An adjunct configured for use with an end effector of a surgical stapler includes a tissue-effecting portion comprising a first material, and at least one movable attachment feature coupled to the tissue-effecting portion and comprising a second material different from the first material. The at least one movable attachment feature is configured to releasably attach the tissue-effecting portion to a stapling surface of the end effector. The tissue-effecting portion is configured to contact tissue clamped by the end effector during closure thereof. The tissue-effecting portion is further configured to be pierced and captured by staples ejected from the end effector into the clamped tissue and thereby reinforce the engagement between the ejected staples and the clamped tissue.

An assembly for in vivo repair of an atrial septal or like defect, including an occluder. The occluder further includes a hub, a waist connected in fluidic communication with the hub, a first lobe connected in fluidic communication with the waist, and a second lobe disposed opposite the first lobe and connected in fluidic communication with the waist. The occluder is non-metallic. The assembly further includes a catheter assembly, which includes a delivery tube having a proximal end and a distal end, a pressure sensor operationally connected to the delivery tube, and a hydrostatic fill material source connected in fluidic communication with the proximal end. The distal end is adapted to connect to the hub in fluidic communication for inflating/deflating the occluder.

A system for deploying a shape memory catheterization device within a patient, includes a catheter for endovascular insertion of the shape memory catheterization device. A heat source heats the shape memory catheterization device above the transition temperature. A transformation data generator includes a circuit driver for driving a circuit that includes at least one resistive element of the shape memory catheterization device and a detection circuit for generating transformation data based on a resistance of the at least one resistive element, wherein the transformation data indicates a shape transformation of the shape memory catheterization device from a catheterization shape to a transformed shape.

A medical device for approximating and securing tissue without requiring knots includes a lock-head, a strap section, distal protuberance, and a leader section. The device also includes a transition section between the leader and the strap section and a stiffening section proximal to the protuberance. The leader section is used to draw the strap section into the body through small apertures in tissue and the transition section provides a gradual transition in stiffness and size between the leader and the strap section.

Surgical visualization systems and related methods are disclosed herein, e.g., for providing visualization during surgical procedures. Systems and methods herein can be used in a wide range of surgical procedures, including spinal surgeries such as minimally-invasive fusion or discectomy procedures. Systems and methods herein can include various features for enhancing end user experience, improving clinical outcomes, or reducing the invasiveness of a surgery. Exemplary features can include access port integration, hands-free operation, active and/or passive lens cleaning, adjustable camera depth, and many others.

Systems and methods can remove material of interest, including blood clots, from a body region, including but not limited to the circulatory system for the treatment of pulmonary embolism, deep vein thrombosis, cerebrovascular embolism, and other vascular occlusions. The capture system can include a tubular body comprising a first end, a second end, and an axial length therebetween, the first end having an opening and a capture guide. The capture system can include one or more tensioners coupled to the capture guide. The tubular body has a first configuration in which the first end and the capture guide are expanded while the second end and a majority of the tubular body remains compressed. The tubular body is transformable to a second configuration by application of tension by the tensioners. The catheter can remove a large volume of clot.

A method is disclosed for manufacturing a fiber-reinforced implant structure. A fiber-reinforced rigid insert is provided, comprising continuous fibers impregnated with a first thermoplastic polymer. A molding cycle is performed by overmolding. The insert is placed into a mold cavity; and a second thermoplastic polymer in melted form is injection or compression molded into the mold cavity. The insert is thus at least partly covered by the second thermoplastic polymer. The second thermoplastic polymer injection or compression in the mold cavity is cooled, thereby obtaining a molded fiber-reinforced implant structure containing the at least partly covered insert. The insert is in a predefined location in the mold cavity during said injection or compression molding and during said cooling. The first thermoplastic polymer and the second thermoplastic polymer are the same or different. Also disclosed is an implant structure, and an implant comprising said implant structure.

Adjustable-length surgical access devices are disclosed herein, which can advantageously allow an overall length of the access device to be quickly and easily changed by the user. The access devices herein can reduce or eliminate the need to maintain an inventory of many different length access devices. In some embodiments, the length of the access device can be adjusted while the access device is inserted into the patient. This can reduce or eliminate the need to swap in and out several different access devices before arriving at an optimal length access device. This can also reduce or eliminate the need to change the access device that is inserted into a patient as the depth at which a surgical step is performed changes over the course of a procedure. Rather, the length of the access device can be adjusted in situ and on-the-fly as needed or desired to accommodate different surgical depths.

Surgical devices having a plurality of outwardly-biased flexible fins capable of both inward convergence and outward flexion, provide for fluid retention and soft tissue retraction during surgical procedures. The outwardly-biased flexible fins also provide for soft tissue compression, decreasing the length of the lumen or passageway through which instruments pass, allowing for a wider range of movement of instruments and better access to the surgical site, especially in patients with greater amounts of fat tissue that would otherwise require longer lumen lengths in prior art endoscopic cannulas. An obturator assembly including a cannulated handle member with a cannulated shaft attached to said handle member, said shaft extending distally and terminating at a cannulated obturator tip. A hood structure found on such obturator tip may be used to secure one or more flexible fins prior to deployment.

A device for delivering an implant to a surgical location of a patient is provided. In some embodiments, an example device includes a polymer body having first and second tapered sections and a sealed cavity defined by the polymer body. The polymer body is separable between the first and second tapered sections.