A system for aspirating thrombus including an aspiration catheter including a supply lumen, an aspiration lumen, an opening at or adjacent a distal end of the supply lumen, in fluid communication with an interior of the aspiration lumen, the opening located proximally of an open distal end of the aspiration lumen. The opening is configured to create a jet when pressurized fluid is pumped through the supply lumen. A connector is hydraulically coupled to the aspiration lumen, the connector having an interior cavity having an inner surface, a proximal end and a distal end, wherein the connector includes a first sideport communicating with the interior cavity of the connector and in fluid communication with the aspiration lumen, and wherein the first sideport includes the nearest significant interruption of the inner surface to the distal end of the connector.

A first connector configured for removable connection proximal to an aspiration catheter, the first connector comprising a body having an interior, a distal end comprising a connection configured to sealably couple to a aspiration lumen of the aspiration catheter, a proximal end comprising an openable and closable seal configured for sealing over a guidewire, an aspiration port in fluid communication with an interior of the body and configured to couple to a vacuum source, and a pressure sensor in fluid communication with the interior of the body.

A method for removing thrombus from a patient that includes providing an aspiration catheter including a supply lumen and an aspiration lumen, with a connector hydraulically coupled to the proximal end of the aspiration lumen, the connector having an interior cavity, a proximal end and a distal end. The method further includes coupling or causing to couple the supply lumen of the aspiration catheter to a fluid source, coupling or causing to couple the aspiration lumen of the aspiration catheter to a vacuum source, and coupling or causing to couple a pump for injecting fluid from the fluid source through the supply lumen and through the opening into the aspiration lumen. The method includes setting a pump with a control unit such that an input pressure of the supply lumen is between about 650 pounds per square inch and about 1200 pounds per square inch.

An apparatus is configured to provide hemostasis with tissue removal in order to inhibit one or more of blood loss or tissue drainage. In many embodiments, a nozzle releases a liquid jet in a liquid medium in order to provide cavitation and a plurality of shedding pulses. The liquid jet, its cavitation and the plurality of shedding pulses can affect vascular tissue in order to promote clotting in order to inhibit bleeding. In many embodiments, vessels of the vascular tissue are affected at a distance from a region where cavitation of the water jet contacts the tissue. In many embodiments, the cavitation and plurality of shedding pules are related to a pulsatile shear wave propagating along the blood vessel that is related to clot promoting changes of the blood vessel.

A system and method for treating skin and areas proximate thereto, preferably using at least one of an exfoliant, a transducer operating at a frequency ranging from approximately 20 kHz to approximately 250 MHz, and/or a light source having a predominant wavelength ranging from approximately 400 nm to approximately 2,500 nm.

The present invention is a dermal-exfoliation system that uses positive pressure to deliver salt and/or bio-inert crystalline particle abrasives or saline solution to the stratum corneum, combined with a minimal amount of negative pressure to close the loop when in contact with the skin to evacuate spent particles and dislodged skin cells and debris. An applicator handpiece is optimized for the use of the combined pressure system discussed herein for the removal of epidermal layers.

The present disclosure is directed toward an electrosurgical apparatus including an electrosurgical generator that may be coupled to an electrosurgical applicator. In one aspect of the present disclosure, a controller of the electrosurgical generator is configured to execute a dynamic leakage current compensation algorithm or function to compensate for the leakage current of an electrosurgical applicator and accompanying cable coupling the electrosurgical applicator to electrosurgical generator. In another aspect of the present disclosure, the controller of the electrosurgical generator is configured to execute a dynamic radio frequency modulation algorithm or function to dynamically control the crest factor of the output waveform of the electrosurgical generator based on the measured impedance across an active and return terminal of the electrosurgical generator.

A compressed gas motor. The motor has a port and a hollow cylinder delimited by a wall with a ventilation opening, a rear closure, and a plunger axially movable in the cylinder. The plunger divides the cylinder into front and back chambers. The ventilation opening is periodically opened towards the back chamber during operation of the motor by movement of the plunger. A compression spring in the front chamber urges the plunger towards the rear closure and/or a tension spring in the back chamber draws the plunger towards the rear closure so that the back chamber is closed relative to the ventilation opening by the plunger and the back chamber is connected with the port when the same pressure prevails in the front and back chambers. The motor can be used in surgical drive systems, medical lavage systems and medical devices. Also disclosed is a method for operating the motor.

Systems and methods are provided for separating layers of tissue along planes by delivering a gas, such as CO.sub.2, under pressure to the tissue. An instrument for dissecting tissue comprises an elongate shaft with a proximal end configured for coupling to an external source of gas and an open distal end fluidly coupled to the proximal end. An internal reservoir containing CO.sub.2 under pressure is disposed within the instrument and a valve is coupled to the internal reservoir to open and close an outlet of the reservoir, thereby allowing the CO.sub.2 from the internal reservoir to flow through the internal lumen and to a target site within the patient. The internal reservoir of gas allows the CO.sub.2 to be delivered to the target site at a substantially higher flow rate, which increases the performance of the device in separating tissue layers.

A hydrodissector for hydrodissecting a vascular target, the hydrodissector comprising: a handle; a shaft extending from the handle at an angle and including a tip at a distal end thereof; at least one port provided at the tip and configured to be coupled to a fluid supply and to eject fluid from the at least one port into the space between the vascular target and surrounding tissues to dissect the vascular target from the surrounding tissues, the at least one port being sized to provide sufficient pressure and velocity to dissect the vascular target from the surrounding tissues, wherein the length of the shaft is configured for insertion into an incision to atraumatically hydrodissect the vascular target from the surrounding tissues, and wherein the shaft is configured to releasably couple with one or more hook-shaped attachments configured to lift the vascular target after the vascular target is dissected from the surrounding tissues.