Devices used to provide transseptal access are disclosed. The devices may comprise at least one cannula, a needle, and a handle. The cannula and the needle may be configured to be inserted through a dilator while not damaging a lumen wall of the dilator. The handle may be configured to lock the needle in a retracted position. The devices may be configured to telescopically advance the needle through an atrial septum.

Devices and methods divert blood flow from a first vessel to a second vessel and maintain blood flow in the first vessel. The device includes a first segment and a second segment. The first segment is configured to anchor in the first vessel. The first segment includes a window to allow blood to flow into the first segment, through the window, and distal in the first vessel. The second segment is configured to anchor in the second vessel. The second segment is configured to allow blood to flow into the first segment, through the second segment, and into the second vessel.

Devices and methods for the treatment of chronic total occlusions are provided. One disclosed embodiment comprises a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method includes inserting an intramural crossing device into the vascular lumen, positioning at least the distal tip of the crossing device in the vascular wall, advancing an orienting device over the crossing device such that an orienting element of the orienting device resides in the vascular wall, inserting a reentry device, and re-entering the true vascular lumen.

The present invention relates to a joining member for an anastomosis system for realizing anastomosis between first and second hollow structures, such as end-to-side anastomosis. The joining member is annular and is adapted for joining the first and second hollow structures. The joining member includes a plurality of interconnected loops forming the annular body and a plurality of joining elements for joining the hollow structures connected to the annular body at locations where adjacent loops are interconnected to each other, and wherein the loops are configured to permit radial expansion of said annular body to expand said joining member from a first position to a second position having a second, larger diameter than the first position.

A surgical system comprising a surgical instrument attachment assembly and a transmission assembly is disclosed. The surgical instrument attachment assembly comprises a shaft and an end effector. The transmission assembly is configured to be operably attached to and detached from a surgical robot, wherein the surgical instrument attachment assembly is configured to be operably attached to and detached from the transmission assembly. The transmission assembly comprises a drive system comprising a drive member movable in a first direction during a drive stroke and a second direction during a return stroke. The transmission assembly further comprises a manually-operated bailout configured to selectively move the drive member in the first and second directions when the transmission assembly is attached to the surgical robot.

A handle assembly and a stapler including the same are provided. The handle assembly includes: a first handle, a second handle, a sliding slot disposed on the first handle, a slider slidably disposed in the sliding slot, a second indicator and a first indicator connected to a first end of the second indicator; when the first indicator is rotated in a first direction, a second end of the second indicator is driven to rotate in the first direction and the slider is pushed to move from a first section of the sliding slot to a second section of the sliding slot; when the slider is pressed against the second handle due to rotation of the first handle in a second direction, the second handle is linked with the first handle and the second end of the second indicator is pushed by the slider to rotate in the second direction.

A medical device may include an elongated body, a balloon positioned at a distal portion of the elongated body, and one or more pressure-wave emitters positioned along a central longitudinal axis of the elongated body within the balloon. The one or more pressure-wave emitters may be configured to propagate pressure waves radially outward through the fluid to fragment a calcified lesion at the target treatment site. The at least one of the one or more pressure-wave emitters may include an electronic emitter comprising a first electrode and a second electrode. The first electrode and the second electrode may be arranged to define a spark gap between the first electrode and the second electrode, and the second electrode may comprise a portion of a hypotube.

An apparatus for harvesting a subcutaneous blood vessel is disclosed. The apparatus comprises a guidewire with an angled tip, an intra-vascular catheter to receive the guidewire and having a lateral orifice to allow the angled tip thereof to perforate the subcutaneous blood vessel. The apparatus further comprises a flexible pulling device having a pair of circumferential grooves, one adjacent to each end thereof, to allow for securing the subcutaneous blood vessel thereat; and a flexible pushing device having a concave-cup shape at a distal end thereof to facilitate pushing of the subcutaneous blood vessel secured with one of the pair of circumferential grooves of the flexible pulling device. The flexible pulling device and the flexible pushing device are operable in conjunction to cause inversion and eversion and separation from the surrounding tissues of the subcutaneous blood vessel for removal and harvesting thereof.

Described herein are various implementations of systems and methods for accessing and modulating tissue (for example, systems and methods for accessing and ablating nerves or other tissue within or surrounding a vertebral body to treat chronic lower back pain). Assessment of vertebral endplate degeneration or defects (e.g., pre-Modic changes) to facilitate identification of treatment sites and protocols are also provided in several embodiments. Several embodiments comprise the use of biomarkers to confirm or otherwise assess ablation, pain relief, efficacy of treatment, etc. Some embodiments include robotic elements for, as an example, facilitating robotically controlled access, navigation, imaging, and/or treatment.

The present invention relates to a medical needle device, and more specifically, to a medical needle device capable of drilling a fine passage in an affected part of a patient, or collecting a portion of tissue in the body of the patient. Through the present invention, a needle and a handle of the medical needle device may be separated, and thus the device may be conveniently used while not obstructing the view of the affected part when using same.

Further, through the present invention, the handle and the needle are unshakably fastened, and thus may be stably used.