A device for fracturing calcifications in heart valves including a catheter (12, 22, 42) configured for percutaneous delivery to a heart valve, an fracture-producing element (14, 26, 46, 64, 66,82, 124, 152) disposed at a distal portion of the catheter and operative to vibrate and mechanically fracture calcifications when brought into contact with a calcification at a leaflet of the heart valve, and an energy source (34, 47, 79, 98, 152) operative to vibrate the fracture-producing element so that the fracture-producing element fractures the calcification without necessarily removing the calcification from the leaflet. The device may further comprise a valvuloplasty balloon (30), an embolic protection net (56) and a protective sleeve (110, 130).

A medical device includes an expandable-and-contractible member capable of radially expanding and radially contracting, an incising member disposed on an outer circumference of the expandable-and-contractible member and having a hollow portion, a core wire inserted in the hollow portion, a distal tip, and a ring. The core wire is capable of sliding in a longitudinal direction of the medical device as the expandable-and-contractible member expands or contracts. The incising member is therefore not likely to come off upon radial expansion or radial contraction of the expandable-and-contractible member, and is therefore not likely to interfere with the expanding or contracting movement of the expandable-and-contractible member.

Disclosed are access devices that can be used to safely guide instruments, such as EP ablation catheters, to a therapy site such one within the pericardial space of the heart. The access devices include integrated visualization, illumination, stabilization, and safety features in a single platform that can, for example, more safely and efficiently identify and ablate several ventricular tachycardia (VT) locations on the left ventricle of the heart.

A medical device assembly for incising a stenosis in a blood vessel which includes an incising device, a tubular sheath, and a catheter having an inflatable balloon mounted thereon. The incising device includes a self-expanding scaffold having a plurality of cutting elements projecting radially outward therefrom, and an elongate member extending proximally from the self-expanding scaffold to be manipulated by a user. The self-expanding scaffold is positionable in the lumen of the sheath in a contracted configuration and deployed out of the lumen of the sheath to permit the self-expanding scaffold to expand to an expanded configuration. The inflatable balloon of the catheter is configured to be advanced distally into an interior of the self-expanding scaffold through a proximal opening of the self-expanding scaffold, and inflation of the inflatable balloon urges the cutting elements radially outward to incise a stenosis.

Apparatus and methods are provided for delivering fluid into a body lumen during a medical procedure. A distal end of an apparatus may be introduced into a body lumen, and a valve on the distal end may be opened to deliver fluid through a first lumen into the body lumen, e.g., contrast and/or other diagnostic or therapeutic agents. The valve may be closed, and a procedure may be performed within the body lumen, e.g., using a treatment element carried on the distal end. For example, the treatment element may include a balloon that may be inflated when fluid is delivered through the first lumen with the valve closed. Optionally, a prosthesis, energy source, drug platform, and the like may be carried by the balloon for treating the body lumen. In various embodiments, the valve may be located proximal or distal to the treatment element.

Novel tools and techniques are provided for implementing intelligent assistance (“IA”) ecosystem. In various embodiments, a computing system might receive device data associated with a device(s) configured to perform a task(s), might receive sensor data associated with sensors configured to monitor at least one of biometric, biological, genetic, cellular, or procedure-related data of a subject, and might receive imaging data associated with an imaging device(s) configured to generate images of a portion(s) of the subject. The computing system might analyze the received device data, sensor data, and imaging data (collectively “received data”), might map two or more of the received data to a 3D or 4D representation of the portion(s) of the subject based on the analysis, might generate and present (using a user experience (“UX”) device) one or more extended reality (“XR”) images or experiences based on the mapping.

A catheter used for percutaneous endovascular procedures is described. The catheter is configured to be used for engagement and treatment of obstructive lesions in a patient's vasculature. The catheter includes a tube having a leading edge that is configured to score or cut a lesion in a vasculature. The tube may be an expandable outer tube, and placed around an inflatable inner tube, such that inflation of the inner tube expands the outer tube. Expansion of the inner tube may connect or laterally lock the inner tube to the outer tube, allowing both tubes to move in unison through the vasculature. The leading edge can score or cut lesions as it moves in the vasculature.

The present application disclosed a cutting device and a cutting balloon, the cutting device includes a connection tube, at least one cutting component and a collapsible tube; the collapsible tube is made of elastic material and configured to be sleeved on the connection tube; the at least one cutting component includes a cutter body and cutting connection segments connected to the cutter body, the cutting connection segments are connected to a peripheral side of the connection tube (100) and are located in the collapsible tube; and the collapsible tube is in elastic contact against the cutting connection segments.

A catheter can restore the patency of a body lumen, for example, by removing tissue from a body lumen (e.g., a blood vessel). The catheter can be a rotational catheter having a rotatable drive shaft and a tissue-removing element secured to the drive shaft to be driven in rotation by the drive shaft. The catheter can have an abrasive burr configured to abrade tissue in a body lumen. The catheter can have an expandable tissue-removing element. The catheter can include a balloon and an inflation conduit. The catheter can also be configured to move over a guidewire through a body lumen. In one embodiment, the catheter comprises an over-the-wire, balloon-expandable, rotational, and abrasive tissue-removing catheter.

A medical device for capturing renal calculi includes an inflatable balloon, an elongated shaft extending through an orifiace defined by the balloon and attached thereto, a basket apparatus deployable via a distal end of the shaft, and a sheath. The basket includes two or more wire loops that capture calculi and have a collapsed configuration when the basket is positioned within the distal end of the shaft. The medical device can be used by dilating a percutaneous tract by inflating the balloon. A sheath can be advanced over the balloon to create an access route. The basket can be utilized without the removal of the balloon. The balloon can be deflated to allow the shaft and basket to be manipulated in the access route. The shaft and basket can be retracted from the access route to retrieve renal calculi.