The invention relates to a cardiac lead extraction device, comprising: a handle; an elongated body having a first proximal end, a first distal end, and a first lumen extending from said first proximal end toward said first distal end, said lumen sized and shaped to fit over a cardiac lead; a controllable bendable flexible portion more flexible that said elongated body and having a second proximal end, a second distal end and a second lumen extending from said second proximal end toward said second distal end, said lumen sized and shaped to fit over a cardiac lead; said second proximal end interconnected to said first distal end; said second distal end interconnected to an operational distal end; wherein said operational distal end comprises at least one lead extraction assistive tool, said lead extraction helping tool is activated by a motor located at said handle or proximally to said handle.

A surgical cutting tool with a body having a proximal end and a distal end; a cannula rotatably extending from the distal end of the body, the cannula having a proximal end and a distal end; a cutting head removably coupled to the distal end of the cannula, the cutting head having a distal tip and a cutting window; a hollow shaft movably positioned inside the cannula, the hollow shaft having a blade; a suction connector in fluid communication with the hollow shaft, the suction connector being configured for connection to a suction source; a suction control configured to alter suction from the suction connector to the hollow shaft; and an actuator coupled to the hollow shaft for moving the blade of the hollow shaft relative to the cutting window of the cutting head.

A method for treating a deficient native mitral valve includes advancing the distal end portion of a delivery catheter into a heart, advancing a second catheter from the first catheter, the second catheter containing a support member stretched into a linear form, and deploying the support member from the second catheter around native leaflets of the mitral valve using a pusher shaft such that the support member is disposed in a plane substantially parallel to a plane of an annulus of the native mitral valve. The support member can extend in a circumferential direction around the native leaflets and around an axis extending from a left atrium of the heart through the native mitral valve to the left ventricle.

Medical systems and devices for tissue marking and/or removal and related methods are described herein. The disclosure includes a medical device. The medical device includes a receiving portion. The receiving portion includes a vessel. The vessel includes an opening. The receiving portion includes a blade. The blade includes a first sharp edge on a first side and a second sharp edge on a second side opposite to the first side. The receiving portion includes a first configuration and a second configuration. When the receiving portion is in the first configuration, the first sharp edge extends from one side of the opening. When the receiving portion is in the second configuration, the second sharp edge extends from another side of the opening.

An end effector assembly of a tissue-resecting device is disclosed. The end effector assembly includes an outer shaft and an inner shaft. The outer shaft includes an outer shaft window defined within a distal end portion thereof. The outer shaft window defines an outer shaft cutting edge extending about at least a portion of a perimeter thereof. The outer shaft cutting edge includes a plurality of teeth. The inner shaft is disposed within and rotatable relative to the outer shaft, and includes an inner shaft window defined within a distal end portion thereof. The inner shaft window defines a toothless inner shaft cutting edge extending about at least a portion of a perimeter thereof. Rotation of the inner shaft relative to the outer shaft causes the inner shaft cutting edge to rotate toward the outer shaft cutting edge.

A tissue cutting device has an outer sleeve with a distal window and an inner cutting sleeve which moves past the window to cut tissue. The inner cutting sleeve has a lumen which may have a larger proximal diameter than distal diameter. A perimeter of the window may comprise a dielectric material. A distal edge of the inner sleeve may be displaced inwardly.

The invention relates to a cardiac lead extraction device, comprising: a handle; an elongated body having a first proximal end, a first distal end, and a first lumen extending from said first proximal end toward said first distal end, said lumen sized and shaped to fit over a cardiac lead; a controllable bendable flexible portion more flexible that said elongated body and having a second proximal end, a second distal end and a second lumen extending from said second proximal end toward said second distal end, said lumen sized and shaped to fit over a cardiac lead; said second proximal end interconnected to said first distal end; said second distal end interconnected to an operational distal end; wherein said operational distal end comprises at least one lead extraction assistive tool, said lead extraction helping tool is activated by a motor located at said handle or proximally to said handle.

The present technology is directed generally to devices, systems, and methods for capturing and cutting fibrous and trabeculated structures (such as synechiae) in vessel lumens. In one embodiment, the present technology includes an intraluminal tissue modifying system configured to capture the fibrous structures, put the fibrous structures in tension, and controllably cut through the fibrous structures without applying appreciable additional force to the vessel wall. The system may include an expandable capture device and a cutting device.

A tissue resecting device includes an outer sleeve having an axial bore extending along a longitudinal axis from a proximal end to a distal end and opening to an outer window near the distal end. An inner sleeve is rotatably received in the axial bore of the outer sleeve and has an axial channel adapted for communication with a negative pressure source. A distal housing is attached to a distal end of the inner sleeve and has an annular dielectric portion and a circumferentially adjacent annular metal portion having an inner window with circumferentially spaced-apart sharp cutting edges that opens to the axial channel. An active electrode is carried by the annular dielectric portion, and the inner window is circumferentially spaced-part from the active electrode so that the inner window and the active electrode rotate alternately into alignment with the outer window as the inner sleeve is rotated within the outer sleeve.

Disclosed herein are systems, devices, and methods for accessing a subdural space. In some embodiments, an apparatus may comprise a shaft configured to be slidably disposed within a lumen of a catheter. The shaft may be configured to be advanced distally from a distal end of the catheter and into a blood vessel of a subject. The shaft may include a perforating tip including an energy element configured to generate radiofrequency energy to form an opening through a wall of the blood vessel and dura of the subject and into an extravascular space of the subject. A curved section may be configured to be radially constrained within the lumen of the catheter and to curve toward the wall of the blood vessel and the dura upon exiting the lumen of the catheter such that the energy element is positioned to form the opening.