Embodiments of a Urological implant include an implant with an elongated body having a longitudinal axis. Optionally longitudinal ribs symmetrically oppose each other and are connected to elongated body. The longitudinal ribs are optionally elastically shiftable between a collapsed state and an expanded state relative to the spinal longitudinal axis, in order to retract or/and support periurethral tissue. Optionally the system includes an implant extraction handle. The extraction handle is optionally positioned proximally to the elongated body and connected to the longitudinal rib and subject to a pulling force to facilitate and/or force approximation of the longitudinal supports to the longitudinal axis. In some embodiments, an implant body includes longitudinally spaced arched members, interconnected via arch ends sequentially along a length of a first and second longitudinal rib. Optionally the arched members are elastically bendable to facilitate elastic contractibility of the implant body under a transverse compressive force.

An implant delivery system including a fixation member delivery system including an elongate shaft, first and second rails, a plurality of fixation members with each fixation member slidably disposed on the first and second rails and an actuation assembly. The actuation assembly includes a first elongate member including a first plurality of engagement members disposed along the first elongate member with a distal end region of each engagement member in engagement with one of the fixation members, a second elongate member including a second plurality of engagement members disposed along the second elongate member with a distal end region of each engagement member in engagement with one of the fixation members. Additionally, cyclical actuation of the actuation assembly is configured to incrementally move the fixation members distally along the first and second rails to deploy each of the plurality of fixation members in sequence.

An implantable device includes a tubular member defining a longitudinal axis and a lumen. The tubular member includes plurality of filaments defining a plurality of openings therebetween; a distal end portion having a distal diameter; a proximal end portion having a proximal diameter that is larger than the distal diameter; and an intermediate portion having an intermediate diameter that is smaller than the distal diameter.

An implantable device includes a tubular member defining a longitudinal axis and a lumen. The tubular member includes plurality of filaments defining a plurality of openings therebetween; a distal end portion having a distal diameter; a proximal end portion having a proximal diameter that is larger than the distal diameter; and an intermediate portion having an intermediate diameter that is smaller than the distal diameter.

A loading tool to facilitate loading a prosthesis into a delivery system includes a hinged body with first and second body portions and a collar slidingly disposed over the hinged body. First ends of the body portions are attached and second ends of the body portions are not attached. Each body portion includes a resilient clip that includes a radial protrusion. Each resilient clip is configured to displaced radially inwards when a pinching force is applied thereto. The loading tool has an open configuration in which the second ends are radially spaced apart and the collar is disposed over the first ends. The loading tool has a closed configuration in which the second ends are disposed directly adjacent to each other and the collar is disposed over the second ends. The radial protrusions lock the loading tool in the closed configuration when the resilient clips are not displaced radially inwards.

Methods for crimping a stent on an expandable member of a delivery catheter, and devices and methods for treating a bifurcation are disclosed. A method for crimping includes positioning a stent having a first portion and a second portion over the expandable member, and non-uniformly crimping the stent to the expandable member. The method can include routing an elongate shaft under the second portion of the stent and through the side hole so as to be routed external to the first portion. The stent second portion can be crimped so that the elongate shaft can be slidably disposed relative to the stent second portion prior to deployment of the stent.

A deployment tool and associated method are disclosed for implanting a vascular connector in a patient. The vascular connector deployment tool has a housing, an inner sheath extending distally from the housing, a floating mandrel, a vascular connector disposed coaxially about the mandrel, and an outer sheath telescopically deployed over an inner sheath. The outer sheath constrains the vascular connector around the mandrel in an insertion profile when the outer sheath is disposed over the vascular connector. The inner sheath may be rotated to cause the outer sheath to retract relative to the floating mandrel and expose sequential portions of the vascular connector. A drive disposed within the housing and coupled to a proximal end of the outer sheath translates rotational motion of the inner sheath into longitudinal motion of the outer sheath.

A delivery system for delivering an endovascular graft within a blood vessel. The delivery system includes a tip assembly including a tip and a sleeve having a proximal end. The delivery system includes a tip capture mechanism. The tip assembly is configured to move axially relative to the tip capture mechanism and between a delivery position and a release position. The tip capture mechanism includes a landing zone. The delivery system includes a travel limiter configured to align the proximal end with the landing zone when the tip assembly is in the release position to facilitate removal of the delivery system from the blood vessel.

A medical device delivery system can be used to advance a medical device to a target area within a patient's vasculature. The system can comprise a catheter, a support sheath, and a core member coupled to a medical device. The core member can be used to longitudinally advanced or retracting medical device within a lumen of the support sheath. The support sheath can be advanced within the catheter until a distal end of the support sheath contacts or abuts a reduced diameter section of the catheter lumen. Thereafter, the core member can be advanced into the catheter lumen toward the target area.

Disclosed is a flexible surgical instrument system comprising a flexible surgical instrument and a driving unit. The flexible surgical instrument can comprise a flexible continuous body structure composed of a distal structural body, a proximal structural body and a middle connecting body. The distal structural body can comprise a distal segment, comprising a distal spacing disk, a distal fixation disk and structural backbones. The proximal structural body can comprise a proximal segment comprising a proximal spacing disk, a proximal fixation disk and structural backbones. The middle connecting body can comprise channel fixing plates and a structural backbone guide channel. The driving unit can comprise a driving unit fixing plate. Linear motion mechanisms are provided between the driving unit fixing plate and the channel fixing plate near the proximal structural body, an output end of each of the linear motion mechanisms is securely connected to a first driving backbone.