In some embodiments an apparatus for providing access for a medical procedure in a patient's body cavity includes a stem configured for insertion through an opening in a body cavity wall. The stem has a bore and a cap is disposed at a proximal end thereof and includes an entry port in communication with the bore which receives an instrument to be inserted into the body cavity. An inflatable annular seal is disposed on the stem proximate the cap and a conduit extends through the cap providing pressurized gas at a first outlet in fluid communication with the body cavity providing insufflation pressure. A second outlet of the conduit is in fluid communication the seal, which when disposed inside the body cavity proximate the wall and inflated by pressurized gas, bears on an inner surface of the wall urging the cap into contact with an outer surface of the wall while sealing the opening.

Tissue expanders and methods of their manufacture and use are disclosed herein. A tissue expander shell according to the present disclosure may include a shape and topography that facilitates uniform or substantially uniform expansion and contraction of the tissue expander. In at least one example, the shell may include a series of topographical features, such as ridges, grooves, channels, valleys, canals, protrusions, pleats, creases, or folds. In some embodiments, these features may have a curved or wavy cross sectional profile. For example, the shell may include a series of concentric curved ridges.

Systems and methods for treating tissue may include one or more delivery devices, a grasping element, a first ring for anchoring to a wall of a gastrointestinal tract, and a second ring operably couplable to a radially inward surface of the first ring. Other embodiments include methods of treating tissues, including tubular tracts of tissue, comprising coupling a first ring to first tissue of a wall of a tissue tract, relocating a target tissue proximally to a position proximal to the first ring, coupling a second ring to the first ring, and cutting tissue proximal to the interface of the first and second rings.

A method is disclosed, including joining a balloon to a resilient inner body of a balloon assist device, the balloon comprising an axial length shorter than an axial length of the inner body; expanding a slit in the resilient inner body of the balloon assist device; inserting a catheter through the slit; and releasing the slit to contract the balloon assist device around the catheter.

A catheter-based imaging system comprises a catheter having a telescoping proximal end, a distal end having a distal sheath and a distal lumen, a working lumen, and an ultrasonic imaging core. The ultrasonic imaging core is arranged for rotation and linear translation. The system further includes a patient interface module including a catheter interface, a rotational motion control system that imparts controlled rotation to the ultrasonic imaging core, a linear translation control system that imparts controlled linear translation to the ultrasonic imaging core, and an ultrasonic energy generator and receiver coupled to the ultrasonic imaging core. The system further comprises an image generator coupled to the ultrasonic energy receiver that generates an image.

An intrauterine balloon catheter for inhibiting formation of intrauterine adhesions in a mammalian uterus comprising balloon and a sheath, wherein the balloon is at least partially attached to the inner surface of the sheath and wherein the balloon and sheath, when the balloon is inflated, conform to the size and shape of the uterus and contact the wall of the uterus. The catheter further comprises a pressure control lock, clipping unit and one or more therapeutic agents which are therapeutically effective in inhibiting intrauterine adhesion formation.

A device for occluding an atrial appendage includes a catheter-deliverable epicardial implant that is detachably secured to a delivery device. The implant includes an inflatable cuff that is positionable about the atrial appendage to an extent that, when adjustably inflated, the cuff physiologically occludes the atrial appendage. Such occlusion addresses health risks associated with atrial fibrillation and cardiac rhythm disorder.

A medical device of the present invention includes one or more anchors and an elongated member. Advantageously, the elongated member may be coupled to the anchors. The elongated member and anchors are configured to generate a force on a mesentery. The force is sufficient to retract a bowel of the patient into an upper portion of an abdominal cavity of the patient. When the patient is in a slightly angled position, the weight of the medical device pulls the mesentery into the upper abdomen. Since the bowel is connected to the mesentery, the device also indirectly pulls up the bowel. In some implementations of the device, a slight angle may be unnecessary. In others, the device may also inversely retract the mesentery and attached organs into the lower abdomen to facilitate surgical access to the upper abdomen. In some implementations of the device, a slight angle may be unnecessary.

An apparatus for sealing a puncture through a vessel wall including a positioning assembly, a sheath releasably engaged with the positioning assembly, and a support member axially advanceable through the sheath. The positioning assembly includes a positioning element positioned at a distal portion of the positioning assembly and a sealant disposed at a distal portion of the positioning assembly. The sheath guides the sealant and positioning assembly to the puncture in the vessel wall.

A safety isolation bag is a pneumoperitoneum device for intra-abdominal, endoscopic procedures, power morcellation and vaginal morcellation for facilitating safe removal of body mass from within the abdominal cavity. It comprises of an expandable and collapsible enclosed internal space (5) having a neck portion (4) with mouth (3) having retractor means (2) and provided with markings, colour coded indicating how much the bag is to be pulled out for the removal of large, medium and small tissue mass, and also having one or more non-return valves (6) attached with long looped threads (8) on one of the surface in the wall of the safety isolation bag below the neck as a means for introducing the surgical instruments and accessories into the enclosed internal space at the right place and to close the puncture hole after the procedure. It is made of one or more layers of flexible biocompatible/medical grade plastic film.