An example debriding pad includes a support layer, a first region, and a second region. The first region includes a first material defining a plurality of first loop piles arranged on the support material. The second region includes a second material defining a plurality of second loop piles arranged on the support material. The second material is stiffer than the first material to provide more aggressive debridement of a wound.

An atherectomy system includes a user interface that an operator engages with in order to indicate requested movement of a drive assembly. One or more sensors are adapted to ascertain one or more conditions of the drive assembly and to output one or more condition signals to a controller that is operably coupled with the operator assembly and the drive assembly. The controller is adapted to receive the request signal from the operator assembly and the one or more condition signals, to determine a command signal in response to the received request signal and the received one or more condition signals, and provide the command signal to the drive assembly. The drive assembly is adapted to move relative to the advancer assembly in accordance with the command signal.

A tissue-removing catheter includes a drive assembly. The drive assembly includes a gear rotatable about an axis, a gear extension coupled to the gear and extending axially outward from the gear, and a lock received in and coupled to the gear extension. The gear extension is rotatably driven by the gear, and the lock is rotatably driven by the gear extension. An elongate drive member is received in and coupled to the lock. The drive member is driven by the lock, whereby rotation of the gear imparts rotation to the drive coil.

Rotational atherectomy devices and systems can remove or reduce stenotic lesions in blood vessels by rotating an abrasive element within the vessel. The abrasive element can be attached to a distal portion of an elongate flexible drive shaft that extends from a handle assembly. In particular embodiments, the handle assembly includes a compressed gas driven turbine member that drives rotation of the drive shaft. The turbine member can be rotatably attached to a carriage that is longitudinally translatable in relation to a housing of the handle assembly. The handle assembly can include a latch mechanism that when actuated allows the carriage to translate to a proximal-most position. While the carriage is in the proximal-most position, an open pathway is created so that a guidewire can be slidably passed through the handle assembly and a lumen of the drive shaft.

A medical device includes: a drive shaft that is rotatable; a drive unit that is connected to a proximal portion of the drive shaft and rotates the drive shaft; a housing that accommodates the proximal portion of the drive shaft; and a handle portion that accommodates the drive unit and the housing, in which the housing includes an accommodation portion that is provided therein, a shaft support that is disposed in the accommodation portion and has a lumen through which the proximal portion of the drive shaft is inserted, and an elastic body that is disposed between an outer peripheral surface of the shaft support and an inner peripheral surface of the accommodation portion, and since an outer diameter of the shaft support is smaller than an inner diameter of the accommodation portion, the shaft support is movable in the accommodation portion.

A device for use with a debridement system is disclosed. The device includes an outer tubular shaft having an inner surface defining a lumen along an axis, the inner surface having an inner surface diameter. An inner tubular shaft is disposed within the lumen and rotatable within the outer tubular shaft. The inner tubular shaft includes an outer surface having an outer surface diameter less than the inner surface diameter. The inner surface of the outer tubular shaft with the outer surface of the inner tubular shaft forms a channel along the axis to receive fluid from the fluid source. The rotor is disposed in the channel and includes an axially extending helicoid blade coupled to the inner tubular shaft. The blade rotates within and with respect to the outer tubular shaft and exerts an axial thrust on the fluid in the channel with respect to the outer tubular shaft.

An apparatus for treating skin has a console with a user input device and a handpiece assembly. The handpiece assembly is configured to treat skin. A fluid line provides fluid communication between the console and the handpiece assembly. A manifold system is coupled to the console and controlled by the user input device. The manifold system is configured to hold releasably a plurality of fluid sources and deliver fluid from at least one of the plurality of fluid sources to the handpiece assembly.

An atherectomy catheter device includes an elongate body, a drive shaft extending proximally to distally within the elongate body, and a cutter attached to the drive shaft. The cutter includes a serrated annular cutting edge formed on a distal edge of the cutter and a recessed bowl extending radially inwards from the annular cutting edge to a center of the cutter. The recessed bowl has a first curvature. The cutter further includes a plurality of grinding segments extending inwardly from the distal edge within the bowl. Each of the plurality of segments has a second curvature that is different from the first curvature.

A tissue-removing catheter for removing tissue in a body lumen includes an elongate catheter body. A tissue-removing element is operatively coupled to a distal end portion of the elongate catheter body. The tissue-removing element has a central axis. The tissue-removing element is configured to be rotated about its central axis to remove tissue from the body lumen. A distal end portion of the tissue-removing element includes a distal end face at a distal-most end of the tissue-removing element. The distal end face has a perimeter and a diameter extending through the central axis. Diametrically opposite points on the perimeter lie in a plane that is oblique to the central axis of the tissue-removing element.

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.