A left atrium appendage (LAA) isolator, including: a body sized and shaped to fit an at least partially inverted LAA of a human adult, wherein a distal end of said body defines a two-state sealing adaptor interface configured in a first state to apply a radially outward force against a wall of said LAA or against a wall of said LAA opening sufficient to anchor said body to the LAA wall, and in a second state the sealing adaptor interface is configured to apply a radially inward force on a portion of the inverted LAA positioned within said body.

Devices and methods of endolumenal formation of gastric sleeves are described. Some embodiments allow templating of a gastric sleeve by a gastric bougie, exposing a selected amount of tissue for suturing access, while maintaining sufficient internal working space for suturing within the template lumen.

Some suturing devices include a pair of flexible arms configured to force two pieces of tissue together and form a protrusion defined by the two pieces of tissue. Some suturing devices include a third flexible arm including a movable needle configured to apply a suture through both pieces of tissue of the protrusion. Some suturing devices include an actuator configured to move each flexible arm of the pair of flexible arms independently relative to the tissue and move the third flexible arm relative to the tissue. Some suturing devices include a pump configured to generate a suction force through the pair of flexible arms to force the tissue towards the pair of flexible arms.

A heart tissue gripping device may include a body portion, an elongate shaft, and a tissue gripping member that is attached to the distal end of the elongate shaft. The tissue gripping member being may be positioned adjacent a heart surface by insertion through an incision in the body. The tissue gripping member may releasably attach to tissue of the heart surface to facilitate a surgical instrument in performing one or more procedures. A coupling of the tissue gripping member may releasably attach the surgical device to the tissue gripping member to allow the device to access the tissue of the heart surface.

A tissue clip application fitting set or retrofitting set includes a cap attachment for placement on the distal head of a medical endoscope, which has a placement section and a tissue clip holding section. The cap attachment is notched at least at two angular positions forming at least two notches/slots/grooves. A working channel leads into the hollow chamber and exits the hollow chamber radially in a region distal to the placement section and proximal to the radially supported tissue clip. A first guiding or leading element is arranged after the working channel belonging to the retrofitting set, as seen in the distal direction. A corresponding second guiding or leading element is arranged within the hollow chamber at an angular distance from the first guiding or leading element so as to be oriented in extension to a working channel belonging to the endoscope.

The present application provides a ligation release device, comprising: a handle (1), an operating component (2), a suction component (3), a release component (4) and an illumination component (5), wherein the illumination component (5) is arranged in the handle (1) and comprises a light source (51), a wire (52) and a control switch (53), and the control switch (53) is connected to the light source (51) by means of the wire (52). In practical applications, the light source (51) can be turned on by operating the control switch (53), thereby illuminating a ligation area at the distal end of the handle (1), eliminating shadow influence and facilitating the implementation of ligation operation. The ligation release device can improve the ease and accuracy of surgical operation without an external auxiliary apparatus.

A surgical instrument includes an end effector assembly including first and second grasping components each defining a tissue-contacting portion. One or both of the grasping components is movable relative to the other to a closed position wherein the tissue-contacting portions cooperate to define a grasping area therebetween. One or both of the grasping components is configured to apply energy from the tissue-contacting portion thereof to tissue disposed within the grasping area to treat tissue. The tissue-contacting portion of the first grasping component defines a first opening disposed within the grasping area and in communication with a first lumen defined at least partially through the first grasping component. The first lumen is adapted to connect to a source of vacuum to enable aspiration through the first opening.

A catheter is provided which includes an outer catheter and an extendable inner catheter. A sealing feature is positioned between the inner catheter and the outer catheter to seal the annular gap between the two while allowing axial translation. The seal may be a compliant protrusion surrounding the inner catheter and may have a chevron-shape for facilitating axial translation. The seal may be a one-way valve configured to allow antegrade flushing but prevent retrograde flow. The seal may be squeegee-like flange on the distal tip of the outer catheter. The seal may be an expandable bulge, which may be mechanically expandable or inflatable or which may be a photosensitive or electrosensitive hydrogel. The seal may include a spring that is radially compressed upon translation or rotation of the inner catheter to transiently break the seal. Also provided is a seal for sealing between the catheter and the vasculature.

Aspects are directed to an improved suction catheter that increases the effectiveness of clearing the airway, reducing the need for separate suctioning and foreign body grasping instruments. The embodiments described herein provide medical personnel the ability to use one hand and catheter to selectively grasp an anatomically lodged foreign body while reducing the likelihood of lumen blockage and interruption of suction. The embodiments described herein further provide an auxiliary access port that allows insertion of a bougie instrument into a suction catheter. The suction catheter may be a Yankauer device or improved suction catheter with grasping housing. The bougie instrument may extend through the access port and a lumen of the catheter while still providing suction via the lumen. Due to the small size of the suction catheter, the bougie instrument may extend from the catheter's distal end when placed in close proximity to a patient's vocal cords.

A multilayer cornea harvesting apparatus capable of obtaining layers of cornea from one cornea enucleation object and a cornea harvesting method is disclosed. The apparatus includes a base supported on a bottom surface, a mount detachably coupled to the base, allowing a cornea enucleation object to be placed thereon, having a first opening part formed at a portion corresponding to the cornea of the cornea enucleation object, and having a first medicinal fluid charging space formed between the base and the mount, a stabilizer fixing, to the mount, a sclera portion of the cornea enucleation object placed on the mount and having a second opening part formed at a portion corresponding to the cornea, and an upper cover detachably provided on the upper side of the cornea, supported by the mount or supporting the mount, and forming a second medicinal fluid charging space on the upper side of the cornea.