An apparatus includes a plurality of beads and a plurality of links joining the beads together. Each bead includes a housing, a passageway extending through the housing, and at least one annular magnet. The passageway defines an axis. The at least one annular magnet is coaxially positioned about the passageway. The housing defines a gap adjacent to the at least one annular magnet. The gap is sized and configured to allow at least one annular magnet to rotate relative to the housing about a rotation axis. The rotation axis is offset from the axis of the passageway. Portions of the links are slidably disposed in corresponding passageways of the beads.

A novel catheter-based system which ligates the left atrial appendage (LAA) on the outside of the heart, preferably using a combination of catheters and/or instruments, e.g., a guide catheter positioned inside the left atrial appendage which may assist in locating the left atrial appendage and/or assist in the optimal placement of a ligature on the outside of the appendage, and a ligating catheter and/or instrument outside the heart in the pericardial space to set a ligating element at the neck of the left atrial appendage.

Disclosed herein is a snare (transparent cap) for removing a polyp which includes a stalk and a head connected to the stalk, wherein the snare includes: a body having a hollow tubular shape and an interior of which is partitioned into a plurality of chambers; a ring mounted to at least part of the body using elasticity; a first snare discharged outside the body through a first chamber among the plurality of chambers and hooks the stalk; and a second snare which is discharged outside the body through a second chamber among the plurality of chambers, wherein when the stalk is spread according to pulling the first snare that hooks the stalk, and the second snare pulls a first portion in a lower end of the stalk as spread including the head, the ring is discharged from the body and shrinks through the elasticity and then fixes the first portion.

According to an embodiment of the present disclosure, a medical device for deploying a ligation band may include a tubular body. The tubular body may include a proximal end, a distal end, a radially inner surface defining a lumen through the tubular body, and a radially outer surface. The radially outer surface may include protrusions arranged in rows extending at least partially around a proximal region of the radially outer surface. Protrusions in adjacent rows may be separated by a first distance. Surface features may extend at least partially around a distal region of the radially outer surface. Adjacent surface features may be separated by a second distance larger than the first distance.

A ligature device and method of use are disclosed. More specifically, a ligature device capable of maintaining a ligature band in an elongated position, applying a preformed ligation band to an object to be ligated, manually releasing the ligation band from an elongated position, and securing a ligation band in a tensioned position is described. The ligation device may be used to apply ligation bands to various body parts of various animals.

A device 10 for gathering tissue of a heart valve leaflet 2 may include an outer tube 16 extending in an elongation direction, a capture tool 22 moveable in the outer tube between a contained position and a use position, and a tissue securing component 32 disposed at a distal end 17 of the outer tube and adapted to be applied to tissue 8 captured by the capture tool to hold the captured tissue in a gathered configuration. The capture tool may include a first element 20 and a second element 22 that are moveable relative to one another in the elongation direction. The first and second elements 20, 22 may be operable to capture tissue 8 of the heart valve leaflet 2 therebetween and to draw the captured tissue into the outer tube 16 in the gathered configuration.

The present invention relates to an endoscope. The present invention may include an endoscope main body; and a guide cap that is mounted to be fixed to a front end of the endoscope main body when inserting the endoscope main body into a human body and slides to protrude toward the front of the endoscope main body when withdrawing the endoscope main body inserted into the human body. An object of the present invention is to facilitate insertion of the endoscope by freely varying a length of the cap from the front end of the endoscope, and to enhance the detection rate of polyp.

Methods, devices, and systems are provided herein for loading a band ligation barrel onto a surgical instrument. For example, a surgical system is provided for loading a band ligation barrel onto a surgical instrument that has a loading tube with a lumen to receive one or more band deployment cords of a band ligation barrel. The loading tube can be inserted through a first lumen of a surgical instrument. The system can also have a loading cap that receives a distal end of the loading tube, and a distal portion of the loading cap can be inserted into a distal-most opening of the band ligation barrel to secure band deployment cords therein. The system can also have a loading key that can be inserted into a second lumen of the surgical instrument, and a distal end of the loading key can engage with a proximal end of the loading tube.

The present invention is an apparatus and method for ligation. The ligation apparatus or band provides topical active agent(s) that alleviate pain during various ligature procedures. This invention also relates to a method that includes applying a loop or band around a body part for elastomeric ligation, whereby the band material supplies a topical active agent (s) to the body part to reduce the pain of ligation.

A rectal band ligation device and a method of operating the band ligation device. In one embodiment, the band ligation device includes: (1) a handle having a trigger associated therewith, (2) an extension tube extending from the handle and terminating in a head, (3) at least two openings in the head, (4) hollow pistons located in the openings and configured to move relative thereto between an extended position in which ends of the pistons are exposed through the openings and a retracted position, gaps between corresponding openings and hollow pistons being less than cross-sectional widths of elastic members stretched around the ends and (5) an actuating rod coupling the trigger and the pistons and configured to cause the pistons to move from the extended position to the retracted position.