Vascular delivery systems configured to deliver an implant to a location within a vasculature can include one or more control wires controllable by a user to detach the implant from the delivery system. Control wires can cause a feature of the delivery system to mechanically engage a hub at a proximal end of an implant. Proximal or distal movement of the control wire can allow the feature to disengage from the hub, thereby allowing release of the implant.

An endarterectomy device configured to remove plaque from an occluded artery is disclosed. The endarterectomy device uses an adjustable wire loop end effector to establish and advance a dissection plane in the subadventitial space of the artery. The endarterectomy device is passed down the length of an artery in the subadventitial plane, adjusting the size of the wire loop end effector as needed to navigate the artery and dissect a plaque column, until the end of the plaque is reached. The wire loop end effector is then used as a plaque cutter to transect the distal end of the plaque column. The endarterectomy device is further configured along its length with support arms that facilitate removal of the plaque column as the device is removed from the artery.

Disclosed herein are medical devices comprising a single-lobed, thin-walled, expandable body and a flexible, elongated delivery device for treating saccular vascular aneurysms and occluding segments of blood vessels and other biological conduits. The expandable bodies may include gold and other metals that can be compressed, positioned in the lumen of an aneurysm, or other biological conduit and expanded. The external surface of the expandable bodies can be configured to promote local thrombosis and to promote the growth of tissue into and around the surface in order to reduce migration of the expandable body and to occlude and seal the aneurysm or biological conduit. For the treatment of saccular aneurysms, the expandable body may be deployed in combination with one or more coiled wires that contact both the wall of the aneurysm and the expandable body and exert force on the expandable body to aid in sealing the aneurysm neck.

The present invention relates to a medical implantable interatrial septal defect occlusion device to occlude the congenital cardiac malformations such as Atrial Septal Defect (ASD) and Patent Foramen Ovale (PFO) providing hemodynamics between two atria. The occlusion device includes distal and proximal discs having expandable shape memory characteristics, pre-created sealed potential fenestrations which are sealed with biocompatible polymeric patch and sutures to be perforated and used for any possible intervention needed.

A surgical instrument holder includes a carriage, a housing, and a drive assembly. The carriage is configured for engagement to a surgical robotic arm and for supporting an instrument drive unit. The housing extends from the carriage and defines a channel. The drive assembly includes a pulley, a belt, and an annular member. The pulley is rotatably disposed within the housing and in operable engagement with a motor of the carriage such that actuation of the motor rotates the pulley. The belt is rotatably disposed within the housing and in operable engagement with the pulley such that rotation of the pulley effects rotation of the belt. The annular member is disposed within the channel of the housing and configured for non-rotatable receipt of an instrument drive unit. The annular member is in operable engagement with the belt such that rotation of the belt effects rotation of the annular member.

There is provided a laminate membrane for an implant, comprising: an inner layer having an inner layer thickness; a first covering layer disposed on one side of the inner layer, the first covering layer having a first covering layer thickness; and a second covering layer disposed on another side of the inner layer, the second covering layer having a second covering layer thickness.

A drive shaft (1, 3) for use with a rotation device (10, 20) includes an outer layer (11, 31) and an inner layer (12, 32). The outer layer is a tubular structure, and the inner layer is accommodated in a space defined by the outer layer and defines a central lumen (13, 33) for receiving therein an external mechanism. The outer layer is rotatable about the central lumen, and the inner layer is rollable relative to both the outer layer and the external mechanism and thus allows rolling friction to occur between the drive shaft and the external mechanism. Such a structure of the drive shaft can reduce friction between the drive shaft and a guidewire as well as loss due to such friction, avoiding failure of the guidewire due to excessive friction between the guidewire and the drive shaft. Therefore, it is ensured that the drive shaft is suitable for use with guidewires commonly used in clinical practice, resulting in improved surgical operability and lower surgical cost. Also disclosed is a rotation device including an instrument (2, 4) and the drive shaft. The instrument is disposed at one end of the drive shaft and is coupled to the outer layer of the drive shaft so as to be able to be driven by the outer layer to rotate.

A mechanical thrombectomy apparatus for removing a clot from a vessel includes an elongate inversion support catheter having a distal end opening, an elongate puller extending within the support catheter, and a knitted tractor tube extending over an outer surface of the support catheter, inverting into the distal end opening of the support catheter, and attached to the elongate puller at a first end within the support catheter, wherein the portion of the knitted tractor tube extending over the support catheter comprises a wire forming a helical spiral of alternating teardrop shaped-links each having a rounded apex, wherein each link is connected to two adjacent links so that the apex of each link is on an outward-facing surface of the tractor tube, wherein the links flare outward from an outer wall of the support catheter when the puller is pulled proximally within the support catheter.

The devices and methods described herein relate to clearing of blockages within body lumens, such as the vasculature, by addressing the frictional resistance on the obstruction prior to attempting to translate and/or mobilize the obstruction within the body lumen.

An illuminated microsurgical instrument comprises a distally projecting tubular member arranged to perform a medical procedure at an interventional site, a sheath member surrounding a portion of the tubular member, and an optical fiber extending along a length of the outer surface of the tubular member between the tubular member and the sheath member. A method of manufacturing an illuminated microsurgical instrument comprises placing an optical fiber on a positioning member, placing a sheath member around the optical fiber and positioning member and securing the sheath member to the optical fiber, removing material from a distal end of the sheath member and optical fiber at a non-perpendicular angle with respect to a longitudinal axis of the positioning member, removing the positioning member from within the sheath member, and placing the sheath member with the optical fiber secured thereto around a distally projecting tubular member.