An endoscope particularly suited for endocranial procedures and a method of using the endoscope. In some examples the endoscope is rigid except for a bend/tilt portion near a distal end of a rigid tube that is inserted in a patient's cranium, which distal end is controlled in a degree and direction of tilt with a finger operated controller at the endoscope's handle. Some examples use telescoping tubes that allow customizing the endoscope size for specific procedures. A distal portion of the endoscope can be disposable, supplied in a sterile package for a single procedure, thus taking into account contamination dangers that are particularly high for intracranial and certain other interventions and the fact that it can be difficult or impossible to effectively autoclave heat-sensitive components of certain endoscopes or effectively sterilize them using other techniques.

A vacuum aspiration control system for use with a vacuum source and an aspiration catheter includes a connecting tube configured to connect the vacuum source with a lumen of an aspiration catheter. An on-off valve is operatively coupled to the connecting tube, and a sensing unit is configured to detect flow within the connecting tube and provide a signal representative of flow. A controller receives the signal to decide whether to open or close the valve. The controller may automatically close the valve to stop flow when flow through the connecting tube is unrestricted, or according to a predetermined timing sequence. The controller can further periodically open a closed valve to determine whether flow has entered an acceptable range. The controller can still further engage pulsed aspiration with a pressure manipulation assembly when flow is restricted or occluded.

A fluid management system may include an inflow pump configured to pump fluid from a fluid supply source to a treatment site within a patient at a flow rate; and a controller configured to operate at a target flow rate in a flow control mode. In the flow control mode, the controller may be configured to maintain the target flow rate while monitoring a measured pressure communicated to the controller from a pressure sensor. When the measured pressure reaches a preset pressure threshold, the controller may be configured to automatically switch from the flow control mode to a pressure override mode in which the controller automatically reduces the flow rate below the target flow rate to return the measured pressure at or below the preset pressure threshold.

A system for pressure measurement within a surgical system is disclosed. The system comprises a pressure sensitive disc in communication with at least one applied pressure a magnetic field generator for generating at least one first magnetic field, and at least one sensor for measuring at least one second magnetic field, wherein the at least one first magnetic field at least partially creates the at least second magnetic field; and wherein the at least one sensor produces signal indicative of the distance between the at least one sensor and the at least one second magnetic field.

Hand-operated suction and irrigation medical devices are provided. An example medical device comprises a housing having a proximal end and a distal end. The housing defines first and second inlet paths and an outlet path. A first tubular member is partially disposed within the first inlet path and a second tubular member is partially disposed within the second inlet path. Each of the first and second tubular members extends from the proximal end of the housing. A third tubular member is partially disposed within the outlet path and extends from the distal end of the housing. A control member is slidably disposed on the housing and is movable between a first, proximal position and a second, distal position. A passageway provides fluid communication between the first inlet path and an opening to an environment external to the housing such that covering the opening provides control over the flow of fluid through the first inlet path and the first tubular member.

Various arrangements of fluidics systems are disclosed. In one arrangement, an aspiration circuit for a fluidics system is disclosed that selectively controls aspiration. The aspiration circuit comprises an aspiration line operatively connected to a surgical instrument, an aspiration exhaust line operatively connected to a waste receptacle; an aspiration vent line connected at a first end to the aspiration line; and a selectively variable vent valve operatively connected to the aspiration vent line. The variable vent valve may be selectively moved to vary aspiration pressure within the aspiration line. Other fluidics systems are disclosed that include a selectively positionable irrigation valve that may also be incorporated into a fluidics system that includes a variable vent valve.

A cleaning catheter includes an inflatable element and an input module, which includes an inflation chamber coupled in fluid communication with the inflatable element. A flow regulator defines a suction port coupleable in fluid communication with a suction source. A mechanical suction-control button is configured to assume at least first and second spatial positions. A mechanical inflation-control button is configured to mechanically and non-electrically increase pressure in the interior of the inflation chamber during a transition of the mechanical inflation-control button from a first spatial position to a second spatial position; and a reversibly-engageable linking element, which is moveable with respect to the mechanical suction-control button and the mechanical inflation-control button, and is configured to assume at least first and second spatial positions.

Vitreoretinal instruments and methods related thereto are disclosed herein. The disclosure describes various example vitreoretinal instruments having various aspirating port configurations. A vitreoretinal instrument may include a handle and a cannula coupled to the handle. The cannula may include a straight portion and a curved portion. The curved portion may be configurable between a straight configuration and a curved configuration. The curved configuration may include a first curved portion having a curvature defined by a first radius. The curved configuration may include a second curved portion having a curvature defined by a second radius different from the first radius. The curved portion may further include one or more ports formed in the curved portion.

Disclosed herein are systems, devices, and methods for the removal of objects from the body. The device may be a urethral catheter configured to aspirate kidney stones from the urinary tract through one or more aspiration ports at the distal face or along a lateral side of the catheter. The catheter may include one or more irrigation ports at the distal face or along the lateral side of the catheter for dislodging kidney stones. The device may be steerable. The spatial arrangement of the one or more irrigation ports with respect to the one or more aspiration ports may vary. The device may include an irrigation tube and/or a shield member configured to spatially confine the kidney stones adjacent the catheter. Various temporal patterns of aspiration and irrigation are disclosed for optimizing removal of kidney stones.

A system for a surgical system is disclosed, comprising system for distributing fluid in a surgical cassette, comprising at least one at least partially deformable bladder at least partially disposed on at least one rigid surface, wherein the bladder forms a portion of a channel, at least a first and second port in fluid communication with the channel, wherein the channel comprises at least two portions having a substantially uniform first dimension separated by a second portion have a second dimension, and wherein at least two pump head rollers are engaged with the bladder.