the prosthesis and tissue which leaves the prosthesis attached to the tissue. The engagement device selectively engages the applicator tool onto the tissue, with the use of suction, in order to facilitate accurate placement of the prosthesis on the tissue and facilitate deployment of the securement into the tissue. The applicator tool and the tissue are able to move together while the engagement device prevents or inhibits relative movement between the applicator tool and the tissue. A method for securing an anastomotic prosthesis to tissue includes applying of suction to engage an applicator tool to the tissue while a securement is deployed out of the applicator tool and into the prosthesis and the tissue. | 10-24-2013 |
20130296890 | MEDICAL DEVICE - A medical device is disclosed for joining a first tubular organ ( | 11-07-2013 |
20130304094 | ENDOSCOPIC IMPLANT SYSTEM AND METHOD - Disclosed is a system for endoscopically implanting a medical implant, including an anchor, within a body cavity such as adjacent the gastroesophageal junction in a human stomach. The system includes one or more anchors positionable within one or more openings formed in tissue within the body cavity, such as cutouts formed in plicated body tissue. Tools are disclosed for positioning the anchors within the openings, and for coupling a food restrictor to the anchors. | 11-14-2013 |
20130304095 | BUSHING ARM DEFORMATION MECHANISM - A medical device includes (a) a capsule including a lumen extending therethrough, a proximal end of the capsule including at least one window extending therethrough; (b) a bushing including a channel extending therethrough, a distal end including at least one arm extending distally therefrom such that a corresponding one of the arms is releasably engagable with a corresponding one of the windows; and (c) a core member including a locking portion and at least one engaging element. The locking portion is sized and shaped to be received within the channel of the bushing to apply a pressure to the arm such that the arm engages the windows. The engaging element extends laterally outward from a portion of the core member such that the engaging element engages a corresponding one of the arms to deform the arms radially inward and out of engagement with the windows. | 11-14-2013 |
20130310849 | JAW CLOSURE MECHANISM FOR A SURGICAL CLIP APPLIER - A jaw closure mechanism for use in a surgical clip applier having first and second jaws movable relative to one another between a spaced-apart position and an approximated position to form a surgical clip about tissue. The jaw closure mechanism includes first and second eccentric wheels rotatably coupled to the respective first and second jaws. Each of the wheels includes a center and a pivot point that is offset relative to the center. A cable is disposed about each of the wheels. The cable is engaged to the first wheel at a first engagement point and to the second wheel at a second engagement point such that, upon application of a drive force to the cable, the wheels are rotated and displaced relative to the respective jaws from a first position to a second position to urge the jaws from the spaced-apart position to the approximated position. | 11-21-2013 |
20130310850 | Lock Bar Spring and Clip for Implant Deployment Device - A system for closing an aperture in a biological tissue includes at least one clip connected to at least one frame arm and for releasably retaining a surgical implant to the frame arm. The clip includes at least one locking structure for engaging a lock bar. A portion of the lock bar selectively engages or contacts the locking structure of the at least one clip to lock the at least one clip in a closed position by inhibiting rotation of the at least one clip when the lock bar is in a locked position. The lock bar allows the at least one clip to rotate to an open position when the lock bar is in an unlocked position. Methods for utilizing the system are also disclosed. | 11-21-2013 |
20130310851 | Magnetic Clip for Implant Deployment Device - An instrument for deploying a surgical implant includes a handle, a shaft, and a frame arm coupled to the shaft. A magnetic clip system is disposed on the frame arm for releasably retaining a surgical implant to the frame arm. The magnetic clip system includes a clip, a first ferromagnetic member, and a second ferromagnetic member. The magnetic clip system biases the clip towards a closed position. | 11-21-2013 |
20130310852 | Lock Bar Spring and Clip for Implant Deployment Device - A system for closing an aperture in a biological tissue includes an implant deployment device having at least one frame arm. At least one clip is connected to the at least one frame arm and configured to releasably retain a surgical implant to the frame arm. A lock bar including at least one spring member is disposed on the at least one frame arm and is configured to bias the clips towards a closed position. | 11-21-2013 |
20130338683 | SYSTEM AND METHOD FOR FORMING A T-SHAPED SURGICAL CLIP - A surgical clip forming apparatus includes an unformed surgical clip having a head section including an upper portion and a lower portion separated from each other to define a first space therebetween in a first configuration, a left leg section including a proximal end and a distal end and a right leg section including a proximal end and a distal end. The surgical clip forming apparatus includes an anvil configured to engage the head section of the surgical clip and a pair of forming pins positioned adjacent the proximal ends of the left and right legs for securing the head section of the unformed surgical clip against the anvil. When a force is applied to the anvil, the upper portion compresses toward the lower portion. The unformed surgical clip transforms into a “T-shaped” clip or a formed clip in a second configuration, after the force has been applied to the anvil. | 12-19-2013 |
20130338684 | MITRAL VALVE TREATMENT - An exemplary surgical apparatus may include a guide catheter including a clip channel, at least one hook channel, and at least one sling channel defined therein; a clip applier movable within the clip channel, wherein the clip applier holds at least one clip; at least one hook movable within a corresponding hook channel; and at least one sling movable within a corresponding sling channel. An exemplary surgical method for treating a mitral valve may include providing a guide catheter; a clip applier held by the guide catheter, and a clip held by the clip applier; introducing the distal end of the guide catheter into the left atrium; engaging the anterior and posterior leaflets of the mitral valve with the clip; closing the clip; and disengaging the clip applier from the clip, whereby the clip remains in the mitral valve. Another exemplary surgical method for treating a valve may include providing a guide catheter; a clip applier held by the guide catheter, and at least one clip held by the clip applier; advancing the guide catheter into proximity to the valve; and applying at least one clip substantially in the middle of the valve to create two orifices, one on each side of the clip. | 12-19-2013 |
20140005691 | NON-INVASIVE SURGICAL LIGATION CLIP SYSTEM AND METHOD OF USING | 01-02-2014 |
20140005692 | METHODS OF USE OF A CLIP APPLIER | 01-02-2014 |
20140018826 | Articulating Joint for Surgical Instruments - A surgical apparatus is disclosed. An actuation mechanism is operable from a proximal portion of the surgical apparatus and a tool assembly is pivotally positioned on a distal portion of the surgical apparatus. The tool assembly is movable between a first position in which the tool assembly is substantially aligned with a longitudinal axis of the surgical apparatus, and a second position in which the tool assembly is pivoted away from the longitudinal axis of the surgical apparatus. An articulation mechanism is positionable to move the tool assembly between the first and second positions. A drive mechanism includes a first shaft operably engaged with a second shaft at an articulation joint. The drive mechanism is configured to transfer rotational motion from the first shaft to the second shaft. | 01-16-2014 |
20140039524 | SURGICAL CLIP APPLICATOR - A surgical clip applicator for U-shaped or V-shaped clips having two legs connected to each other by a connecting region is provided. In order to enable application and secure closure of the clips with a reduced expenditure of force, the applicator, which has a handle, an adjoining shaft and at the free end of the shaft an applying tool, which is actuatable with the handle and has two tool jaws which are transferable from an open, idle position to a closed position when actuated, is configured with receiving areas for the clip to be applied. These receiving areas each have an abutment surface for one of the legs, which extends at least over part of the length of the legs, and a recess in which the connecting region of the legs of the clip is arranged when the tool jaws are in the closed position. | 02-06-2014 |
20140039525 | LOADING A TISSUE CLOSURE DEVICE ONTO A DELIVERY DEVICE - A compression tool is configured to compress one or more components of a delivery device, such as a closure element and one or more flanges of a pusher tube. The compression tool includes clamping means configured to close or release with rotation of actuating means (e.g., rotating means). In a closed position, the clamping means can sufficiently compress the one or more components of the delivery device so that a technician can easily position a garage tube about the compressed delivery device components. The assembled delivery device (or assembled garage tube) can then be removed from the compression tool upon reverse rotation of the actuating means, and subsequent opening of the clamping means. | 02-06-2014 |
20140058411 | Surgical Clip and Clip Manipulation Device Therefor - Some embodiments relate to a clip comprising: a base portion; first and second opposed arms coupled to the base portion; and first and second opposed jaws coupled to the respective first and second arms, the first and second opposed jaws each having an inwardly extending portion that extends towards the base portion; wherein at least the base portion is formed of a shape memory alloy tending to force the first and second arms toward each other when a temperature of the base portion meets or exceeds a transformation temperature of the base portion. | 02-27-2014 |
20140088616 | RELEASE MECHANISM FOR HEMOSTATIC CLIP - A medical device includes a distal portion sized and shaped for insertion into a body lumen and including a capsule having a lumen extending therethrough and a plurality of windows in a proximal end thereof; a bushing including a channel extending therethrough, a distal end thereof including a plurality of arms extending distally therefrom such that a corresponding one of the arms is releasably engagable with a corresponding one of the windows of the capsule, the arms being biased toward a centerline of the bushing in a release configuration; and a bushing support receivable within the channel of the bushing to apply a radially outward pressure to the arms such that the arms lockingly engage the windows of the capsule, the arms formed of a material selected such that movement of the bushing support out of the channel reverts the arms to the release configuration. | 03-27-2014 |
20140135801 | Hemostatic Clipping Devices and Methods - A tissue clipping apparatus, comprises a flexible, elongate member, a proximal end of which remains external to the body accessible to a user while a distal end of the flexible member is inserted into the body to a location adjacent to target tissue to be clipped and a control wire extending through the flexible member in combination with a capsule releasably coupled to a distal end of the flexible member and a clip a proximal portion of which is received within the capsule. A joint releasably coupling the clip to the control wire, includes a yoke extending around a proximal end of the clip and a frangible link which fails when subject to a predetermined force to separate the clip from the control wire. | 05-15-2014 |
20140171969 | APPARATUS AND METHOD FOR CONCURRENTLY FORMING A GASTROESOPHAGEAL VALVE AND TIGHTENING THE LOWER ESOPHAGEAL SPHINCTER - An apparatus enables concurrent restoration of a gastroesophageal valve and tightening of the lower esophageal sphincter. The apparatus comprises a longitudinal member having a distal end arranged to be received within a stomach, a tissue shaper at the distal end of the longitudinal member that forms a gastroesophageal valve from stomach tissue, and a tissue gatherer that gathers fundus tissue at or aboral to the gastroesophageal junction to reduce an esophageal opening into the stomach and tighten the lower esophageal sphincter. A fastener deployer then deploys at least one fastener pair to maintain both the restored gastroesophageal valve and the tightened lower esophageal sphincter. | 06-19-2014 |
20140200596 | TORQUE COMPENSATION - Embodiments of a clamping system are disclosed. In some embodiments, a system used with a motor assembly and a clamping device is presented, the system adjusting torque limits in the motor assembly according to conditions, for example operating temperature of the motor assembly and aging of the clamping device and the motor assembly. The clamping device can be, for example, a stapler or a vessel sealer. | 07-17-2014 |
20140200597 | BIODEGRADABLE APPARATUS AND METHOD FOR CLOSURE OF TROCAR DEFECTS - A biodegradable device for providing scaffolding for a trocar defect to promote healing. The device consists of an upper and lower scaffold, offset by a connector. The device is arranged so the distance between the lower surface of the upper scaffolding and upper surface of the lower scaffolding holds the fascia around the trocar defect while promoting tissue growth. The surfaces of the scaffolding in contact with the trocar defect are textured to maximize adherence to tissue. | 07-17-2014 |
20140207153 | DELIVERY SYSTEM, METHOD, AND ANCHOR FOR MEDICAL IMPLANT PLACEMENT - A delivery system and method for placing a medical implant, such as for diagnosing, monitoring and/or treating cardiovascular diseases. The delivery system includes a hollow catheter, an anchor coupled to the catheter, and an implant secured within the anchor. The anchor has a base portion with first and second longitudinal ends and a cage therebetween. The anchor further has flexible arms, flexible legs, features for securing the medical implant within the cage of the base portion, and a coupler portion connected to and spaced apart from the second longitudinal end of the base portion. Surfaces of the arms and legs are adapted to clamp the anchor to a wall. The system further includes a pusher wire adapted to cause the anchor to acquire a stowed configuration in which the legs axially extend from the base portion, permitting the anchor to be retrieved after its deployment. | 07-24-2014 |
20140207154 | APPARATUS AND METHOD FOR HEART VALVE REPAIR - A device and method for repairing a mitral valve leaflet | 07-24-2014 |
20140207155 | ANEURYSM CLOSURE CLIP - An aneurysm closure clip along with a system and method for use by a physician in delivering the closure clip into the vasculature of a patient is disclosed. The closure clip delivery system comprises a delivery tube in the form of a catheter, a guide wire, and a detachable closure clip. The closure clip includes a proximal side and a distal side. The distal side comprises at least two winged elements that interact with the wall of the body vessel to hold the clip in place after delivery. The proximal side includes a seal element and a guide bar. The guide bar is in communication with the guide wire during delivery. The seal element forms a barrier between the aneurysm and the rest of the body vessel, thereby, reducing any pressure exerted on the aneurysm. The seal element and optionally the winged elements include a material layer comprised of bioremodelable material, such as an extracellular matrix material (ECM). | 07-24-2014 |
20140236186 | TISSUE APERTURE SECURING AND SEALING APPARATUSES AND RELATED METHODS OF USE - Embodiments of the invention may be directed to apparatuses for securing and sealing apertures in tissue and related methods of use. | 08-21-2014 |
20140236187 | SURGICAL DEVICE FOR CONNECTING SOFT TISSUE - Provided is a surgical instrument including an external tube ( | 08-21-2014 |
20140243856 | APPARATUS AND METHOD FOR HEART VALVE REPAIR - A transcatheter method of gathering tissue of a heart valve leaflet may include inserting an elongated catheter assembly to a position adjacent the heart valve leaflet, the catheter assembly including a capture tool moveable between a retracted position and an extended position, a tissue support, and a clamping member moveable between an open position and a closed position. The capture tool may be partially retracted to gather tissue of the heart valve leaflet between the tissue support and the clamping member. The clamping member may then be moved from the open position toward the closed position so as to clamp a substantial portion of the gathered tissue of the heart valve leaflet between the tissue support and the clamping member. Subsequently, a clip may be applied from the catheter assembly to the clamped tissue so as to hold the clamped tissue substantially in a gathered configuration. | 08-28-2014 |
20140243857 | METHOD AND APPARATUS FOR OCCLUDING A BLOOD VESSEL AND/OR FOR OCCLUDING OTHER TUBULAR STRUCTURES AND/OR FOR CLOSING OPENINGS IN STRUCTURES AND/OR FOR SECURING AT LEAST TWO OBJECTS TOGETHER - Apparatus for occluding a space between a first structure and a second structure, said apparatus comprising:
| 08-28-2014 |
20140249551 | DEVICE AND METHOD FOR THROUGH THE SCOPE ENDOSCOPIC HEMOSTATIC CLIPPING - Medical device used to cause hemostasis of blood vessels using a clip arrangement delivered to a target region through an endoscope. Method for using the device to cause hemostasis of a blood vessel through an endoscope. Medical device including a reversibly closeable clip, a locking arrangement, a control wire, a sheath, and a handle with an actuating trigger. Through the endoscope, hemostatic clipping device that is fully reversible and lockable. Hemostatic clip that reversibly targets and clips bleeding ulcers. | 09-04-2014 |
20140257341 | PMVR CLIP CONFIGURATIONS FOR MITRAL LEAFLET - A clip for leaflet tissue includes a substantially cylindrical hollow body having a proximal end and a distal end. In an initial configuration of the clip, the distal end has a diameter that is smaller than the diameter of the hollow body. The distal end is held in an expanded condition for delivery into a patient. When deployed, the distal end collapses to its initial configuration to grasp onto captured leaflet tissue. | 09-11-2014 |
20140257342 | Device and Method for Through the Scope Endoscopic Hemostatic Clipping - Medical device used to cause hemostasis of blood vessels using a clip arrangement delivered to a target region through an endoscope. Method for using the device to cause hemostasis of a blood vessel through an endoscope. Medical device including a reversibly closeable clip, a locking arrangement, a control wire, a sheath, and a handle with an actuating trigger. Through the endoscope, hemostatic clipping device that is fully reversible and lockable. Hemostatic clip that reversibly targets and clips bleeding ulcers. | 09-11-2014 |
20140257343 | MEDICAL DEVICES WITH DETACHABLE PIVOTABLE JAWS - Medical systems, devices and methods are provided for engaging tissue, e.g. for clipping tissue, closing a perforation or performing hemostasis. Generally, the medical system including a housing, first and second jaws rotatable relative to the housing, a driver, and an elongate drive wire. The elongate drive wire may be disconnected from the driver, first and second jaws, and the housing, which are left in vivo engaged with the tissue. | 09-11-2014 |
20140276970 | MECHANICAL FASTENERS FOR USE WITH SURGICAL ENERGY DEVICES - A surgical system comprises an end effector including an ultrasonic blade and a capturing arm, wherein the capturing arm is movable to capture tissue against the ultrasonic blade. In addition, the surgical system includes a transducer configured to generate ultrasonic energy for transmission to the ultrasonic blade and a clamping member removably coupled to the end effector, the clamping member configured to clamp the captured tissue. | 09-18-2014 |
20140276971 | MITRAL VALVE LEAFLET CLIP - A clip used to repair the tissue of a heart valve leaflet may include a shaft having a barb and a plurality of legs connected to the shaft. The plurality of legs may extend away from the barb in a first condition, and may extend towards the barb in a use condition. The clips may be delivered to the heart valve leaflet and applied to the same in a minimally invasive procedure using a transcatheter device. The device may be used to apply a single clip to the leaflet tissue or multiple clips. | 09-18-2014 |
20140296879 | HERMETIC ROTATING HANDLE ASSEMBLY FOR A SURGICAL CLIP APPLIER FOR LAPAROSCOPIC PROCEDURES - This invention provides hermetically-sealed handle assembly with a rotating trigger for use with disposable components, such as surgical clip appliers. The rotating trigger reduces the gripping force necessary to fully control the internal actuator mechanism to operate a disposable surgical clip applier to fully ligate a vessel or other tissue. The hermetic seal on the handle assembly prevents any patient fluids and other bioburden from entering the internal structures. This reduces the possibility of cross-contamination and the costs of sterilization. | 10-02-2014 |
20140303650 | Surgical Clip Applier Methods - A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and an elongate shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween. | 10-09-2014 |
20140316440 | MULTIPLE CLIP ENDOSCOPIC TISSUE CLIPPING SYSTEM AND DEVICE - An apparatus for endoscopic clipping of a surgery site comprising: a clip deployment mechanism operatively coupled to an actuator via a hollow elongate enclosure; wherein the clip deployment mechanism houses a plurality of surgical clips exterior to the enclosure; and wherein, in response to the actuator, the clip deployment mechanism sequentially deploys the surgical clips to the surgery site. | 10-23-2014 |
20140324073 | SURGICAL CLAMP APPARATUS AND A SURGICAL CLAMP FOR USE IN KEYHOLE SURGERY - A surgical clamp for forming a clamping loop around a bodily lumen is disclosed. The clamp is deliverable through keyhole surgery. The clamp comprises: an elongate body comprising an elongate deformable layer having a first hardness and an elongate core having a second hardness, the first hardness less than the second hardness; a leading portion comprising a gripper, the gripper having an open mouth gripably engageable with the deformable layer to form the clamping loop; and a trailing portion. The elongate body joins the trailing portion to the leading portion. The elongate body is biased to move from a constrained generally straight condition within a delivery device to an unrestrained curled condition within a patient. | 10-30-2014 |
20140336675 | Articulating Steerable Clip Applier for Laparoscopic Procedures - A long articulating steerable clip applier affixed to a user-operated handle. A surgical jaw assembly is attached to the other end of the clip applier. The clip applier is composed of articulating phalanges that are connected end to end by pivoting links and capable of angulations relative to one another when subjected to a tensile force. Each phalange has opposing s-shaped exterior grooves that form two continuous spiral-shaped channels for holding tension wires once the phalanges are assembled. Multiple tension wires are attached to opposite ends of adjacent phalanges. When each wire is pulled, this tensile force causes the phalanges to pivot at equivalent angles with each other. As each individual phalange pivots by an equivalent angle, the sum of these angles causes the free end of the clip applier to pivot by a large angle or a cascading actuation effect. | 11-13-2014 |
20140364874 | Hemostatic Clip and Delivery System - A clipping device includes (a) a shaft defining a lumen therethrough from a proximal end which, during a procedure remains outside the body accessible to a user and a distal end including a distal opening which, during a procedure is inserted into the body to a position adjacent to target tissue; (b) a flexible clip deployable from the distal opening, when in an unconstrained state, the clip assuming a shape selected to clip tissue and prevent a flow of fluid therethrough wherein, while residing within the lumen the clip is held substantially straight by an inner diameter of the lumen; (c) a control wire extending through the lumen from the proximal end to the distal end thereof; and (d) a release mechanism connecting the control wire to the clip during deployment of the clip and disconnecting the control wire from the clip after deployment thereof. | 12-11-2014 |
20140379002 | APPARATUS AND METHOD FOR HEART VALVE REPAIR - A method of gathering tissue of a heart valve leaflet | 12-25-2014 |
20150038987 | Applier For Anchoring A Lining To A Hollow Organ - The present invention relates generally to medical apparatuses and methods and more particularly to devices and methods for positioning and anchoring a lining to a hollow body organ, such as a stomach, intestine or gastrointestinal tract. | 02-05-2015 |
20150038988 | APPARATUS AND METHOD FOR HEART VALVE REPAIR | 02-05-2015 |
20150045815 | APPARATUS FOR HEART VALVE REPAIR | 02-12-2015 |
20150045816 | Clip applying apparatus with angled jaw - A clip applying apparatus is provided which includes a jaw mechanism having a stationary jaw and a movable jaw. The movable jaw is supported on or formed integrally with the distal end of a crimping member which is movably supported within a body portion of the apparatus. The stationary jaw defines a longitudinal axis which forms an angle θ of between about 15 degrees and about 15 degrees and about 75 degrees in relation to a longitudinal axis of the body portion. In another embodiment, the stationary jaw includes a clip receiving channel which is configured to at least partially receive a surgical clip. In one embodiment, the distal end of the stationary jaw includes a stop member which is positioned to engage the distal end of the stationary jaw includes a stop member which is positioned to engage the distal end of a leg of a surgical clip to prevent the surgical clip from being pushed from the stationary jaw during operation of the apparatus and the movable jaw includes a distally located crimping surface and a head portion defining a recessed channel configured to receive a portion of a surgical clip supported on the stationary jaw. In yet another embodiment, the crimping surface defines an acute angle β in relation to the longitudinal axis of the body portion, and in one embodiment, angle β is substantially the same as angle θ. | 02-12-2015 |
20150057681 | DEVICES AND METHODS FOR LUMEN OCCLUSION - A system may include an introducer sheath including a retention member configured to anchor the introducer sheath in a natural body lumen having a wall. The system may also have an elongate member extending along a longitudinal axis through a working channel of the introducer sheath. Additionally, the system may have a manipulating portion coupled to a distal end of the elongate member. The manipulating portion may include at least one selectively actuatable member configured to transition between an undeployed configuration and a deployed configuration. In the undeployed configuration, the at least one actuatable member may extend substantially parallel to the longitudinal axis and in at least one position in the deployed configuration, the at least one actuatable member may extend radially outwardly from the longitudinal axis. In the deployed configuration, the manipulating portion and elongate member may be configured to be proximally retracted toward the working channel of the introducer sheath so as to move a distal portion of the wall towards a proximal portion of the wall. | 02-26-2015 |
20150073439 | SURGICAL CLIP APPLIER WITH ARTICULATION SECTION - An instrument for clamping a surgical clip has a handle assembly, a shaft assembly, and an end effector. The handle assembly has a trigger and an articulation knob. The shaft assembly has an outer ground tube, a middle articulation tube, and a push/pull tube disposed within the middle articulation tube. The trigger is operable to cause longitudinal translation of the push/pull tube. The outer ground tube and the middle articulation tube present mating angled faces sloped in opposing directions. Rotation of the articulation knob causes rotation of the middle articulation tube. Rotation of the middle articulation tube changes the orientation of the angled faces and thus causes articulation of the middle articulation tube and the push/pull tube. The end effector has a pair of jaws configured to apply a surgical clip to a vessel. Longitudinal translation of the push/pull tube causes closure of the pair of jaws. | 03-12-2015 |
20150100070 | MEDICAL DEVICES WITH DETACHABLE PIVOTABLE JAWS - Medical systems, devices and methods are provided for engaging tissue, e.g. for clipping tissue, closing a perforation or performing hemostasis. Generally, the medical system including a housing, first and second jaws rotatable relative to the housing, a driver, and an elongate drive wire. The elongate drive wire may be disconnected from the driver, first and second jaws, and the housing, which are left in vivo engaged with the tissue. | 04-09-2015 |
20150133966 | SURGICAL FASTENER DEPLOYMENT SYSTEM - A deployment device and an associated surgical fastener as well as their methods of use are disclosed. In one embodiment, the deployment device includes a restraining mechanism constructed and arranged to temporarily limiting movement of a surgical fastener back span. The surgical fastener includes two legs extending in a distal direction from opposing ends of the back span. The legs are in a first closed position with a first shape. The deployment device also includes a spreader configured and arranged to engage the legs of the surgical fastener in the first closed position. When the spreader is moved in a distal direction relative to the back span, the spreader spreads the legs of the surgical fastener from the first closed position to a second open position as the back span is limited from distally moving by the restraining mechanism. | 05-14-2015 |
20150297239 | MEDICAL DEVICES WITH DETACHABLE PIVOTABLE JAWS - Medical systems, devices and methods are provided for engaging tissue, e.g. for clipping tissue, closing a perforation or performing hemostasis. Generally, the medical system including a housing, first and second jaws rotatable relative to the housing, a driver, and an elongate drive wire. The elongate drive wire may be disconnected from the driver, first and second jaws, and the housing, which are left in vivo engaged with the tissue. | 10-22-2015 |
20150305741 | ENDOSCOPE TREATMENT TOOL - An endoscope treatment tool includes: a clip unit having a clip main body which includes first and second arm portions, a pressing tube which is formed in a tube shape, a locking portion which protrudes from an inner circumferential surface of a proximal end of the pressing tube, and a locked portion which protrudes from the clip main body; a linear member connected to the clip unit; a sheath in which the linear member is inserted; and a fracture mechanism connected to a proximal end of the linear member. The fracture mechanism includes a first support member connected to the linear member, a second support member disposed on a proximal end side of the first support member, and a fracturable member disposed between the first support member and the second support member so as to connect the first support member and the second support member. | 10-29-2015 |
20150313601 | MINIMALLY INVASIVE SURGICAL CLIP APPLIER - A surgical clip applier having an adjustable jaw open dimension, including an instrument body having jaws at a distal end and an actuator at a proximal end; an actuator shaft movable longitudinally relative to the instrument body to transmit actuating force from the actuator to the jaws; and an adjusting member threadedly engaged with the actuator shaft and configured to engage the instrument body at a jaw open position, wherein rotation of the adjusting member relative to the actuating shaft moves the adjusting member longitudinally relative to the actuating shaft to adjust a jaw open position of the jaws when the adjusting member contacts the instrument body. | 11-05-2015 |
20150374380 | APPENDAGE CLAMP DEPLOYMENT ASSIST DEVICE - The instant disclosure is directed to devices and methods for deploying a biased occlusion clamp. In addition, the present disclosure includes devices and methods for deploying a biased occlusion clamp using robotics. Moreover, the present disclosure includes devices and methods for reducing the force necessary to open an occlusion clamp without permanently compromising the clamping force of the clamp itself. | 12-31-2015 |
20150374381 | ENDOSCOPE TREATMENT TOOL - An endoscope treatment tool includes a clip main body which includes a pair of arm portions; a pressing tube through which the clip main body is inserted; a locking portion which is disposed on an inner circumferential surface of a proximal end of the pressing tube; a locked portion which is disposed on the proximal end side of the clip main body; a sheath portion; a linear member connected to the clip main body and inserted through the sheath portion; a stopper portion which is configured to regulate a protrusion length of the linear member with respect to the distal end of the sheath portion; and a connection member which is disposed at a distal end of the linear member such that a connection between the linear member and the clip main body is released by regulating a movement of the clip main body. | 12-31-2015 |
20160007994 | METHOD AND APPARATUS FOR SECURING SOFT TISSUE TO BONE | 01-14-2016 |
20160030044 | LOCKING CAM DRIVER AND JAW ASSEMBLY FOR CLIP APPLIER - The present disclosure relates to an apparatus for endoscopic application of surgical clips to body tissue. The apparatus includes a handle portion, an elongated tubular member, one or more surgical clips, a jaw assembly and a locking cam driver. The elongated tubular member extends distally from the handle portion and defines a longitudinal axis. The surgical clips are disposed within the tubular member. The locking cam driver includes a bifurcated distal end portion that has a pair of angled camming surfaces to facilitate closure of the jaw assembly. | 02-04-2016 |
20160038149 | BODILY TISSUE TREATMENT KIT - The invention relates to a clamp for treating a bodily tissue having a prolapse, the clamp including a body and at least two flexible arms for clamping the prolapse protruding with respect to the body, each clamping arm comprising a proximal end connected to the body and a free distal end opposite to the proximal end. The clamp includes at least one flexible member for crushing the prolapse, the crushing member protruding from the body or from one of the arms. | 02-11-2016 |
20160066917 | A SURGICAL CLAMP APPARATUS AND A SURGICAL CLAMP FOR USE IN KEYHOLE SURGERY - A surgical clamp assembly | 03-10-2016 |
20160066919 | SURGICAL CLIP APPLIER WITH ARTICULATION SECTION - An instrument for clamping a surgical clip has a handle assembly, a shaft assembly, and an end effector. The handle assembly has a trigger and an articulation knob. The shaft assembly has an outer ground tube, a middle articulation tube, and a push/pull tube disposed within the middle articulation tube. The trigger is operable to cause longitudinal translation of the push/pull tube. The outer ground tube and the middle articulation tube present mating angled faces sloped in opposing directions. Rotation of the articulation knob causes rotation of the middle articulation tube. Rotation of the middle articulation tube changes the orientation of the angled faces and thus causes articulation of the middle articulation tube and the push/pull tube. The end effector has a pair of jaws configured to apply a surgical clip to a vessel. Longitudinal translation of the push/pull tube causes closure of the pair of jaws. | 03-10-2016 |
20160113651 | SURGICAL DEVICE - A medical instrument comprising: (A) a first joint comprising a first member and a second member, the first member configured to be repositionable with respect to the second member in an X-Y plane; (B) a second joint operatively coupled to the first joint, the second joint comprising a third member and a fourth member, the third member configured to be repositionable with respect to the fourth member in a Y-Z plane perpendicular to the X-Y plane; and, (C) a controller operatively coupled to the first joint and the second joint, the controller including a first control configured to direct repositioning of at least one of the first member and the second member, and a second control configured to direct repositioning of at least one of the third member and the fourth member. | 04-28-2016 |
20160113656 | SURGICAL DEVICE - A medical instrument comprising: (A) a first joint comprising a first member and a second member, the first member configured to be repositionable with respect to the second member in an X-Y plane; (B) a second joint operatively coupled to the first joint, the second joint comprising a third member and a fourth member, the third member configured to be repositionable with respect to the fourth member in a Y-Z plane perpendicular to the X-Y plane; and, (C) a controller operatively coupled to the first joint and the second joint, the controller including a first control configured to direct repositioning of at least one of the first member and the second member, and a second control configured to direct repositioning of at least one of the third member and the fourth member. | 04-28-2016 |
20160128697 | RETAINING DEVICE - A retaining device includes a first member, a second member, a third member, a support section supporting the first member and supporting the second member and the third member movably relative to the first member, and a manipulation part moving the first member, the second member, and the third member relative to each other. The first member and the third member can grasp a first tissue with the first tissue disposed between the first member and the second member and between the first member and the third member, and the first member and the second member can grasp the first tissue and a second tissue such that the second tissue is disposed between the first member and the second member and between the second member and the third member to contact with the first tissue with the first member and the third member grasping the first tissue. | 05-12-2016 |
20160128698 | Device and Method for Through the Scope Endoscopic Hemostatic Clipping - Medical device used to cause hemostasis of blood vessels using a clip arrangement delivered to a target region through an endoscope. Method for using the device to cause hemostasis of a blood vessel through an endoscope. Medical device including a reversibly closeable clip, a locking arrangement, a control wire, a sheath, and a handle with an actuating trigger. Through the endoscope, hemostatic clipping device that is fully reversible and lockable. Hemostatic clip that reversibly targets and clips bleeding ulcers. | 05-12-2016 |
20160128832 | DEVICE FOR TREATMENT OF BODY TISSUE, AND ASSOCIATED TREATMENT KIT - A device for treating a body tissue having a prolapse comprising two clamping assemblies, each clamping assembly being able to clamp a free edge of the body tissue on either side of the prolapse, and a membrane connecting both clamping assemblies to each other, the membrane being able to be held taut facing the prolapse by both clamping assemblies, is provided herein. | 05-12-2016 |
20160143642 | Clamp and Applicator - The present invention provides a surgical clamp comprising a temperature sensitive shape memory material, the clamp capable of taking up a first form in which the clamp ( | 05-26-2016 |
20160143644 | Device and Method for Through the Scope Endoscopic Hemostatic Clipping - Medical device used to cause hemostasis of blood vessels using a clip arrangement delivered to a target region through an endoscope. Method for using the device to cause hemostasis of a blood vessel through an endoscope. Medical device including a reversibly closeable clip, a locking arrangement, a control wire, a sheath, and a handle with an actuating trigger. Through the endoscope, hemostatic clipping device that is fully reversible and lockable. Hemostatic clip that reversibly targets and clips bleeding ulcers. | 05-26-2016 |
20160151070 | CLIP APPLICATOR | 06-02-2016 |
20160151072 | CLIP DEPLOYMENT TOOL AND ASSOCIATED METHODS | 06-02-2016 |
20160174954 | CLIP APPLIER AND METHODS OF USE | 06-23-2016 |
20160192913 | APPARATUS AND METHODS FOR ENGAGING TISSUE | 07-07-2016 |
20160249925 | SURGICAL CLIP APPLIER | 09-01-2016 |
20160249926 | JAW CLOSURE MECHANISM FOR A SURGICAL CLIP APPLIER | 09-01-2016 |
20180021044 | Method and Apparatus for Clamping Tissue Layers and Occluding Tubular Body Structures | 01-25-2018 |
20190142426 | CLIPPING DEVICE FOR ENDOSCOPE | 05-16-2019 |
20190142428 | CLIP APPLIER | 05-16-2019 |
20190142430 | NON-INVASIVE SURGICAL LIGATION CLIP SYSTEM AND METHOD OF USING | 05-16-2019 |
20190142447 | TRANSAPICAL DELIVERY MITRAL VALVE PROCEDURE DEVICES | 05-16-2019 |
20220133327 | VALVE CLIP WITH COATINGS AND VALVE CLAMPING SYSTEM - The application provides a valve clamping system. The valve clamping system includes a pushing device and a valve clip with coatings. The valve clip includes a push rod, the coatings, and a proximal clamping plate, and a distal clamping plate. The proximal clamping plate and the distal clamping plate extend radially outwardly relative to the push rod. The distal clamping plate is connected to the push rod. The proximal clamping plate is arranged between the push rod and the distal clamping plate. A valve holding space is formed between the proximal clamping plate and the distal clamping plate. The push rod is capable of driving the distal clamping plate to be expanded radially. The proximal clamping plate is capable of expanding toward the distal clamping plate by an elastic strain of the proximal clamping plate and is configured to clamp a valve tissue received in the valve holding space. | 05-05-2022 |