A medical device includes an elongated sleeve having a longitudinal axis, a proximal end and a distal end. A cutting member having a plurality of sharp edges is formed from a wear-resistant ceramic material is carried at the distal end of the elongated sleeve. A motor drive is coupled to the proximal end of the elongated sleeve to rotate the sleeve at cutting member at high RPMs to cut bone and other hard tissue. An electrode is carried in a distal portion of ceramic cutting member for RF ablation of tissue when the sleeve and cutting member are is a stationary position. In methods of use, (i) the ceramic member can be engaged against bone and then rotated at high speed to cut bone tissue, and (ii) the ceramic member can be held in a stationary (non-rotating) position to engage tissue and RF energy can be delivered to the electrode to create a plasma that ablates tissue.

A detachable medical cutting tool includes a shank portion, a cutting edge portion, a rotation prevention portion and a coherence keeping portion. The shank portion includes a connection portion. The cutting edge portion includes a combination portion to be combined removably with the connection portion of the shank portion. The rotation prevention portion is interposed between the connection portion of the shank portion and the combination portion of the cutting edge portion. The rotation prevention portion prevents from a rotation in a rotation direction. The coherence keeping portion keeps coherence when the connection portion of the shank portion and the combination portion of the cutting edge portion are combined with each other. The shank portion includes stainless steel. The cutting edge portion includes zirconia. The detachable medical cutting tool is configured to be combined with a high speed rotation apparatus to perform a perforation drilling at a bone tissue of a human body.

Systems for treating an aneurysm in a cerebral vessel and methods of use are described. In one embodiment, the system includes an elongate tubular member having a lumen, an expandable stent, and a delivery device. The expandable stent has a constrained state that is configured for delivery through the lumen of the elongate tubular member, and an expanded state configured for placement within the cerebral vessel adjacent the aneurysm. The delivery device includes an elongate member and a self-expandable portion. The proximal end of the self-expandable portion is coupled to the elongate member at or near the distal end of the elongate member. The self-expandable portion of the delivery device includes a tubular mesh structure having a constrained state and an expanded state. The stent is engaged (e.g., mechanical, frictional, or intermeshing) with the self-expandable portion of the delivery device.

An insertion instrument for inserting an implant includes an elongated main body having a proximal handle and a distal portion that selectively couples to the implant. A wing actuation tool is slidably engaged in a central passage of the elongated main body to fix the implant to the elongated main body. The wing actuation tool temporarily attaches to the implant allowing for deployment and retraction of wings of the implant during surgery. Longitudinal translation of the wing actuation tool deploys an actuation plunger of the implant.

The invention provides intravascular devices for treating certain medical conditions such as edema without causing thrombosis. The intravascular devices of the disclosure include non-thrombogenic surfaces that improve blood compatibility by reducing device-related thrombus formation and inflammatory reactions. The non-thrombogenic surfaces may include surface topographies (e.g., surface roughness) and modified chemistries (e.g., coatings and/or treatments), which prevent thrombosis by reducing local shear forces and inhibiting adhesion of blood clotting factors.

The invention provides intravascular devices for treating certain medical conditions such as edema without causing thrombosis. The intravascular devices of the disclosure include non-thrombogenic surfaces that improve blood compatibility by reducing device-related thrombus formation and inflammatory reactions. The non-thrombogenic surfaces may include surface topographies (e.g., surface roughness) and modified chemistries (e.g., coatings and/or treatments), which prevent thrombosis by reducing local shear forces and inhibiting adhesion of blood clotting factors.

A robotic surgical system includes a surgical instrument and a robotic surgical assembly. The robotic surgical assembly defines an instrument opening and includes a floating plate and a drive assembly. The floating plate is movable between an extended position and a compressed position. The surgical instrument is laterally receivable in the instrument opening of the robotic surgical assembly while the floating plate is disposed in the compressed position. The floating plate is movable to the extended position to couple the surgical instrument to the robotic surgical assembly while the surgical instrument is received in the instrument opening of the robotic surgical assembly.

A joining method for a medical device, in particular a surgical instrument or implant, with a shaft and an attachment to be secured on the shaft, the method having the following steps: heating the attachment or cooling the shaft, such that an internal diameter of an opening of the heated attachment is greater than an external diameter of the shaft, then placing the shaft into the opening of the attachment, and then cooling the attachment, so as to shrink the attachment onto the shaft in a manner substantially free of gaps, or heating the shaft, such that the shaft and the opening are connected by an interference fit. A corresponding medical device is produced by the joining method.

A medical device includes an elongated sleeve having a longitudinal axis, a proximal end and a distal end. A cutting member having a plurality of sharp edges is formed from a wear-resistant ceramic material is carried at the distal end of the elongated sleeve. A motor drive is coupled to the proximal end of the elongated sleeve to rotate the sleeve at cutting member at high RPMs to cut bone and other hard tissue. An electrode is carried in a distal portion of ceramic cutting member for RF ablation of tissue when the sleeve and cutting member are is a stationary position. In methods of use, (i) the ceramic member can be engaged against bone and then rotated at high speed to cut bone tissue, and (ii) the ceramic member can be held in a stationary (non-rotating) position to engage tissue and RF energy can be delivered to the electrode to create a plasma that ablates tissue.

An apparatus for providing structural support to an anatomical structure is disclosed. The apparatus comprises a plurality of connection structures and a frame structure. Each of the plurality of connection structures is arranged that, in use, they are connected to at least two points on an anatomical structure. In use, each connection structure is arranged to be orientated in a predetermined orientation and to be separated from each other connection structure by a predetermined separation. The frame structure connects each of the plurality of connection structures. The frame structure is arranged to maintain the predetermined orientations of the plurality of connection structures and the predetermined separations between the plurality of connection structures.