The present disclosure relates generally to the field of medical devices and establishing fluid communication between body lumens. In particular, the present disclosure relates to devices and methods for body lumen access and/or drainage, and devices and methods for creating an open flow passage between two or more body lumens.

A system for endoscopically forming an anastomosis between two naturally adjacent points in the digestive tract. The system utilizes elongate magnetic devices that, when connected across a tissue boundary, necrose tissue until an anastomosis forms and the devices are passed naturally. Despite the elongate shape of the devices, the resulting anastomosis is substantially round. As such, round anastomoses can be formed having increased diameters merely by increasing the lengths of the devices, obviating the need for wider endoscopes.

Systems and methods for forming an anastomosis between two adjacent walls of a digestive tract are provided. The system can include first and second magnetic implants configured to magnetically couple through two adjacent walls of the digestive tract to compress a portion of the two adjacent walls therebetween and form a necrotic area that becomes surrounded by a scarred edge following a healing time period. The magnetic implant can include a magnetic member and a non-magnetic member. The system can include a retention member extending outwardly from a corresponding one of the first and second magnetic implants, the retention member being configured to retain the magnetic implants in position and prevent passage thereof through the necrotic area during the healing time period, and to maintain an engagement between the magnetic member and the non-magnetic member during the healing time period and enable disengagement thereof following the healing time period.

A tissue displacing and fastening device is provided for manipulating and fastening tissue together. The device includes a tissue displacing elements, which displaces tissue. A fold is formed from the displaced tissue and the tissue is fastened together to secure the fold.

A stent for anastomosis of different kinds of organs includes a main body, and at least one fixing unit provided in the main body. At least a portion of the main body is inserted into one of different kinds of organs to be anastomosed with each other, and the rest of the main body is inserted into the other of the different kinds of organs. A distance between the different kinds of organs under the anastomosis is maintained by the fixing units.

A method for characterizing a state of an end effector of an ultrasonic device is disclosed. The ultrasonic device including an electromechanical ultrasonic system defined by a predetermined resonant frequency. The electromechanical ultrasonic system further including an ultrasonic transducer coupled to an ultrasonic blade. The method including applying, by an energy source, a power level to the ultrasonic transducer, measuring, by a control circuit coupled to a memory, an impedance value of the ultrasonic transducer, comparing, by the control circuit, the impedance value to a reference impedance value stored in the memory; classifying, by the control circuit, the impedance value based on the comparison; characterizing, by the control circuit, the state of the electromechanical ultrasonic system based on the classification of the impedance value; and adjusting, by the control circuit, the power level applied to the ultrasonic transducer based on the characterization of the state of the end effector.

An illustrative stent may include a tubular member defined by at least one knitted filament forming a plurality of twisted knit stitches with rungs extending circumferentially between radially adjacent twisted knit stitches, where each twisted knit stitch is interconnected with a longitudinally adjacent twisted knit stitch forming a series of linked stitches. The tubular member may be implanted to connect two spaced apart anatomical locations within the digestive tract, moving between a relaxed configuration and an elongated configuration. The tubular member has a first longitudinal length in the relaxed configuration and a second longitudinal length in the elongated configuration, and the first longitudinal length is less than the second longitudinal length.

An implantable flow-restricting device, extending along a longitudinal extent which need not be linear, and having a first portion and a second portion with a saddle region therebetween. At least one of the first or second portions may be angled with respect to the saddle region to resist migration of the device. At least one of the first or second portions may be configured to maintain a distance from a region of the anatomical structure in which such portion is positioned. An occluder, such as an expandable occluder, may be associated with the flow-restricting device, such as with one of the first or second portions thereof. The occluder may serve to block passage of material through the anatomical passage in which the saddle region is positioned, prevent migration of the device (e.g., through such passage), and/or increase volume occupied by the device.

A mesh element having a mesh gauge selected to control flow of materials therethrough. The mesh element is implantable into an anatomical structure upstream of a body passage or within a body passage to control flow of materials through the body passage. The mesh element may be coupled to a support structure to facilitate anchoring of the mesh element in place relative to the body passage. The support structure may have a lumen defined therethrough to allow flow of materials through the body passage, with the mesh element regulating the flow of materials into the lumen. The mesh element alternatively may be directly coupled to an anatomical structure upstream of a body passage to regulate or determine flow of materials through the body passage.

Methods and apparatus for safely forming anastomoses comprise magnetic members configured to accommodate different tissue types and patients of differing size and weight. The magnetic members may comprise first and second magnetic members configured to engage each other with a force sufficient to form anastomosis while taking a sufficiently long time to allow the intestinal walls to fuse together. The first and second magnetic members can be configured to form anastomoses between both similar and different types of intestinal tissue. An elongate surgical placement instrument can be configured to engage and manipulate the first and second magnet members through the intestinal wall from outside the intestinal wall in order to place each of the magnetic members at desired locations.