A handle assembly for use with a surgical tack applier includes an actuation assembly and an articulation lever assembly configured to articulate an articulation portion of the surgical tack applier. The actuation assembly includes a motor, an actuation rod, and an actuation switch configured to actuate the motor. The actuation rod has a first end operatively coupled to an output shaft of the motor for concomitant rotation therewith, and a second end operatively coupled to a loading unit of the surgical tack applier such that rotation of the actuation rod ejects a surgical tack from the loading unit. The articulation lever assembly includes an articulation rod operatively coupled with an articulation portion of the surgical tack applier such that axial displacement of the articulation rod causes articulation of the articulation portion, and an articulation lever operatively coupled with the articulation rod.

A prosthetic implant catheter delivery system is described. The delivery system includes a handle, a capsule, a tip, and a catheter assembly. The catheter assembly includes an outer shaft, a stability shaft, a catheter shaft, an inner shaft, and a guidewire shaft where the catheter shaft and the inner shaft (combinedly with the guidewire shaft) are utilized in the implant loading, positioning, and deployment. Only stability shaft is fixed. The handle includes screw-based primary rotational mechanism and secondary rotational mechanism. The secondary rotational mechanism also includes a push-pull mechanism. The delivery system has improved pushability and controllability.

Devices and methods for affixing reinforcing material to a fascial incision in an abdominal wall to reinforce and augment closures thereof. The device includes first and second arms, each having a proximal end and a distal end extending away from a housing with a length therebetween. The distal end of the first arm is spaced from the distal end of the second arm such that the first and second arms are engageable with reinforcing material on opposing sides of a fascial incision. One or more fixation elements are deployable from the distal end of at least one of the first and second arms to affix the reinforcing material on opposing sides of the fascial incision.

Techniques for mesh augmentation and prevention of incisional hernia, including systems and methods for affixing mesh to a fascial incision. A mesh strip can be integrated with one or more uni-directional fasteners. Each fastener can include an anchoring mechanism adapted for affixation to anterior abdominal wall fascia and a mating interface. An applicator can include tension arms adapted to interface with the mating interfaces of the fasteners to maintain a vertical tension of the mesh strip and a handle coupled with the tension arms adapted to spread the tension arms and thereby control a horizontal tension of the mesh strip. The mesh strip can be configured to be aligned over a fascial incision using the applicator and affixed under tension to anterior abdominal wall fascia by tissue penetration of the anchoring mechanisms of the one or more fasteners.

The invention relates to a prosthesis (1) comprising a textile (2) of elongate shape defining a longitudinal axis A, and a reinforcing element comprising at least one semi-rigid elongate structure (8) connected to said textile, said structure being substantially parallel to said longitudinal axis A and having a distal end provided with at least one fastening element (4) distinct from said textile and capable of cooperating with a part of a tool (10) that is able to pass through said trocar, in order to temporarily couple said prosthesis to said tool.

A helical tissue cutter, used for safely and speedily resecting biological tissues and spiraling out the resected tissues and any biological debris, having an enclosed, exposable, retractable cutter with a helical blade that is continued further as a helical fin; a tubular curved trocar having a capability and means to intravaginally carry, deploy and mechanistically release a mesh sling attached to an anchor using a retropubic approach to treat stress urinary incontinence; a turnable trocar that can be used on the right or left side of the groin to deploy a mesh sling by applying a transobturator approach to treat women's stress urinary incontinence; and a handle having a motorized capability and means to couple, attach, handle, operate, and retract the helical tissue cutter while having an aspiration connection for a vacuumized tissue collector, or to couple, attach, handle, and operate the tubular curved trocar or the turnable trocar.

The present disclosure describes kits for surgical repair of soft tissue defects, including hernias. The kits include any combination of components selected from an implantable sheet, a central tie, a delivery tool, a delivery tool insert configured to be received within the delivery tool, a rolling device, and an insertion member. Packaging for the kits and/or components and methods of using the kits and/or components are also provided.

Systems for delivering a sheet-like implant including a means of deploying and orienting the sheet-like implant within the body.

A surgical implant (20) comprises a flexible, areal basic structure (22) having a first face and a second face and being provided with pores (26) extending from the first face to the second face. A barrier layer (24) having a first face and a second face is placed, with its second face, at the first face of the basic structure (2) and attached to the basic structure (22). The barrier layer (24) is deformed into at least part of the pores (26) where it forms, in a respective pore (10), a barrier region (28).

Methods for delivering a sheet-like implant to a target site including a means of deploying and orienting the sheet-like implant within the body.