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 portable system (1) is described, for heating, washing and sucking liquids for laparoscopic and laparotomic surgery, gynecology and urology, comprising: a trolley (3) for supporting and handling; a case (5) placed on the trolley (3) and composed of a first part made as a tank (7) for liquids equipped with an inclined bottom (9) to enable discharging liquids and cleaning the tank (7); and a second part containing at least one peristaltic pump (11) for sending a variable jet of liquid inside abdominal cavities, and at least one valve (13) for sucking liquids to wash the surgery field; a container (15) of liquids placed on the trolley (3) and equipped with a double pump (16) for taking and removing liquids into and from the tank (7); and a device (18) for keeping the temperature of liquids at an established maximum value.

A portable system (1) is described, for heating, washing and sucking liquids for laparoscopic and laparotomic surgery, gynecology and urology, comprising: a trolley (3) for supporting and handling; a case (5) placed on the trolley (3) and composed of a first part made as a tank (7) for liquids equipped with an inclined bottom (9) to enable discharging liquids and cleaning the tank (7); and a second part containing at least one peristaltic pump (11) for sending a variable jet of liquid inside abdominal cavities, and at least one valve (13) for sucking liquids to wash the surgery field; a container (15) of liquids placed on the trolley (3) and equipped with a double pump (16) for taking and removing liquids into and from the tank (7); and a device (18) for keeping the temperature of liquids at an established maximum value.

A neurovascular catheter extension segment is provided, such as for distal neurovascular access or aspiration. The neurovascular catheter extension segment includes 1) an elongate flexible control wire having a proximal end and a distal end and 2) a tubular extension segment having a side wall defining a central lumen carried by the distal end of the control wire. The side wall of the tubular extension segment includes a tubular inner liner, a tie layer separated from the lumen by the inner liner, a helical coil surrounding the tie layer, and an outer jacket surrounding the helical coil. The extension segment may be introduced into the proximal end of a neurovascular catheter and advanced distally to extend beyond the catheter and thereby extend the reach of the catheter.

A fluid ejection device which ejects a fluid includes: an ejection tube which ejects the fluid; a fluid chamber which communicates with the ejection tube; a piezoelectric element capable of changing a volume of the fluid chamber; a controller which controls a drive voltage applied to the piezoelectric element; and a fluid supplying unit which supplies the fluid to the fluid chamber at a predetermined flow rate. If a maximum frequency available to be set of the drive voltage is fmax [Hz] and an amount of change in the volume of the fluid chamber when a maximum value available to be set of the drive voltage is applied to the piezoelectric element to drive the piezoelectric element is V1 [ml], the fluid supplying unit supplies the fluid at the predetermined flow rate above V1×fmax [ml/s].

A fluid ejection device which ejects a fluid includes: an ejection tube which ejects the fluid; a fluid chamber which communicates with the ejection tube; a piezoelectric element capable of changing a volume of the fluid chamber; a controller which controls a drive voltage applied to the piezoelectric element; and a fluid supplying unit which supplies the fluid to the fluid chamber at a predetermined flow rate. If a maximum frequency available to be set of the drive voltage is fmax [Hz] and an amount of change in the volume of the fluid chamber when a maximum value available to be set of the drive voltage is applied to the piezoelectric element to drive the piezoelectric element is V1 [ml], the fluid supplying unit supplies the fluid at the predetermined flow rate above V1×fmax [ml/s].

A hydrodynamic catheter includes a catheter body with a catheter lumen and an infusion tube extending within the catheter body, the infusion tube configured for coupling with a fluid source near the catheter proximal portion. An inflow orifice and an outflow orifice are positioned at locations along a catheter body perimeter. A fluid jet emanator is in fluid communication with the infusion tube, where the fluid jet emanator includes one or more jet orifices configured to direct one or more fluid jets through the catheter lumen from near the inflow orifice toward the outflow orifice. A pivot cylinder located along the catheter body perimeter is positioned distal relative to one or more of the fluid jet emanator, the inflow orifice, or the outflow orifice.

In a liquid ejection control device, an ejection tube section type acquisition unit discriminates an ejection tube section type of an ejection tube section mounted in a main body section, and acquires a fitted correspondence relationship fitting the discriminated ejection tube section type. A voltage amplitude setting unit sets a voltage amplitude of a drive voltage waveform so as to cause kinetic energy to meet an energy instruction value input by using an energy dial based on a rising index value related to rising of the drive voltage waveform and a repetitive frequency instruction value input by using a repetitive frequency dial with reference to the fitted correspondence relationship.

In a liquid ejection control device, an ejection tube section type acquisition unit discriminates an ejection tube section type of an ejection tube section mounted in a main body section, and acquires a fitted correspondence relationship fitting the discriminated ejection tube section type. A voltage amplitude setting unit sets a voltage amplitude of a drive voltage waveform so as to cause kinetic energy to meet an energy instruction value input by using an energy dial based on a rising index value related to rising of the drive voltage waveform and a repetitive frequency instruction value input by using a repetitive frequency dial with reference to the fitted correspondence relationship.

An apparatus is configured to provide hemostasis with tissue removal in order to inhibit one or more of blood loss or tissue drainage. In many embodiments, a nozzle releases a liquid jet in a liquid medium in order to provide cavitation and a plurality of shedding pulses. The liquid jet, its cavitation and the plurality of shedding pulses can affect vascular tissue in order to promote clotting in order to inhibit bleeding. In many embodiments, vessels of the vascular tissue are affected at a distance from a region where cavitation of the water jet contacts the tissue. In many embodiments, the cavitation and plurality of shedding pules are related to a pulsatile shear wave propagating along the blood vessel that is related to clot promoting changes of the blood vessel.