A circular stapler apparatus for stapling tissue includes a staple and pledget assembly and a circular staple head operable to drive staples toward an anvil. A staple of the staple and pledget assembly has a pair of legs disposed substantially perpendicular to a crown of the staple in a first position. The pair of legs is operable to advance against a pocket in the anvil to form a staple with bent legs. The staple and pledget assembly includes the staple and a pledget configured to receive the pair of legs of the staple. The pledget comprises a bioabsorbable material. The pledget is configured to advance distal ends of the pair of legs to a position in which the distal ends are laterally offset from a plane in which the crown of the staple is disposed.

A device includes an ultrasound probe including an elongated neck insertable in a patient and rotatable around a first longitudinal axis, an ultrasound transducer, and an elongated body rotatable around a second longitudinal axis that is parallel to and offset from the first longitudinal axis. The elongated body is removably attached to a probe mounting structure. A shaft is attached to the probe mounting structure, where rotation of the shaft causes corresponding rotation of the probe mounting structure and the attached elongated body of the ultrasound probe. The shaft defines a longitudinal shaft channel in an interior portion and a longitudinal shaft groove extending from a surface of the shaft to the longitudinal shaft channel. A cable is insertable into the longitudinal shaft channel through the longitudinal shaft groove, and enters an internal channel of the ultrasound probe through the longitudinal shaft channel enabling electrical connection with the ultrasound transducer.

A portable endoscopic system comprising an imaging unit for an endoscopic procedure. The imaging unit has an imaging coupler for receiving imaging information from an imaging assembly of an endoscope; a display integrated into a housing of the imaging unit; an image processing unit for processing the received imaging information into images of a time series and to displaying the image in real-time; a motion sensor configured to detect a motion of the housing; and a detection processing unit. The detection processing unit is configured to classify at least one anatomical feature in each image of the time series based on an artificial intelligence classifier; determine a confidence metric of the classification; determine a motion vector based on the detected motion; and display, concurrently with the corresponding image, the classification of the at least one anatomical feature, the determined confidence metric, and the determined motion vector.

A device and a method for treatment of a urethra that is constricted due to benign prostatic hyperplasia (BPH) are provided, including a delivery tool (101) advanced to a location in an area of the urethra that is to be treated. The delivery tool (101) includes an expandable element (400) that expands within the urethra such as to enlarge the urethra, a tissue cutter (412) that forms a cut in the urethra, subsequently to the expandable element expanding to dilate the urethra, and an implant (410) that maintain the urethra in a dilated state. The implant (410) includes a shape-memory material and is shaped to define two end sections and a middle section (1202) disposed between the two end sections. The shape memory-material is shape set such that in an unconstrained configuration of the implant (410), the middle section (1202) is substantially straight. Other embodiments are also described.

An incising implant for creating incisions in the prostatic urethra of a subject, the implant including at least two closed-shaped wires, each of the wires having a proximal section, a distal section and two longitudinal sections extending between the proximal section and the distal section, each of the closed-shaped wires being elastic thereby being compressible into a compressed configuration, each of the longitudinal sections of each of the wires being adjoined with another longitudinal section of another one of the wires.

Methods and systems for modifying tissue use a pressurized fluid stream carrying coherent light energy. The methods and systems may be used for resecting and debulking soft and hard biological tissues. The coherent light is focused within a stream of fluid to deliver energy to the tissue to be treated.

Systems for enabling delivery of very high peak power laser pulses through optical fibers for use in ablation procedures preferably in contact mode. Such lasers advantageously emit at 355 nm wavelength. Other systems enable selective removal of undesired tissue within a blood vessel, while minimizing the risk of damaging the blood vessel itself, based on the use of the ablative properties of short laser pulses of 320 to 400 nm laser wavelength, with selected parameters of the mechanical walls of the tubes constituting the catheter, of the laser fluence and of the force that is applied by the catheter on the tissues. Additionally, a novel method of calibrating such catheters is disclosed, which also enables real time monitoring of the ablation process. Additionally, novel methods of protecting the fibers exit facets are disclosed.

Methods and systems for modifying tissue use a pressurized fluid stream carrying coherent light energy. The methods and systems may be used for resecting and debulking soft and hard biological tissues. The coherent light is focused within a stream of fluid to deliver energy to the tissue to be treated.

This document describes devices and methods for suturing an anastomosis. For example, this document describes transurethral probe devices that can be used to suture a vesicourethral anastomosis with one continuous stitch along a helical toroidal path.

A fluid stream is directed toward tissue to generate a plurality of shedding clouds. The fluid stream can be scanned such that the plurality of shedding clouds arrive a different overlapping locations. Each of the plurality of shedding clouds can remove a portion of the tissue. In many embodiments, an apparatus to ablate tissue comprises a source of pressurized fluid, and a nozzle coupled to the source of pressurized fluid to release a fluid stream, in which the fluid stream generates a plurality of shedding clouds.