A medical device may include a handpiece having a housing and a drive system arranged within the housing. The drive system may be adapted to operate a tool in direct contact with human matter of a patient at a treatment site. The device may also include a suction system integrated into the drive system and configured to remove human matter from the treatment site. The device may also include a motor removably attached to the housing and configured for delivering rotational power to the drive system while avoiding contact with the human matter.

Devices and methods for the treatment of chronic total occlusions are provided. One disclosed embodiment comprises a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method includes inserting an intramural crossing device into the vascular lumen, positioning at least the distal tip of the crossing device in the vascular wall, advancing an orienting device over the crossing device such that an orienting element of the orienting device resides in the vascular wall, inserting a reentry device, and re-entering the true vascular lumen.

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 minimally invasive tissue incision system for creating joint capsulotomies and releasing/incising various tissues, tendons, and fibrous band structures is described. The system contains a penetrating needle which is retractable so as to expose a cutting element, and which may be used as a penetrating needle to pierce the skin and other soft tissue structures. The cutting element provided within the penetrating needle may be used to incise subsequent tissue structures after the initial penetration. The system facilitates such procedures by providing the cutting element with the confines of the needle which provides safe introduction of the cutting element directly to the site via the needle.

The invention provides devices with integrated intravascular imaging and methods for crossing a CTO within the true lumen of a vessel. An interventional catheter with intravascular imaging capabilities can be guided into an affected vessel and to a CTO. An included intravascular imaging device captures a 3D image of the environment. The catheter includes a crossing member that can be extended out from a distal tip of the catheter, causing the crossing member to directly cross through the CTO creating a new channel through the CTO.

A disposable attachment of the handheld surgical instrument having a distal section extending from the handpiece is provided. The disposable attachment has a proximal tube extending from the disposable attachment. The distal section includes an outer tube and a flexible shaft disposed within the outer tube. The flexible shaft couples with the proximal tube via a proximal coupler at a proximal end of the flexible shaft. The distal section also has an irrigation hypotube, a cooling orifice, and a cutting implement. The irrigation hypotube is disposed on an outer surface of the outer tube and the cooling orifice is disposed at a distal end of the distal section. The cutting implement is disposed at a distal end of the distal section opposite the handpiece.

Methods and systems for separating an object, such as a lead, from formed tissue are provided. Specifically, a tissue slitting device is configured to engage patient formed tissue at a slitting engagement point. While the object is subjected to a first traction force, the tissue slitting device is caused to move further into the engaged tissue and slit the tissue past the point of engagement. The slitting device causes the tissue to separate along an axial direction of the length of the formed tissue and releases at least some of the force containing the object. The methods and systems are well suited for use in cardiac pacing or defibrillator lead explant procedures.

A rotational atherectomy device advanceable over a guidewire. The rotational atherectomy device includes a drive shaft rotatably extending through an outer tubular member to rotate a cutting member positioned at a distal end thereof. The rotational atherectomy device further includes an insert positioned within the cutting member for frictional contact with the guidewire.

Rotational atherectomy devices and systems can remove or reduce stenotic lesions in blood vessels by rotating one or more abrasive elements within the vessel. The abrasive elements are attached to a distal portion of an elongate flexible drive shaft that extends from a handle assembly that includes a driver for rotating the drive shaft. In particular implementations, individual abrasive elements are attached to the drive shaft at differing radial angles in comparison to each other (e.g., configured in a helical array). The centers of mass of the abrasive elements can define a path that spirals around the drive shaft in a direction that is opposite to the wind direction of filars of the drive shaft, and opposite to the direction of rotation. In some embodiments, a concentric abrasive tip member is affixed to and extends distally from a distal-most end of the drive shaft

A foot hygiene device, intended for the removal of calluses and coarse skin comprising a body made of plastic with an abrasive, characterized in that the body has an arched upper part (1) detachably connected to the abrasive (5) which is covered with abrasive material, and has a lower part (2), parallel to the ground, with at least one, separated in it, pressing plane (4), located outside the outline of the upper arched part (1).