A direct stream hydrodynamic catheter system is provided for the removal of thrombus, lesions and the like including provisions for the infusion of drugs, lysing fluids and the like into a blood vessel. Physician controlled powered direct fluid jet streams emanate from a fluid jet emanatory in the form of robust radially directed fluid jet streams to impinge upon and ablate difficult and strong thrombus and lesions within a blood vessel. Effluent aspiration is controlled by an exhaust regulator in the form of a roller pump, but effluent removal can be assistingly influenced by the fluid pressure associated with the radially directed fluid jet streams.

A tissue cutting device that is especially suited for neurosurgical applications is disclosed and described, as well as alternative systems for tissue preservation and transport. The cutting device includes an outer cannula in which a reciprocating inner cannula is disposed. A tissue collector is also provided and is in fluid communication with the lumen of the inner cannula. A temperature control sleeve may be disposed around the tissue collector to control the temperature of the tissue samples. A preservation system may be supplied that is configured to deliver fluids to tissue samples in the tissue collector. A fluid supply sleeve may be disposed about the outer cannula and is selectively positionable along the length of the outer cannula.

A surgical cleaning device and method of use having a housing, a drive shaft rotatably mounted, having a rear end and a front end, a brush head positioned at the front end and arranged outside the housing, to which a plurality of elastically deformable bristles are attached, a pump connected with the drive shaft for pumping a rinsing liquid, a gearbox that is connected with the front end of the drive shaft and with a rear end of the tube and which translates the rotational movement of the drive shaft into an oscillating linear movement of the tube and the brush head, wherein the tube is mounted movable in a linear manner; the brush head in the region of the elastically deformable bristles has at least one ejection opening, wherein the tube opens liquid-permeably through the at least one ejection opening in the direction of the elastically deformable bristles.

An ergonomic attachment system for connecting an irrigation tube or an aspiration tube to a surgical handpiece that reduces surgeon wrist fatigue due to tubing twist. The tube is connected to the handpiece through a swivel joint which allows the tube to rotate circumferentially with respect to the handpiece and self-adjust to a neutral position to relieve the twist.

A method for displaying guidance information using a graphical user interface during an medical procedure comprises displaying, in a first mode of the graphical user interface, first image data from a perspective corresponding to a distal end of an elongate device. The first image data includes a virtual roadmap. The method also comprises transitioning from the first mode of the graphical user interface to a second mode of the graphical user interface. The transition is based on an occurrence of a triggering condition. The method also comprises displaying, in the second mode of the graphical user interface, second image data from a perspective corresponding to the distal end of the elongate device. The second image data includes a target indicator corresponding to a target location and an alignment indicator corresponding to an expected location of the medical procedure at the target location.

A waste collection system for collecting medical/surgical waste. A mobile rover includes at least one waste container supported on the mobile rover for storing the medical/surgical waste. A chassis is separate from and configured be removably coupled with the mobile rover. The chassis supports a chassis controller and a vacuum pump configured to draw a vacuum on the waste container. A rover controller is supported on the mobile rover and configured to receive a pressure signal representative of a level of the vacuum. The chassis controller is configured to be in communication with the rover controller and to regulate the level of the vacuum drawn based on the pressure signal. A transmitter may be supported on the mobile rover and in communication with the rover controller, and a receiver may be supported on the chassis to be in communication with the transmitter to establish a communication circuit for data transfer.

Method of removing a calculus, such as a kidney stone, from within the calyx involves inserting the distal end portion of a medical tube into the calyx, positioning the distal end portion of the medical tube within a region of the calyx, such as the inferior calyx, while referring to a radiolucent image showing the distal end portion, pumping fluid into the calyx through the lumen of the medical tube, and draining the calculus from inside the calyx through the gap between the inner wall of the calyx and the outer circumferential surface of the distal end portion of the medical tube.

Various systems and methods for determining the composition of tissue via an ultrasonic surgical instrument are disclosed. A control circuit can be configured to monitor the change in resonant frequency of an ultrasonic electromechanical system of the ultrasonic surgical instrument as the ultrasonic blade oscillates against a tissue and determine the composition of the tissue accordingly. In some aspects, the control circuit can be configured to modify the operation of the ultrasonic electromechanical system or other operational parameters of the ultrasonic surgical instrument according to the detected tissue composition.

A system for delivering a fluid to a Eustachian tube (ET) of a patient includes a guide member and a tubular member. The guide member includes a shaft having a proximal portion, a distal portion, and a bend at the distal portion. The bend is configured to provide access to an opening in the ET. The system further includes a tubular member comprising a proximal end, a distal end, and a lumen extending therebetween. The tubular member is sized to fit within the ET. One or both of the tubular member and the guide member comprises a first stop member configured to engage the other of the tubular member or the guide member. The first stop member is configured to restrict a distal advancement of the tubular member relative to the guide member.

In one embodiment, a jig apparatus for bending a malleable tool includes a block having an upper surface and containing, a conical recess extending into the block through the upper surface of the block, defined by an elliptical directrix on the upper surface, an apex within the block, and generatrixes disposed about a central axis of the conical recess extending from the apex to the directrix, and an elongated cylindrical hole, which is sized to fit the malleable tool therein and has a longitudinal axis extending from the conical recess into the block at an oblique angle relative to the central axis of the conical recess, and angular markings disposed on the upper surface and around a circumference of the elliptical directrix.