Apparatus, systems, and methods for endoscopic dissection of blood vessels and control over cavity pressure within an endoscopic procedure are described herein. Apparatus, systems, and methods for harvesting of blood vessels are also described herein.

Vascular treatment and methods include a plurality of self-expanding bulbs and a hypotube including interspersed patterns of longitudinally spaced rows of kerfs. Joints between woven structures and hypotubes include solder. Woven structures include patterns of radiopaque filaments measureable under x-ray. Structures are heat treated to include at least shapes at different temperatures. A catheter includes a hypotube including interspersed patterns of longitudinally spaced rows of kerfs. Heat treating systems include a detachable flange. Laser cutting systems include a fluid flow system.

A selectively bendable remote access gripping tool, includes a jaw portion having a pair of jaws or nets movable relative to each other between clamped and opened positions thereof, a handle portion spaced apart from the jaw portion by a bendable central portion that has a hollow, corrugated member that is bendable, and a cord extending through the hollow bendable member that connects the jaw portion and the handle portion.

A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes an expandable structure for enhancing engagement with median lobe prostate tissue.

An implantation catheter for implanting an implant into a human or animal body, comprises a first catheter shaft and a holding element being arranged at a distal end of the first catheter shaft, the holding element being configured for holding and releasing the implant. The holding element comprises a shape memory element.

A surgical tissue bag (7) for use in the removal of tissue from a surgical site comprises an elongate handle (8) having a proximal portion (15) and a distal portion (14), and a pouch (9) disposed at the end of the handle. The pouch (9) comprises a flexible ring (10) and a bag portion (11) depending from the ring and forming an enclosure to contain tissue and other fluid material. The handle (8) includes an offset portion (13) such that the distal portion (14) is offset from the proximal portion (15) by a discrete amount. The proximal portion of the handle forms a longitudinal axis, and the ring (10) forms a plane at an angle to the longitudinal axis. The bag portion (11) is shaped such that it defines a bag longitudinal axis, the bag longitudinal axis being non-orthogonal to the plane of the ring (10).

An implanted device, such as an inferior vena cava filter, that is partially embedded in soft tissue is retrieved by coupling a vibration device to the implanted device. The implanted device is disembedded from the soft tissue at least in part by generating a vibration with a vibration generator, transmitting the vibration along the vibration transmission apparatus to the implanted device, and vibrating the implanted device. The implanted device is then moved away from the embedding site. A medical device assembly includes the vibration generator, the implantable device and the vibration transmission apparatus.

Devices and methods for removal of calculus (including for example, kidney stones) are disclosed. In an embodiment, a device for removal of kidney stones includes a substantially sealable pouch that can be inserted into the kidney for capturing a kidney stone. The pouch is also designed to permit fragmentation of the kidney stone inside the pouch, while preventing kidney stone fragments from escaping from the pouch. As a result, the likelihood of dispersing stone fragments during fragmentation of a large stone is greatly lessened.

Retrieval of material from vessel lumens can be improved by electrically enhancing attachment of the material to the thrombectomy system. The system can include a catheter having a distal portion configured to be positioned adjacent to a thrombus in a blood vessel, an electrode disposed at the distal portion of the catheter, and an interventional element configured to be delivered through a lumen of the catheter. The electrode and the interventional element are each configured to be electrically coupled to an extracorporeal power supply.

A device can detect and retrieve a blood clot by advancing a catheter with a clot sensing element through a patient’s vascular system. The catheter can map, using an electromagnetic sensor disposed at a distal end of the clot sensing element, the patient’s vascular system. A force sensor can generate a position signal indicating the clot sensing element contacted the clot in the patient’s vascular system. Once located, a blood clot retrieval device can be deployed through the catheter and a lumen in the clot sensing element to remove the clot from the patient’s vascular system.