A perforated sheath is anchored in a tissue opening with the aid of a tool, wherein the anchorage is achieved with the aid of mechanical vibration and a material which is liquefiable by the vibration. The tool includes a vibrating element and a counter element. Distal portions of both elements are introduced into the sheath to be in contact with each other at an interface. The vibrating element is connected to a vibration source and the vibrating element and the counter element are held against each other for effecting liquefaction of the liquefiable material at the interface. Under the effect of the force applied to the vibrating and counter element for holding them against each other, the liquefied material flows from the interface through the sheath perforation and penetrates the tissue.

An end effector comprising a staple cartridge and an anvil is disclosed. The staple cartridge comprises a cartridge body including a deck, a cartridge longitudinal slot configured to receive a cutting member, a first set of staple cavities, and a second set of staple cavities. The staple cartridge further comprises staples, longitudinal rows of staple drivers, and an implantable layer assembly releasably attached to the cartridge body. The implantable layer assembly comprises a first layer positioned over the first set of staple cavities and a second layer positioned over the second set of staple cavities. The anvil comprises a plurality of staple-forming pockets comprising a first set of staple-forming pockets and a second set of staple-forming pockets. The anvil further comprises an anvil longitudinal slot comprising a T-shaped opening configured to receive the cutting member. The T-shaped opening extends behind the first set of staple-forming pockets.

Devices and methods for sealing staples in tissue using adjuncts coupled to an individual staple are described herein. In one embodiment, a staple cartridge assembly is described that can include a cartridge body having a plurality of staple cavities, where each staple cavity has a surgical staple disposed therein. The assembly can also include a plurality of adjuncts, where each adjunct is disposed around at least one leg of a surgical staple such that each adjunct forms a seal around the at least one leg of the surgical staple upon deployment of the surgical staple from the cartridge body.

A method of bone fixation comprises the steps of implanting at least one first fixation element into a respective first anatomical body such that a portion of the first fixation element extends out from an exterior surface of the first anatomical body, and implanting at least one second fixation element into a respective second anatomical body that is adjacent the first anatomical body, such that a portion of the second fixation element extends out from an exterior surface of the second anatomical body. A hardenable material is applied to the portion of each of the fixation elements that extends out from the exterior surface of the respective anatomical body when the hardenable material is in an unhardened state. The hardenable material is hardened such that the hardenable material forms a hardened construct together with the bone fixation elements that bridges the anatomical bodies.

The invention relates to a medical implant (1) comprising a patch (2). The implant is adapted to close a defect (3), preferably a an opening in a ventricular or atrial septum (4). The medical implant (1) comprises at least one mechanical anchor (5). The anchor may comprise a barb (6) and is adapted to pierce the patch (2) and/or biological tissue (4) such as to fix the medical implant (1) to said tissue (4). The medical implant can be deployed by a delivery device (7). The delivery device (7) may comprise a balloon (8, 8), preferably at least two balloons (8, 8).

A method and device for placing an epicardial anchor in a heart are described. An anchor placement device includes a tube, a needle formed on a distal end of the tube, an inflatable balloon in proximity to the distal end of the tube, and a control plate located proximally from the inflatable balloon. The anchor placement device is configured to pierce from an endocardium layer of the heart through an epicardium layer of the heart and then inflate the balloon to form an anchor located outside the epicardium layer. Meanwhile, the control plate is configured to abut against the endocardium layer and reduce movement of the tube while the balloon is inflated.

Disclosed herein is an implant for use in a body, at least one portion of the surface of the implant being mutually engageable with at least one portion of at least one body part.

Also disclosed is a method of surgery comprising the steps of: forming an implant comprising at least one portion of the surface of the implant being mutually engageable with at least one portion of at least one body part, applying a layer of adhesive to the at least one portion of the surface, and engaging the at least one portion of the surface with the at least one portion of at least one body part.

A perforated sheath is anchored in a tissue opening with the aid of a tool, wherein the anchorage is achieved with the aid of mechanical vibration and a material which is liquefiable by the vibration. The tool includes a vibrating element and a counter element. Distal portions of both elements are introduced into the sheath to be in contact with each other at an interface. The vibrating element is connected to a vibration source and the vibrating element and the counter element are held against each other for effecting liquefaction of the liquefiable material at the interface. Under the effect of the force applied to the vibrating and counter element for holding them against each other, the liquefied material flows from the interface through the sheath perforation and penetrates the tissue.

The invention has been particularly developed for a controlled embolisation application in arterial and venous embolisation, and relates to a device used for halting the progression of aneurysm and reflux closing/aneurysms, blocking/arteries closing/arteriovenous malformations/-venous reflux procedures.

The present disclosure describes a device that can be implanted into the left atrial appendage for occlusion. The device can prevent or reduce thrombus formation in this anatomic region for patients with atrial fibrillation. This device includes a patient-specific inflatable device that represents a patient's anatomy or morphological class. The inflatable device can be designed by imaging (e.g., computed tomography, magnetic resonance imaging) the patient's anatomy. Through a catheter (or surgically), the inflatable device can be filled with an inflation fluid to occlude the appendage in a patient-specific fashion.