The present invention relates to a laparoscopic port unit module in which one end thereof and the other end are placed inside and outside the human body, respectively, through the vaginal inlet, and provides a vaginal endoscopic port unit module comprising: an outer unit of which the end is exposed to the outside of the vaginal inlet and which comprises one or more outer ports allowing the entry of a surgical instrument including an endoscope; an inner unit formed at the inner wall of the vaginal canal so as to be placed at an incision region connected to the abdominal cavity and allowing the surgical instrument entering through the outer port to come in and out of the abdominal cavity; and a runner unit for connecting the outer unit and the inner unit.

The outer tube includes two insertion holes which are formed in a cross-sectional D-shape via a partition wall provided in the central part in a cross-section vertical to respective axial directions of the insertion holes. A slit of a valve body located in the insertion hole is disposed along reference line passing through centers of respective arcs of the insertion holes as seen from the axial directions of the insertion holes. Therefore, two leaflets of the slit abut on an arc edge of the insertion hole and a D-shaped cut part of the partition wall respectively when the insertion part of the treatment tool is internally fitted, and they are deformed into the same shape. Since there is no difference in stress applied to two leaflets, it is possible to secure the airtightness by the slit over a long period of time.

A skin surface indwelling device for guiding punctures includes: an indwelling tube (13) having an inside tunnel (P) substantially extending along the longitudinal direction of the indwelling tube (13), the tunnel (P) is used for guiding needle (N), the indwelling tube (13) has a proximal end positioned above the skin surface (S) and a distal end positioned under the skin surface (S) in indwelling state; a support (11) having a bottom surface on its bottom that directly or indirectly contacts with the skin surface (S), the support (11) supports and fixates the indwelling tube (13); and a sealing elements (141,142) configured to seal the tunnel (P). The skin surface indwelling device for guiding punctures can shorten the time of establishing a puncture tunnel in the buttonhole puncture method, and help to build the puncture tunnel. In addition, the skin surface indwelling device can also guide the puncture needle (N) when puncturing, and protect the immature puncture tunnel.

A reconfigurable delivery system is disclosed having a multi-lumen delivery catheter configuration that permits the delivery and staged release of a self-expanding main vessel stent-graft and a delivery sheath configuration that permits the introduction of various medical devices for the delivery and implantation of various branch vessel stent-grafts that are to be mated with the main vessel stent-graft. A method is disclosed wherein the delivery system is first used in the multi-lumen delivery catheter configuration to deliver and release a main vessel stent-graft that is configured for placement in the abdominal aorta for treatment of short-neck infrarenal, juxtarenal, and/or suprarenal aneurysms and then used in the delivery sheath configuration to facilitate the delivery of branch vessel stent-grafts that are configured to extend from the main vessel stent-graft into a respective renal artery.

Two minimally invasive therapeutic procedures, particularly for patients with congestive heart failure, may be performed separately or together. One procedure involves providing a valved passageway through the patient's left ventricular wall at the apex of the patient's heart and advancing instruments through the valved passageway to connect the valve leaflets of the patient's heart valve, e.g. the mitral valve. The second procedure involves advancing a pacing lead and a pacing lead implanting device through a trocar in the patient's chest and implanting the pacing lead on an exposed epicardial region of the patient's heart wall. The pacing lead has a penetrating electrode which is secured within the heart wall. Improved devices for these procedures include a minimally invasive grasping device for heart leaflets, a leaflet connector with artificial cordae tendenae and a pacing lead implant instrument.

A urological device adapted for placement in a urethra of a user for treatment of incontinence includes a stem, an anchor portion connected to a distal end portion of the stem, a bladder retainer connected to a proximal end of the stem, and a urological valve connected to the proximal end of the stem. The urological valve includes a plurality of movable leaflets connected to and extending in a proximal direction way from the proximal end of the stem. The movable leaflets have an at-rest closed configuration adapted to prevent a flow of urine through the stem, and the movable leaflets are adapted to evert in a distal direction to provide the urological valve with an open configuration adapted to allow urine to flow through the stem.

A kit of parts includes a urological device and a catheter. The urological device has a stem defining a lumen, a valve connected to a proximal portion of the stem and located in the lumen, and a head part connected to the stem and extending radially around the valve. The catheter is adapted to insert the urological device into a urethra of a user.

Two minimally invasive therapeutic procedures, particularly for patients with congestive heart failure, may be performed separately or together. One procedure involves providing a valved passageway through the patient's left ventricular wall at the apex of the patient's heart and advancing instruments through the valved passageway to connect the valve leaflets of the patient's heart valve, e.g. the mitral valve. The second procedure involves advancing a pacing lead and a pacing lead implanting device through a trocar in the patient's chest and implanting the pacing lead on an exposed epicardial region of the patient's heart wall. The pacing lead has a penetrating electrode which is secured within the heart wall. Improved devices for these procedures include a minimally invasive grasping device for heart leaflets, a leaflet connector with artificial cordae tendenae and a pacing lead implant instrument.

A urological device includes a valve support stem, a bladder retainer, and a urological valve. The valve support stem is adapted for placement in a urethra of a user and extends between a proximal end and a distal end. The bladder retainer is adapted for placement in a bladder of the user. The bladder retainer is connected to the valve support stem at a support stem location between the proximal end and the distal end of the valve support stem. The bladder retainer is formed as a wall of material extending radially outwardly from the valve support stem, with a proximal surface of the wall forming an acute angle relative to the valve support stem. The urological valve is disposed in the bladder retainer at a location proximal to the support stem location and proximal to the proximal surface of the wall.

A method of treating urinary incontinence includes providing a urological device having a stem defining a lumen, a valve connected to a proximal portion of the stem and located in the lumen, and a head part connected to the stem and extending radially around the valve. The method further includes deploying the urological device by moving the stem and the valve and the head part out of a catheter and placing the head part and the valve of the urological device in a bladder of the user and placing the stem of the urological device in the urethra of the user.