A work tip for an ultrasonic surgical hand piece has a solid knife with a sharp distal edge. A first fluid tube located on one side of the knife and has open ends to receive or discharge fluid. A second fluid tube is located on the other side of the knife and is slidably connected with the knife. The second fluid tube has an opening at a distal end and a smaller side hole. During phacoemulsification the knife is vibrated independent of the fluid tubes. The second fluid tube has irrigation fluid passing from the opening and side hole, and the first fluid tube is positioned so as to receive fluid from the second tube. During I/A cleanup the second fluid tube receives aspiration fluid only through the side hole because the knife is positioned to block the aspiration fluid from entering through the opening.

A wound irrigation system and method of making and using. The system uses a pored, closed-ended delivery conduit to enhance the consistency and speed with which anti-microbial or related irrigation fluids may be delivered in order to promote cleansing, debridement and biofilm reduction in wounds. The ease of use of the system as a moist wound healing cascade makes it applicable to both in-home and in-facility environments that is not offered through traditional instillation negative pressure systems. In one form, the fluid delivery conduit is used as part of a dual-conduit approach in order to also help promote the removal of drainage, waste, irrigation overflow or other fluid from the wound. Utilization of such a pored, closed-ended delivery conduit in conjunction with a separate drainage conduit infusing helps reduce the frequency of dressing changes as well as the likelihood of microorganism formation and colonization.

A surgical instrument may comprise a housing and a shaft a shaft extending within the housing. The shaft may include first and second ends. The shaft may be configured for rotation in response to either a robotic actuation of the shaft or a manual actuation of the shaft. The surgical instrument may also comprise a receiving member coupled to the first end of the shaft. The receiving member may be configured to releasably couple to a driver of a robotic manipulator to receive the robotic actuation from the driver to rotate the shaft and articulate an instrument component coupled to the shaft. The surgical instrument may also comprise a manual actuation component coupled to the second end of the shaft and extending from the housing. The manual actuation component may be configured to receive the manual actuation to rotate the shaft and articulate the instrument component coupled to the shaft.

An apparatus for use with a cartridge having an outer surface shaped to define a ridge includes a rigid piece of material configured to lock the cartridge in place by resting against the ridge, a button, configured to move the rigid piece of material from the cartridge, thereby unlocking the cartridge, upon a pushing of the button, one or more motors, and a mechanical coupling mechanism, configured to mechanically couple the motors to the cartridge while the cartridge is locked in place. Other embodiments are also described.

An apparatus for mechanically coupling a motor to a rotor includes an outer ring including an inner surface shaped to define multiple recesses, an inner ring disposed within the outer ring and shaped to define multiple compartments having respective outer openings, which face the outer ring, and respective inner openings opposite the outer openings, and multiple gripping elements disposed within the compartments, respectively. The inner ring is configured to receive the rotor while the compartments are aligned with the of recesses, by virtue of the gripping elements sitting at least partially within the recesses. The outer ring is configured to couple with a shaft coupled with the motor such that rotation of the shaft by the motor causes the compartments to become misaligned with the recesses, thereby causing the outer ring to push the gripping elements, through the outer openings, against the rotor, through the inner openings.

An apparatus includes a base, including two motors and a mechanical coupling mechanism, and a cartridge shaped to define two stators and respective pairs of ports in fluidic communication with the stators. The cartridge is removably insertable into the base and includes two rotors disposed, respectively, within the stators. The mechanical coupling mechanism is configured to mechanically couple the rotors to the motors, respectively, such that, following insertion of the cartridge into the base, the motors rotate the rotors, thereby pumping fluid through the pairs of ports. Other embodiments are also described.

A thrombectomy system comprising an aspiration catheter having an aspiration lumen and a high pressure irrigation lumen, the aspiration catheter having a proximal end and a distal, and a control box fluidly connected to the aspiration catheter and configured to synchronously provide irrigation and vacuum through the aspiration catheter.

A matter elimination catheter includes a catheter body extending from a catheter proximal portion to a catheter distal portion. The catheter body includes an infusion lumen, an aspiration lumen fluidly isolated from the infusion lumen, and a septum interposed between the infusion and aspiration lumens. A drive shaft is within the infusion lumen and is configured to provide rotation near the catheter distal portion. A guide wire lumen is within the drive shaft, and the infusion lumen, the drive shaft and the guide wire lumen are fluidly separated from the aspiration lumen with the septum. In one example, fluid bearings are formed between one or more of the catheter body and drive shaft or the drive shaft and a guide wire or guide wire liner when supplied with infusion fluid through the infusion lumen.

A matter elimination catheter includes a catheter body extending from a catheter proximal portion to a catheter distal portion. The catheter body includes an infusion lumen, an aspiration lumen fluidly isolated from the infusion lumen, and a septum interposed between the infusion and aspiration lumens. A drive shaft is within the infusion lumen and is configured to provide rotation near the catheter distal portion. A guide wire lumen is within the drive shaft, and the infusion lumen, the drive shaft and the guide wire lumen are fluidly separated from the aspiration lumen with the septum. In one example, fluid bearings are formed between one or more of the catheter body and drive shaft or the drive shaft and a guide wire or guide wire liner when supplied with infusion fluid through the infusion lumen.

A system for aspirating thrombus includes a catheter having a supply lumen having a distal end and an aspiration lumen configured to couple to a vacuum source and having an interior wall surface and an open distal end, an orifice at or near the distal end of the supply lumen, in fluid communication with the interior of the aspiration lumen, the orifice located proximally of the open distal end of the aspiration lumen, wherein the orifice is configured to create a spray pattern that impinges on the interior wall surface of the aspiration lumen when a distal end of the aspiration catheter is immersed within an aqueous environment, and a disposable tubing set having a first conduit configured to couple the supply lumen of the aspiration catheter to a fluid source, and a pump component associated with the first conduit and configured to detachably couple to a drive unit.