One aspect of the present invention relates to a method of using peristalsis to force a polymer plug through a mammalian lumen, thereby removing any calculi and/or calculi fragments present in the lumen. In one embodiment, the method is used as an alternative to conventional lithotripsy. In another embodiment, the method is used in conjunction with lithotripsy, thereby removing the small calculi fragments that result from such procedures.

A method and a medical elongate body are configured to prevent stagnation or turbulence of blood flow in a recess of a rugged pattern formed in a blood vessel due to bulging of a blood vessel wall at a lesion part of the blood vessel. The method involves partitioning an inside of the blood vessel into upstream and downstream sides of the recess, and introducing gel into the recess to at least partially fill the recess. A blood vessel lumen forming method and medical elongate body to form such a lumen are other aspects of the disclosure and involve introducing gel into the recess to at least partially fill the recess with the gel, and drilling the gel to remove at least some of the gel to form a passage and secure blood flow in the blood vessel.

The disclosure provides for an adjustable catheter system with isovolumetric suction and restoration of fluid for the removal of a thrombus and a method of use thereof. The catheter system includes an inner catheter and an outer sheath surrounding at least a portion of the inner catheter. The inner catheter may include at least three lumina extending from the proximal end to the distal end of the inner catheter, at least one infusion fenestration along the infusion segment, and a distal encapsulation balloon at the distal end. The outer sheath may include at least three lumina extending from the proximal end to the distal end of the outer sheath and a proximal encapsulation balloon at the distal end. The catheter system may further include an agitator for mechanical morcellation of the thrombus.

Systems and methods for performing medical procedures in body lumens are described. Embodiments of the methods include forming a plug to partially or fully occlude the lumen and moving the plug through a surgical field. Embodiments of the systems include an elongate body graspable by a surgical instrument or by a surgeon that are adapted to anchor to the plug.

New nanotechnology and other small-scale devices for performing intravenous medical procedures are provided. In some aspect of the invention, a group of encapsulated injectable machines is delivered intravenously into a bloodstream via a syringe. A treatment area within a patient's body is specified and targeted for action by an external control system, which also monitors blood flow and other environmental. Externally applied magnetic and/or electrostatic signaling and direction devices controlled by the control system then trigger the release of encapsulation layers surrounding the injectable machines upon reaching the treatment area. The externally applied magnetic signaling and direction devices then drive the machines into treatment targets within the treatment area, exploiting an overall charge and polarity of the machines distinct from their condition during encapsulation. Pulsed magnetic fields then cause polarized moving parts within the machines to move counter to one another, with opposing angled edges breaking up the treatment target. In some embodiments, the machines may also or alternatively deliver a magnetically- or electrostatically-released medication or device to the treatment target. In still other embodiments, a local control unit within the devices may direct additional, more sophisticated actions, which actions may be directed or triggered by external signaling from the externally-applied magnetic signaling and direction devices, or other aspects of the external control system.

A method involves positioning a housing in an ureteral access sheath that is positioned in a lumen in a living body, moving the housing toward calculus located in the ureteral access sheath, positioning the housing in the ureteral access sheath adjacent the calculus in the ureteral access sheath, drawing the calculus in the ureteral access sheath through the inlet and into the housing by suction in the interior of the housing, and removing the housing from the ureteral access sheath while the calculus remains in the housing.

A catheter for debulking of an undesired deposit from an inner surface of at least one of a blood vessel wall and a stent located in a blood vessel, the catheter having a tip section comprising: circumferentially-directed laser optics; and a circular-action cutter, wherein said circumferentially-directed laser optics is configured to transmit laser radiation for modifying an area of the undesired deposit thereby preparing said area for penetration of said cutter, wherein said cutter is configured to cut through said modified area and thereby debulk at least a part of the undesired deposit. In addition, a catheter for pacemaker and ICD (Implantable Cardioverter Defibrillator) lead extraction is disclosed.

Provided herein are methods for treating nephrolithiasis and protecting the urothelium and inner lining of the kidney from thermal damage during lithotripsy by use of a thermosensitive bio-adhesive hydrogel. The described method dramatically improved the efficiency and effectiveness of stone clearance compared to conventional techniques while providing protection to the urothelium from potentially damaging temperature spikes.

A catheter and methods for luminal therapy are provided wherein a catheter includes an elongated catheter shaft having a proximal end and a distal region, a first inflation lumen and a second inflation lumen extending from the proximal end to the distal region; a fluid impermeable balloon affixed to the distal region; an intermediate balloon affixed to the distal region to envelop the fluid impermeable balloon, the intermediate balloon having a first multiplicity of through-wall apertures; and an outer balloon affixed to the distal region to envelop the intermediate balloon, the exterior surface of the outer balloon comprising a coating of an agent; wherein the first inflation lumen is coupled to a first space enclosed by the fluid impermeable balloon, the second inflation lumen is coupled to a second space defined by the fluid impermeable balloon and the intermediate balloon, wherein the fluid impermeable balloon is configured to contact and expand the intermediate balloon against the outer balloon, and to expand the outer balloon such that the coating is in contact with a luminal wall. The outer balloon also may include a multiplicity of through-wall apertures.

Described herein are methods and devices for selectively applying either fluids (e.g., anesthetics, nerve-blockers, etc.) or energy, such as radiofrequency or ultrasound energy, to a target tissue from within a blood vessel while minimizing the amount of fluid or energy applied to non-target tissue. The catheters described herein may include an elongate body, a directional injector, and one or more holdfasts for securing the catheter. In addition, catheters can include energy applying features for delivering energy to the target tissue.