A curved-head hemorrhoid banding device may include an inner cylinder curved at one end for sucking the hemorrhoid tissue into the device for banding. The device also may include a curved outer cylinder for releasing a rubber band, a straight barrel for pushing the curved outer cylinder to release the rubber band, an airtight plunger (or operator handle), and a handle for generating negative pressure. The banding device may provide tighter contact with hemorrhoid tissues and thus may provide better suction of hemorrhoid feeding vessels and adjacent rectal mucosal tissue. When being manipulated into contact with the internal hemorrhoid feeding vessel position, the device may maximally fit the anatomic configuration of the rectum, causing less discomfort to the patient during banding and after the procedure. The banding device may be disposable and designed for single-handed use.

An arthroscopic bleeding control device shows a static absorptive and hemostatic effect against hemorrhage in an articular cavity that can be exposed by an arthroscopy part, and includes a hemostatic block configured to be inserted in the articular cavity through the arthroscopy part, and a hemostatic unit including a lead line extending from the hemostatic block to protrude outside through the arthroscopy part, in which the hemostatic block is formed by winding or folding a hemostatic band elongated in a longitudinal direction and then compressed in a thickness direction at least into a reference thickness for insertion into the articular cavity, so the hemostatic block can be expanded at least in the thickness direction by hemorrhage in the articular cavity, and when the lead line is pulled, the hemostatic band is unwound or unfolded from the expanding hemostatic block, so the hemostatic block is taken out of the articular cavity.

Disclosed are devices for pericardial access to the heart, including direct access to the left atrium. In certain embodiments, the device may comprise a device and/or an atrial appendage (AA) portal having a configuration such that the distal end of the device and/or the portal can access an atrial appendage while the proximal end of the device and/or portal can extend to outside of the subject. The devices and methods may also include a pericardial portal for emplacement of the device and/or the AA portal. Also, methods for using such devices and/or AA portals and pericardial portals to perform surgery on the heart, and systems (e.g., kits) comprising these devices and/or portals in combination with other therapeutic devices are disclosed.

A magazine (200;400) for dispensing at least one band (106) onto the tip of a haemorrhoid ligator (100), the magazine (200; 400) comprising at least one expander receiving a respective band, the expander being arranged to expand the band and push it onto the tip (104) of the ligator (100) as the tip (104) is inserted into the magazine (200; 400). The only action required by the medical practitioner to load the band (106) onto the ligator (100) from the magazine (200;400) is to push the tip (104) of the ligator (100) inside the magazine (200; 400) whereupon the band (106) is expanded, pushed into place and is ready for immediate discharge. Therefore the magazine (200; 400) provides a medical practitioner with an easy way to load a haemorrhoid ligator (100).

Methods and systems for improving the competency of a venous valve wherein one or more compressor(s) (e.g., space occupying material(s) or implantable device(s)) is/are delivered to one or more location(s) adjacent to a venous valve to compress the venous valve in a manner that causes one or both leaflets of the valve to move toward the other, thereby improving closure or coaptation of the valve leaflets. The compressor(s) may be delivered by an open surgical approach, by a direct percutaneous approach or by a transluminal catheter-based approach.

A system may include an introducer sheath including a retention member configured to anchor the introducer sheath in a natural body lumen having a wall. The system may also have an elongate member extending along a longitudinal axis through a working channel of the introducer sheath. Additionally, the system may have a manipulating portion coupled to a distal end of the elongate member. The manipulating portion may include at least one selectively actuatable member configured to transition between an undeployed configuration and a deployed configuration. In the undeployed configuration, the at least one actuatable member may extend substantially parallel to the longitudinal axis and in at least one position in the deployed configuration, the at least one actuatable member may extend radially outwardly from the longitudinal axis. In the deployed configuration, the manipulating portion and elongate member may be configured to be proximally retracted toward the working channel of the introducer sheath so as to move a distal portion of the wall towards a proximal portion of the wall.

Disclosed are methods, systems, and devices for the endovascular repair of cardiac valves, particularly the atrioventricular valves which inhibit back flow of blood from a heart ventricle during contraction. The procedures described herein can be performed with interventional tools, guides and supporting catheters and other equipment introduced to the heart chambers from the patient's arterial or venous vasculature remote from the heart. The interventional tools and other equipment may be introduced percutaneously or may be introduced via a surgical cut down, and then advanced from the remote access site through the vasculature until they reach the heart.

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.

A ligation device for treating hemorrhoids includes a locking mechanism. The ligation device includes an inner tubular member having a first end, a second end, and a protrusion on an outer surface. The first end includes a first opening and the second end includes a second opening. Further, the ligation device includes an outer tubular member having an inner configuration corresponding to that of the inner tubular member. The outer tubular member including a notch such that a reception of the protrusion of the inner tubular member by a first portion of the notch of the outer tubular member allows vertical movement of the outer tubular member and a reception of the protrusion of the inner tubular member by a second portion of the notch of the outer tubular member prevents vertical movement of the outer tubular member towards the first end of the inner tubular member.

A hemostatic vessel band is provided. The hemostatic vessel band has a membrane. A plurality of cells extend transversely from a membrane second surface. Each of the cells has a cell chamber that is defined by the membrane second surface and a plurality of cell walls. When the hemostatic vessel band is selectively fastened circumferentially about a vessel to at least partially cover the target site. The hemostatic vessel band applies radially inward pressure to at least a portion of the vessel and at least a portion of the target site. Each cell chamber that is positioned transversely adjacent to at least a portion of the target site forms one isolation zone of a plurality of isolation zones. Each isolation zone is at least partially isolated from each of the other isolation zones and from any vessel surface adjacent to the isolation zone.