A vacuum aspiration control system for use with a vacuum source and an aspiration catheter includes a connecting tube configured to connect the vacuum source with a lumen of an aspiration catheter. An on-off valve is operatively coupled to the connecting tube, and a sensing unit is configured to detect flow within the connecting tube and provide a signal representative of flow. A controller receives the signal to decide whether to open or close the valve. The controller may automatically close the valve to stop flow when flow through the connecting tube is unrestricted, or according to a predetermined timing sequence. The controller can further periodically open a closed valve to determine whether flow has entered an acceptable range. The controller can still further engage pulsed aspiration with a pressure manipulation assembly when flow is restricted or occluded.

A retractor member is configured for insertion through a channel of an access member and for moving soft tissue at a treatment site that is accessible through the channel. The retractor includes a body having a proximal end and a distal end and spaced from each other along a longitudinal direction. The distal end defines a retractor blade and the body defines a first surface and a second surface opposite each other along a transverse direction substantially perpendicular to the longitudinal direction. The retractor includes an attachment device configured to selectively attach the body to a portion of the access member such that the body is extendable through the working channel while the body is attached to the portion of the access member.

A system can include a tubular member to be inserted into an esophagus of a patient and a catheter assembly that includes a catheter tube that defines a length greater than a length of the tubular member and is configured to pass through a channel of the tubular member such that a distal tip of the catheter tube extends distally past the distal tip of the tubular member while the tubular member is positioned in the esophagus of the patient. The distal tip of the catheter tube defines a cutting element to core a blockage positioned in the esophagus of the patient. Advancement of the distal tip of the catheter tube into contact with the blockage can core a piece from the blockage that is passed through the catheter tube.

An anti-hemorrhaging device includes an elongate body, a flexible looped segment, a shield, and an inflatable seal. The elongate body is configured to attach to a vacuum source. The flexible looped segment is attached to the elongate body includes a plurality of holes on an inner circumference thereof. The flexible looped segment is configured to be placed in a uterus. Activation of the vacuum source is configured to pull vacuum through the plurality of holes so as to collapse the uterus upon insertion of the elongate body into the uterus. The shield is folded around an exterior circumference of the looped portion and has edges that extend radially inwards relative to the flexible looped distal section. The shield is configured to prevent tissue from occluding the plurality of holes when vacuum is applied. The inflatable seal is attached to the elongate body and is configured to seal the uterus.

The suturing instrument uses a tissue suturing method consisting in introducing a quick-hardening biocompatible mass (hereinafter referred to as the ‘mass’) into the tissues to be connected or drawing it from them through hollow needles. The instrument has housing (1) with tissue gripping jaws (2 and 3) with control handles (5, 14). One of the jaws contains needle holder (19) with mechanism (17) moving it both ways. The needle holder contains mass receptacle (25, 28) above needles (18) that is connected to needle mouths via damper (33). A mechanism squeezing the mass out of the receptacle is located above the receptacle: inflatable bladder (29) that is open to external source of elevated pressure (31), rod or lock plate (59) with a device securing it to jaw walls (3) or instrument housing walls (1) on needle withdrawal from tissues. The mass receptacle presses against the fixed lock plate on needle lifting, and the mass is uniformly fed into tissues. The instrument can also be mounted on surgical forceps, (FIG. 1).

A vacuum motor has a piston that linearly oscillates in the internal space of a housing. A gas outlet and a gas inlet (supplying ambient air) located in the housing terminate in the space between the piston and the housing rear side. The piston never covers the outlet or inlet. A valve body closes the inlet. A pestle moves within the housing between the piston and valve body. When the piston moves toward the rear side of the space, the valve body moves against the force of a spring and opens the inlet. The free cross-section of the opened inlet is at least equal in size to the free cross-section of the outlet. A surgical drive system, a medical lavage system, and a medical device for brushing, rasping or sawing of tissue or bone—all include the vacuum motor. Also disclosed is a method for operating the vacuum motor.

A surgical stapler for stapling the tissue of a patient is disclosed. The surgical stapler comprises a handle, a shaft extending from the handle, and an end effector. The end effector comprises a tissue compression surface, a plurality of staples, and an anvil comprising staple forming pockets, wherein the anvil is movable toward the tissue compression surface during a closing stroke to clamp the patient tissue against and tissue compression surface. The surgical stapler further comprises an anvil closing system configured to move the anvil through the closing stroke, a staple firing system configured to deploy the staples during a staple firing stroke, and means for clamping and holding the patient tissue during the staple firing stroke and moving the end effector relative to the patient tissue after the staple firing stroke.

An aspiration thrombectomy system, comprising an aspiration catheter having a proximal end and a distal end, wherein the proximal end of the aspiration catheter comprises a lumen configured to accommodate fluid, a vacuum source comprising a controllable vacuum valve, and a controller configured to detect a change in a connection between the aspiration catheter and the aspiration thrombectomy system, wherein the controller is further configured to change a pulsation protocol associated with the aspiration catheter responsive to the change in the connection between the aspiration catheter and the aspiration thrombectomy system, wherein the pulsation protocol specifies pressure variations and pressure patterns to modulate the vacuum valve to change a level of vacuum at the distal end of the aspiration catheter.

An end effector assembly for a surgical instrument includes first and second jaw members each including a jaw housing, an electrically-conductive tissue-treatment plate, and a longitudinally-extending channel. The first and/or second jaw member is movable relative to the other between a spaced-apart position and an approximated position. A cutting mechanism is disposed at least partially within the second jaw member. The cutting mechanism may include an inflatable bladder, a fluid line coupled to the inflatable bladder, and a knife coupled to the inflatable bladder. The cutting mechanism may alternatively include a fluid line, a knife, and a sealing member that defines a variable-volume sealed chamber within the longitudinally-extending channel of the second jaw member. The cutting mechanism may alternatively include at least one electromagnet, at least one electrical wire coupled to the at least one electromagnet, and a knife operably coupled to the at least one electromagnet.

Embodiments described herein include devices, systems, and methods for reducing the distance between two locations in tissue. In one embodiment, an anchor may reside within the right ventricle in engagement with the septum. A tension member may extend from that anchor through the septum and an exterior wall of the left ventricle to a second anchor disposed along a surface of the heart. Perforating the exterior wall and the septum from an epicardial approach can provide control over the reshaping of the ventricular chamber. Guiding deployment of the implant from along the epicardial access path and another access path into and through the right ventricle provides control over the movement of the anchor within the ventricle. The joined epicardial pathway and right atrial pathway allows the tension member to be advanced into the heart through the right atrium and pulled into engagement along the epicardial access path.