A system, apparatus, and method of using the same are disclosed for carrying out a transvascular procedure such as a Transjugular Intrahepatic Portosystemic Shunt (TIPS) procedure using energy to create a tract between the hepatic vein and the portal vein. The present invention provides a method using a flexible radiofrequency (RF) catheter having a lumen therethrough. The method involves the steps of advancing the flexible RF catheter into a first vessel; advancing a guiding sheath overtop of the flexible RF catheter; steering the guiding sheath to direct a distal tip of the RF catheter towards a second vessel; and, delivering RF energy via the flexible RF catheter, forming a tract from the first vessel and entering the second vessel.

The present invention is a vessel sealing and cutting system (10) comprising a surgical equipment (20) comprising a lower jaw (222) and an upper jaw (212) in a manner defining a holder tip (24) grabbing the tissues containing vessels, and a lower body (21) embodied at the continuation of said upper jaw (212), and a laser source (50) connected to said surgical equipment (20), characterized by comprising a module housing (215) embodied in a manner extending inside said lower body (21) and said upper jaw (212), and a laser module (30) which transmits a laser light to the grabbing region (61) from said holder tip (24) in a simultaneous manner with the closing of the jaws and positioned in said module housing (215) in a manner connected to said laser source (50) from one end thereof.

A sealing and/or cutting instrument having a thermally active surface or element which may be used to seal and then cut tissue, ducts, vessels, etc., apart. The instrument may include a thermally active surface or element comprised of a conductor covered with a ferromagnetic material. The instrument may contact tissue with one or more surfaces comprised of a non-stick material. A sensor in communication with the instrument may be used to monitor a therapeutic procedure and signal when sealing and/or cutting of a tissue is complete.

A vaginal device is described. A conformable vaginal insert is shaped for insertion into a vaginal cavity of a female human. A contact point is configured to change a shape of the insert. A sensor is configured to measure and to relay characteristics of the vaginal cavity and the surrounding and supportive structures of the vaginal cavity. A processor is configured to control the contact point to adjust the shape of the insert, generate a treatment for the vaginal cavity and the surrounding structures of the vaginal cavity and the supportive structures of the vaginal cavity comprising a vaginal cavity profile generated from the measured characteristics, store the measured characteristics and the vaginal cavity profile, and based on the stored measured characteristics and the stored vaginal cavity profile, automatically modify the shape of the insert by control of the contact point to provide the treatment to the vaginal cavity.

A surgical instrument includes a hollow member having a sidewall provided with a window and a closure member movably connected to the hollow member for alternately covering and uncovering the window. The hollow member has a first clamping surface along an edge of the window, while the closure member has a second clamping surface opposing the first clamping surface and disposable substantially adjacent thereto in a clamping or closure configuration of the instrument. The instrument additionally comprises a tissue occlusion component mounted to at least one of the hollow member and the closure member for acting on tissues gripped between the first clamping surface and the second clamping surface, to couple the tissues to each other.

An endoscopic vessel harvester includes a vessel keeper with a capture frame capturing a target vessel within a tunnel that has been dissected along the target vessel. A cutter member cuts and cauterizes side branches while the target vessel is slidably captured in the vessel keeper. A fixed supporting rod and a movable side rod engage the frame. The movable side rod has an opened position to admit the target vessel and has a closed position to slidably capture the target vessel. One of the fixed support rod or the movable side rod is comprised of a hollow cylinder open at the distal end and at the proximal end, and wherein the distal end of the hollow cylinder fluidically communicates with the tunnel through the capture frame. A suction tube connects to the proximal end of the hollow cylinder, allowing pooled fluid around the capture frame to be removed.

The subject matter described herein is designed to facilitate and overcome the limitations of rehabilitation of body changes and to improve, retrain, and facilitate body functions micturition, defecation, sexual pleasure, anatomic prolapse, and their related bodily dysfunctions. The devices can include sensor, optics, send and receive transmitters, local positioning system (LPS) or sensors, computing devices and display elements and devices, which can be powered by bio-generating machines and devices.

The present invention generally relates to an image-guided laser irradiation device for targeted ablation, stimulation, molecular delivery and therapy. Specifically, the invention relates to application of the device in therapies needing precise and targeted removal of a sample, or delivery of impermeable molecules for therapeutic outcome. More specifically, the invention relates to the application of the device in the therapy of visual disorders.

A surgical instrument includes an end effector and a housing mechanically coupled to the end effector. The end effector includes a first actuating device configured to perform a first surgical procedure and a second actuating device integrally associated with the first actuating device and configured to perform a second surgical procedure, the second surgical procedure being independently operable and different than the first surgical procedure. An outer portion of the first actuating device and an outer portion of the second actuating device form a portion of an outer housing of the end effector. The housing includes a first actuator, mechanically coupled to the first actuating device and configured to impart movement to the first actuating device and a second actuator, mechanically coupled to the second actuating device and configured to impart movement to the second actuating device.

A scissor-style vessel sealing having a knife engagement mechanism that will automatically drive a knife between the jaws when the handles are moved into the closed position. The vessel sealer has a first shaft with a first jaw and a second shaft having a second jaw pivotally coupled to the first shaft so that the jaws are moveable between open and closed positions. A knife actuating assembly is coupled to the first shaft to move between a first position, where the knife is in a retracted position, to a second position, where the knife is in an extended position, in response to contact by the second shaft when the scissor-style vessel sealer is closed. A knife lockout may be used to disengage the knife engagement mechanism from the knife to prevent movement of the knife when the scissor-style vessel sealer is closed.