An atherectomy system includes a handle having a handle housing, with a drive member extending through the handle housing and operably coupled to an atherectomy burr. A drive mechanism is disposed within the handle housing and is adapted to rotatably engage the drive member. The drive mechanism may include an electric drive motor, a drive gear that is rotatably engaged with the electric drive motor and a driven gear that is coupled with the drive member and is engaged with the drive gear such that rotation of the driven gear causes rotation of the drive member. The drive mechanism may be configured to enable a rotation speed of the atherectomy burr of up to at least about 200,000 revolutions per minute (rpm).

In some embodiments, a debridement tool may include a housing, a reduced-pressure lumen, a debridement head, an impeller, and a drive system. The debridement head may be moveable relative to the housing. The impeller may be positioned in fluid communication with the reduced-pressure lumen and be moveable relative to the housing by operation of reduced pressure being applied to the impeller. The drive system may be coupled between the impeller and the debridement head and be configured to impart movement from the impeller to the debridement head.

An improved flexible endoscopic instrument to precisely and efficiently obtains samples of flat polyps and multiple polyps from a patient by debriding one or more polyps and retrieving the debrided polyps without having to alternate between using a separate cutting tool and a separate sample retrieving tool and may be used with an endoscope. In one aspect, the cutting tool is coupled to a flexible torque coil or torque rope that is configured to transfer rotational energy from a powered actuator through the length of the endoscope onto the cutting tool.

Medical systems and methods for making and using medical systems are disclosed. Example medical systems may include an atherectomy system configured to engage and remove plaque from walls in vessels of a vascular system. The atherectomy system may include a drive shaft, a rotational tip coupled to an end of the drive shaft, a drive mechanism coupled to the drive shaft to rotate the rotational tip, and a control unit configured to control operation of the drive mechanism. In some cases, the control unit may include a controller for controlling operation of the drive mechanism based on sensed positions of the drive mechanism. The controller may be configured to send data to a host for analysis, compensate a control signal based on a mode of operation of the drive mechanism, determine if a stall is predicted to occur, and/or perform one or more other functions.

In some embodiments, a debridement tool may include a housing, a reduced-pressure lumen, a debridement head, an impeller, and a drive system. The debridement head may be moveable relative to the housing. The impeller may be positioned in fluid communication with the reduced-pressure lumen and be moveable relative to the housing by operation of reduced pressure being applied to the impeller. The drive system may be coupled between the impeller and the debridement head and be configured to impart movement from the impeller to the debridement head.

An improved flexible endoscopic instrument to precisely and efficiently obtains samples of flat polyps and multiple polyps from a patient by debriding one or more polyps and retrieving the debrided polyps without having to alternate between using a separate cutting tool and a separate sample retrieving tool and may be used with an endoscope. In one aspect, the cutting tool is coupled to a flexible torque coil or torque rope that is configured to transfer rotational energy from a powered actuator through the length of the endoscope onto the cutting tool.

A medical device for collecting a solid object together with a fluid in a living body, including: a cylindrical member having an inner cavity, a suction port provided on the distal end of the inner cavity, and a discharge port on a side wall and communicating with the inner cavity; an impeller in the inner cavity configured to carry the fluid from the suction port to the discharge port; and a filter in the inner cavity configured to collect the solid object. At least part of the wall surface of the cylindrical member, which defines a flow channel allowing movement of the fluid from the impeller to the discharge port, is inclined from a center axis of the cylindrical member toward a distal end with respect to a transverse direction of the cylindrical member.

Rotational atherectomy devices and systems can remove or reduce stenotic lesions in blood vessels by rotating an abrasive element within the vessel. The abrasive element can be attached to a distal portion of an elongate flexible drive shaft that extends from a handle assembly.

A device for removing viscous or semi-viscous material from an individual is disclosed. The device uses suction which may be provided by a vacuum source. The device includes a tube. The tube has a proximal opening and a distal opening, and a first stop at a first lengthwise position on an inner wall of the tube. The distal opening is in pneumatic communication with the vacuum source. The device also includes an agitator rotatably disposed in the tube. The agitator has a helical blade, a first end, and a second end. The first end is configured to engage the first stop such that the agitator is rotatable about the axis of the helical blade while being at a substantially fixed position along the length of the tube.

An endoscope for removing tissue at a surgical site includes an elongated tubular body insertable within a mammalian cavity of a patient. An instrument channel extends between a first opening at a distal end and a second opening at a proximal end of the tubular body and is sized and configured to receive a surgical cutting assembly that includes an aspiration channel configured to remove material entering the endoscope via a distal end of the surgical cutting assembly. A torque generation component configured to generate torque is positioned within the distal end and configured to provide the generated torque to a coupling component. The coupling component is positioned at the distal end of the elongated tubular member and configured to actuate a cutting component of the surgical cutting assembly responsive to actuation of the torque generation component.