A lung volume reduction system is disclosed comprising an implantable device adapted to be delivered to a lung airway of a patient in a delivery configuration and to change to a deployed configuration to bend the lung airway. The invention also discloses a method of bending a lung airway of a patient comprising inserting a device into the airway in a delivery configuration and bending the device into a deployed configuration, thereby bending the airway.

A valve comprising: (a) a rod, (b) a plurality of struts in communication with the rod and extending generally radially outward away from the rod in a deployed state, the plurality of struts including at least: (i) a plurality of first struts that extend radially outward from the rod a first distance, and (ii) a plurality of second struts that extend radially outward a second distance from the rod, wherein the second distance is less than the first distance; and (c) one or more membranes that are in communication with the first struts, the second struts, or both.

A system for manipulating a guide catheter within a patient's nasal passages or sinus cavities includes a guide catheter formed from an elongate flexible member having a lumen passing there through. A wire guide is slidably disposed within the lumen of the guide catheter. The system further includes a steering member fixedly secured to a proximal end of the wire guide and a proximal hub secured to a proximal end of the guide catheter. The system further includes a recessed handle having a first recess for fixedly receiving the proximal hub of the guide catheter and a second recess for receiving the steering member, the second recess being dimensioned to permit axial and rotational movement of the steering member while disposed in the second recess.

This disclosure concerns systems and methods for tissue volume reduction and control of the flow of substances through the body. Systems according to the various embodiments of the disclosure include check valves formed from wire coils which are deployable through a tubular lumen, such as the working channel of an endoscope, or a catheter.

An implant (500) comprises an elastic deformation portion (51) and a connection portion (52) connected with the proximal end (511) of the elastic deformation portion (51), wherein the elastic deformation portion (51) is covered by an elastic outer layer (55); the proximal end of the connection portion (52) is surrounded by a tightening ring (58); and the proximal end of the elastic outer layer (55) is covered by the tightening ring (58). Since the proximal end of the elastic outer layer (55) of the implant (500) is surrounded by a tightening ring (58), the elastic outer layer (55) is closely attached on the connecting portion (52) of the implant (500), such that the elastic outer layer (55) can be prevented from being rolled over from the surface of the implant (500) when the implant (500) is implanted, thereby improving safety of lung volume reduction surgery.

Methods and systems for delivering toxin and toxin fragments to a patient's nasal cavity provide for both release of the toxin and delivery of energy which selectively porates target cells to enhance uptake of the toxin. The use of energy-mediated delivery is particularly advantageous with light chain fragment toxins which lack cell binding capacity.

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.

One embodiment provides a portable endoscope. The portable endoscope includes a case configured to enclose at least electrical components of the portable endoscope. The electrical components include a camera configured to capture video content within a body of a patient. The components include one or more lights at least partially encompassing the camera. The one or more lights are adapted to illuminate internal portions of the body of the patient. The components include a transceiver in electrical communication with the camera. The transceiver is configured to receive the video content from the camera and wirelessly transmit the video content to a computing or communications device. The components include a battery configured to provide electrical energy to the camera, the one or more lights, and the transceiver. Each of the electrical components are interchangeable within the case.

An apparatus (100) includes: a expandable structure (140) formable into three dimensional shapes including a range of diameters (D) and corresponding lengths (L); a movable component (106) moveable between a range of positions (124, 126) effecting the range of diameters; and a mechanical linkage (110) disposed between the movable component and the expandable structure. The expandable structure is configured to fit inside a working channel (204) of an endoscope (202) when the expandable structure is collapsed. The mechanical linkage is configured to move the collapsed expandable structure through the working channel to a selected location (400) past a distal end (404) of the endoscope and to increase and decrease a diameter of the expandable structure in response to changes in the position of the movable component when the expandable structure is at the selected location.

An apparatus includes: a expandable structure formable into three dimensional shapes including a range of diameters and corresponding lengths; a movable component moveable between a range of positions effecting the range of diameters; and a mechanical linkage disposed between the movable component and the expandable structure. The expandable structure is configured to fit inside a working channel of an endoscope when the expandable structure is collapsed. The mechanical linkage is configured to move the collapsed expandable structure through the working channel to a selected location past a distal end of the endoscope and to increase and decrease a diameter of the expandable structure in response to changes in the position of the movable component when the expandable structure is at the selected location.