A method of priming a surgical instrument, wherein the surgical instrument includes a shaft assembly including a lumen, and a valve assembly. The valve assembly includes a first inlet configured to receive the fluid from a fluid source, a second inlet configured to receive a suction from a vacuum source, an outlet in fluid communication with the lumen, a valve chamber, and at least one valve plug. The method includes activating the fluid source to provide the fluid to the first inlet, activating the vacuum source to provide the suction to the second inlet, transitioning the at least one valve plug from a first position to a second position, and transferring a first portion of the fluid from the first inlet toward the vacuum source through the second inlet thereby priming the surgical instrument.

A medical instrument and associated functionality are described for performing a cystostomy with optical guidance. A cystostomy device (10) includes a sound (12) including a distal portion (18) and a proximal portion (20), a front handle (14) and a rear handle (16). A physician or other user can grip the handles (14 and 16) to guide the distal portion (18) of the sound (12) through the urethra and into a bladder of the patient. The device (10) includes an optical unit (32) mounted at the tip (22) of the sound (12). The optical unit (32) generally includes a distal sound tip cap (34) with a lens opening and an optical lens (36) mounted on the opening. The optical unit (32) may further include one or more illumination sources, such as LEDs, for illuminating a volume forward of the tip (22) of the sound (12).

A suction and irrigation valve for a robotic surgical system includes a shaft assembly, a rotary drive, and a valve assembly. The valve assembly is operatively connected to the rotary drive member and includes a valve body and a valve plug. The valve body has a first fluid inlet, a second fluid inlet, and an outlet. The valve plug is received with the valve body and is configured to rotate about a plug axis relative to the valve body to a first position, a second position, and a third position. The valve plug has at least a first conduit configured to selectively fluidly communicate with each of the outlet and at least one of the first or second fluid inlets.

Provided are a bearing and a medical device in which a gap is secured between an inner ring and an outer ring, and the gap can be used as a flow path for a fluid or an object. A bearing having a plurality of rolling elements between an inner ring and an outer ring is provided with a raceway surface on which the rolling elements roll on the outer ring and receiving portions for rotatably accommodating the rolling elements at a position of the inner ring facing the raceway surface.

Retrieval of material from vessel lumens can be improved by use of a distal element comprising an expandable mesh, a treatment device includes an elongated member having a proximal portion and a distal portion configured to be positioned within a blood vessel at a treatment site at or near a thrombus. A distal element comprising an expandable mesh is coupled to the distal portion of the elongated member via a connection assembly. In an expanded state, at least a portion of the mesh is configured to be in apposition with the blood vessel wall at the treatment site to anchor or stabilize the elongated member with respect to the blood vessel. The distal element can be electrically coupled to an extracorporeal current generator.

A system for treating a patient having thrombus including an aspiration catheter having an aspiration lumen configured to be coupled to a vacuum source and configured for aspirating thrombus therethrough, an elongate member having a straight distal portion configured to extend from the aspiration lumen into a thrombus within the blood vessel, and a manipulation device selectively coupled to the elongate member, the manipulation device being configured to apply motive force to the elongate member, wherein the motive force comprises a combination of motive force components comprising an alternating clockwise motion and counter-clockwise motion.

Methods and devices for performing minimally invasive procedures useful for Fallopian tube diagnostics are disclosed. In at least one embodiment, the proximal os of the Fallopian tube is accessed via an intrauterine approach; an introducer catheter is advanced to cannulate and form a fluid tight seal with the proximal os of the Fallopian tube; a second catheter inside the introducer catheter is provided to track the length of the Fallopian tube and out into the abdominal cavity; a balloon at the end of the second catheter is inflated and the second catheter is retracted until the balloon seals the distal os of the Fallopian tube; irrigation is performed substantially over the length of the Fallopian tube; and the irrigation fluid is recovered for cytology or cell analysis.

An integrated hysteroscopic treatment system which includes an endoscopic viewing system, a fluid management system, a resecting device and a controller for operating all the systems.

A device and method for treating a patient with total or near total occlusion is provided. The device can be positioned in a blood vessel at a treatment site. An occlusion at the treatment site is enlarged by a catheter. The catheter can be advanced over a guidewire into the occlusion. One or more of [a] compression or torsion applied to the guidewire or [b] compression or torsion applied to the catheter body expands or creates a path through the occlusion. The expansions or creation of the access path can be by cutting or abrading the occlusion or by a shoe-horn effect.

A method for aspirating thrombus in a subject, the method including providing an aspiration catheter having a supply lumen, an aspiration lumen, and a first connector hydraulically coupled to the aspiration lumen. The method further includes providing a pressure sensor having an internal passageway and having a distal connector configured to hydraulically couple to the first connector, a proximal connector configured to couple to a vacuum source, and a valve disposed between the distal connector and the proximal connector, the valve having an open state and a closed state. Following inserting at least a distal portion of the aspiration catheter into the vasculature of a subject, changing the valve from one of the open state and closed state to the other of the open state and closed state such that a change in pressure may be detected by the control circuitry.