A system for treating mitral regurgitation may include an outer sheath having a lumen extending to a distal end of the outer sheath, an intermediate sheath slidably disposed within the lumen of the outer sheath, the intermediate sheath having a lumen extending to a distal end of the intermediate sheath, and an inner sheath slidably disposed within the lumen of the intermediate sheath, wherein the inner sheath includes a first anchor disposed within a lumen of the inner sheath, the first anchor being configured to penetrate and secure to a first papillary muscle. The intermediate sheath may include a tissue grasping mechanism at the distal end of the intermediate sheath, the tissue grasping mechanism being configured to hold and stabilize the first papillary muscle for penetration and securement of the first anchor to the first papillary muscle.

Provided is an ophthalmic surgical instrument which can prevent curving of a pipe during a surgical procedure and can pull out a reinforcement sleeve by a required length such that the reinforcement sleeve covers the pipe. An ophthalmic surgical instrument (10) working in an eyeball includes a body portion (15) having a through-hole, a reinforcement sleeve (13) contacting an inner surface of the through-hole of the body portion (15), a pipe (12) passing through the inside of the reinforcement sleeve (13) and having a working portion (11) protruding from a tip end, and a movement member (17) connected to the pipe (12) and sliding in an axial direction of the ophthalmic surgical instrument to slide the pipe (12). A first slide mechanism allowing the reinforcement sleeve (13) to slide in the axial direction of the ophthalmic surgical instrument and a second slide mechanism allowing the pipe (12) to slide in the axial direction of the vitreous forceps are provided. Any one of the first and second slide mechanisms is an independent slide mechanism not influenced by the other slide mechanism.

Aspects of retrieval devices, methods, and systems are disclosed. One aspect is a retrieval device comprising: a housing; a plunger with a distal end rotatably and slidably mounted in the housing; a sheath extending distally from the housing to define a sheath lumen with a sheath lumen opening; a drive wire extending distally from the plunger, through the housing, and into the sheath lumen; an end effector on a distal end of the drive wire; and a resilient element that biases the plunger proximally between a first position, wherein the end effector is proximal of the sheath lumen opening, and a second position, wherein at least a portion of the end effector is distal of the sheath lumen opening. Related methods and systems are also disclosed.

The present disclosure describes systems and methods for selectively constraining an orientation of a portion of a surgical tool system relative to another. Example surgical tool systems may include a surgical tool having at least one movable component, at least one actuation component, and a surgical tool attachment. The surgical tool attachment may be operable selectively to engage and disengage the moveable component so as to prevent movement of the movable component relative to the surgical tool in an engaged configuration and to permit movement of the movable component relative to the surgical to in a disengaged configuration, respectively. In the engaged configuration, a dynamic component of the surgical tool system may be fixed relative to the surgical tool, and, in a disengaged configuration, the dynamic component may be freely movable relative to the surgical tool.

A surgical instrument may have a handle, a support sleeve, and an inner sleeve. Illustratively, the support sleeve may be configured to actuate relative to the inner sleeve to protect the inner sleeve before and after a surgical procedure and to expose a portion of the inner sleeve during the surgical procedure. In one or more embodiments, an application of a force to a distal end of the support sleeve may be configured to retract the support sleeve relative to the inner sleeve. Illustratively, a reduction of a force applied to the distal end of the support sleeve may be configured to extend the support sleeve relative to the inner sleeve.

A device for engaging tissue includes a body disposable around the distal end of a medical instrument, such as an endoscope, and a handpiece. The body includes a primary channel for receiving the medical instrument and at least one arm channel for receiving an arm therethrough. At least one arm extends through the arm channel of the body and proximally to the handpiece. The arm includes an engagement member distally of the body, and may further include a bend between the body and engagement member. The engagement member is movable between a first position not contacting tissue and a second position contacting tissue. With multiple engagement members, the engagement members are farther apart from one another in the first position and closer together in the second position. Movement of the engagement members is controlled by selective and independent movement of the corresponding arms by rotational and/or translational motion.

In various aspects, a microsurgical apparatus disclosed herein includes a shaft having a shaft distal end, a shaft proximal end with a handle mounted to shaft proximal end. The microsurgical apparatus includes a tool package having an actuator at a tool package proximal end of the tool package and a tool at a tool package distal end of the tool package. The actuator cooperates mechanically with the tool. A sleeve lumen disposed within the tool package slidably receives the shaft for releasable lockable engagement of the tool package proximal end with the handle and with the shaft distal end being generally coextensive with the tool package distal end. Light source(s) and image sensor(s) located proximate the shaft distal end allow viewing of regions distal to the shaft including the tool when the tool package is mounted to the shaft. Exemplary methods of use of the microsurgical apparatus are also disclosed herein.

Described here are systems, devices, and methods for providing remote manipulation or traction to tissue using one or more graspers, delivery devices, and magnetic control assemblies. The graspers may be configured for insertion into the patient during a minimally-invasive procedure, such as a laparoscopic operation. The graspers may be configured to releasably connect to tissue. In some embodiments, the grasper may comprise a clip, a clamp, a suction device, a coil, or the like, and may be configured to connect to any suitable tissue. Delivery devices may be configured to releasably engage a grasper to deliver the grasper, remove it from the patient, or reposition it. The delivery devices may additionally be configured to actuate the grasper to attach it to tissue and/or detach it from tissue. The magnetic control elements may be configured to be positioned externally of the body to move, reposition, and/or hold the grasper.

Conventional vasectomy techniques suffer from a number of disadvantages and potential complications, including, for example, a substantial risk for the development of hematomas, swelling, and post-surgical pain, a potential for spontaneous regeneration and undesired resumption of fertility, a need for a highly skilled surgical professional, as well as a long recovery period, accompanied by severe limitations on post-surgical activity. The present invention overcomes the disadvantages and deficiencies of the prior art by providing vasectomy instruments, kits, and methods that allow for a rapid, reliable, less invasive male sterilization procedure that may be readily, reliably and successfully performed by minimally skilled personnel around the world in a variety of medical settings.

Handheld forceps comprising: a body comprising trunk and a first arm and a second arm extending from a base of the trunk coupled at one end and separated from one another at a second end; a rod disposed in the body, the rod comprising a first end positioned in the first arm and a second end positioned in the second arm and forming an apex in the trunk; a compression spring disposed around the apex of the rod in the trunk; and a button coupled to the apex of the rod and protruding through an opening in the trunk. Also a method of using the handheld forceps.