A catheter system for removal of occlusive material in a body lumen. The catheter system includes a catheter body, extending between a distal end and a proximal end and having a proximal portion and a distal portion. The catheter body includes a filtration section having filter media configured to permit blood to pass through the lumen of the catheter body and inhibiting occlusive material from passing out of the catheter body. The catheter system also includes a control handle coupled to the proximal portion of the catheter body and a cutter assembly having a drive mechanism operatively coupled to the control handle. The cutter assembly includes a drive mechanism and a conveyor coupled to the drive mechanism and rotatable with the drive mechanism to convey occlusive material proximally within the catheter body and through the filtration section.

An atherectomy device for removing deposits such as plaque from an interior of a vessel including an outer member and a rotatable shaft positioned for rotational movement within the outer member and fixed axially within the outer member. A tip is mounted to the distal region of the rotatable shaft and is positioned distally of the distal end of the outer member to create a gap between the proximal end of the rotatable tip and the distalmost edge of the outer member. The rotatable tip has a longitudinal axis mounted to the rotatable shaft for rotation about its longitudinal axis upon rotation of the shaft, the shaft including a guidewire lumen for receiving a guidewire to enable over the wire insertion of the device.

A method for conducting intrabody surgery by means of a surgical device having a cutting arrangement actuated by a driveshaft and rotationally supported by the guide wire. A receiving cannel extends through the cutting arrangement and movably receives the guidewire. A plurality of sensors is provided within the cutting arrangement to emit signals capable of changing parameters depending on the composition of the occlusion, so as to allow the control unit to generate signals controlling operation of the cutting arrangement. The method includes the steps of detecting parameters within the intrabody area by the sensors to controlling operation of the cutting arrangement with the power and control unit.

A tissue resecting instrument includes a housing, a shaft extending distally from the housing and rotatable relative to the housing, and a tissue cutting extending distally from the shaft. The tissue cutter provides for both radial and distal resection of tissue.

A device for intrabody surgery comprises a cutting arrangement rotatable by a hollow driveshaft, which is formed by a hollow front cutting region and a rear region. The front region includes multiple longitudinal drilling sections interconnected by transversely oriented cutting blade sections. The drilling sections are positioned at an angle to each other defining in combination with the cutting blades a conically shaped grid formation having a hollow internal cavity. The grid formation defines a plurality of ports between the drilling sections and the blades. A low-pressure zone is formed within the hollow internal cavity, wherein cut occlusion materials are aspired by the low-pressure zone through the plurality of ports into the hollow internal cavity for further evacuation from the cutting arrangement.

A medical cutting assembly (10) and a volume reduction catheter system are provided. The medical cutting assembly (10) includes a cutter head (101) and a limiting member (102) connected to the cutter head (101), where the cutter head (101) includes a delivery portion (1012); the limiting member (102) includes a decomposing portion (1021); and when the cutter head (101) and the limiting member (102) rotate relative to each other, the decomposing portion (1021) extends through the delivery portion (1012). The volume reduction catheter system includes a cutting section and a transfer section. The delivery portion (1012) can transfer excess tissue cut by the cutter head (101) from a distal end to a proximal end. The limiting member (102) is provided with the decomposing portion (1021). When the cutter head (101) and the limiting member (102) rotate relative to each other, the decomposing portion (1021) extends through the delivery portion (1012), such that the decomposing portion (1021) rotating at a high speed further cuts and decomposes the cut tissue in the delivery portion (1012) into smaller tissues, so as to achieve improved decomposition of the tissue in order to facilitate the subsequent discharge of the excess tissue.

A surgical instrument. The surgical instrument has an end effector and a trigger in communication with the end effector. The surgical instrument also has a first sensor and an externally accessible memory device in communication with the first sensor. The first sensor has an output that represents a first condition of either the trigger or the end effector. The memory device is configured to record the output of the first sensor. In various embodiments, memory device may include an output port and/or a removable storage medium.

A device may comprise a work element, an outer tube co-axially disposed around a portion of the work element and a collar assembly. The work element may be configured to rotate and define proximal and distal ends, and may comprise a body portion, one or more articulable beak(s) configured to cut tissue, and a beak actuation portion. The collar assembly may be coupled to the work element away from the articulable beak(s), and may comprise a distal collar element coupled to the body portion, a middle collar element coupled to the outer tube and a proximal collar element coupled to the beak actuation portion. The distal collar element may comprise a first peripheral surface that extends around the distal collar element and that faces the proximal end and the middle collar element may comprise a second peripheral surface that that extends around the middle collar element, faces the distal end and at least partially contacts the first peripheral surface. The first and second peripheral surfaces each may comprise a smooth undulating surface that comprises a plurality of peaks and valleys. The distal, middle and proximal collar elements may be configured to control opening, closing, extending and retracting the articulable beak(s) by rotating in synchronicity, rotating differentially and/or moving toward the distal or proximal ends.

Disclosed embodiments include apparatuses, systems, and methods for guiding a needle to facilitate suturing, such as in surgical anastomosis. In an illustrative embodiment, an apparatus includes a frame configured to counter-rotatably support two generally parallel rollers. A first roller supported by the frame has a flat surface configured to rollably engage a first face of a shaft of a helically-shaped needle. A second roller supported by the frame has a grooved surface defining a helical groove is configured to at least partially receive a second face of the shaft. The second roller further defines a correcting recess bounded by lateral surfaces at a forward end of the groove that tapers to a width of the groove at the forward end. When the leading end is received into the correcting recess, at least one of the lateral surfaces engages and guides the leading end into the forward end of the groove.

A thrombectomy device includes a handle at a proximal end portion of the device, a first arm connected to the handle, and a second arm extending to a distal end portion of the device. The device may also include a cage at the distal end portion of the device, the cage being adjustable between a contracted orientation and an expanded orientation, the cage including a cutting element disposed between a proximal end portion of the cage and a distal end of the cage, the cutting element including one or more of a round wire, a flat wire, or a blade configured to remove matter from a body lumen when the cage is in the expanded orientation, and a macerator extending within the first arm and the second arm, the macerator including a helical element.