A61B17/320708

DEVICES SYSTEMS AND METHODS FOR CUTTING AND REMOVING OCCLUSIVE MATERIAL FROM A BODY LUMEN
20190357936 · 2019-11-28 ·

A vascular device is provided having a catheter body and a rotatable cutter assembly located at the distal end of the catheter body. The cutter assembly has at least one helical cutting surface within a housing that is coupled by a torque shaft to a drive mechanism. A conveyor mechanism helically wound about the torque shaft conveys occlusive material conveyed into the housing by the helical cutting blade further proximally along the catheter body for discharge without supplement of a vacuum pump. The catheter body is manipulated to insert the distal end of the catheter body within a body lumen and advance the distal end of the catheter body toward the occlusive material. The drive mechanism is operated to rotate the helical cutting surface to cut and convey the occlusive material from the body lumen proximally into the housing and to convey the occlusive material conveyed into the housing by the helical cutting surface further proximally along the catheter body by the conveyor mechanism for discharge without supplement of a vacuum pump. The distal end of the catheter body is deflected and rotated to sweep the cutter assembly in an arc about the center axis of the catheter body to cut occlusive material in a region larger than the outside diameter of the cutter assembly.

EXCISIONAL DEVICES AND METHODS
20190357932 · 2019-11-28 · ·

A platform device for material excision or removal from vascular structures for either handheld or stereotactic table use may comprise a work element or elements configured to selectively open and close at least one articulable beak or scoopula configured to penetrate and remove intra-vascular materials or obstructions, or follow a central lumen of another device or over a wire in a longitudinal direction. Flush and vacuum tissue transport mechanisms may be incorporated. A single tube or an inner sheath and an outer sheath which may be co-axially disposed relative to a work element may be configured to actuate a beak or beaks or scoopulae and provisions for simultaneous beak or scoopula closing under rotation may be incorporated.

BONE HARVESTING

Methods and devices for harvesting cancellous bone are disclosed. The bone-harvesting device may include a cannula and a bone receptacle in communication with the cannula, wherein the cannula including a cutting surface positioned at or adjacent the distal end, the cutting surface being oriented at an angle, the angle being greater than 90 degrees relative to the longitudinal axis of the cannula, and the harvested bone is adapted to move from a position adjacent to the cutting surface through the cannula into the bone receptacle. The cutting surface of the cannula may be positioned at or adjacent the distal end, and positioned at least in part radially outward of the outer face of the cannula. The cannula may include a cutting surface positioned at or adjacent the distal end and an occluding geometry that partially occludes the distal end of the cannula adjacent the cutting surface. In addition, a suction port may be provided in communication with the bone receptacle.

Medical device, assembly and method for creating a channel in soft tissue

The present disclosure provides a device, an assembly comprising the device and a method making use of same, the device comprising an elongated member extending between a first end and a second end, and a segment proximal to the second end extending along a longitudinal axis X, said segment comprises at least one depression axially extending along at least a portion of said segment and an external surface having a circumference C; and one or more blades with a cutting edge peripheral to C and the one or more blades extending along at least part of said segment; the first end comprising an engagement element for engagement with a grip unit comprising a rotor to cause rotation of said device about said axis upon actuation of the rotor and the second end comprising a tissue piercing tip. The device, assembly and method are useful in creating a channel in a biological soft tissue, such as a drainage channel in the sclero-corneal junction area of the eye. This may be useful in reducing intra-ocular pressure.

CURETTE WITH NAVIGATION SENSOR
20190314089 · 2019-10-17 ·

An apparatus includes a shaft assembly, an end effector, and a sensor. The shaft assembly defines a longitudinal axis. The end effector is positioned at a distal end of the shaft assembly. A portion of the end effector is offset from the longitudinal axis. The sensor is configured to generate a signal in response to a magnetic field. The signal is configured to indicate a position of the end effector within three-dimensional space. The sensor is coaxially positioned about the longitudinal axis.

Device for creating a void space in a living tissue, the device including a handle with a control knob that can be set regardless of the orientation of the handle

A device for creating a void space in living tissue includes a handle from which a shaft extends. A tip is moveably attached to the distal end of the shaft. The angular position of the tip is controlled by the rotation of a knob mounted to the handle. The knob is mounted to the handle to project beyond opposed side surfaces of the handle and a surface that bridge between the side surfaces.

BREAST SUBCUTANEOUS TISSUE SURGICAL INSTRUMENTS

A dilator configured for separating subcutaneous fat from glandular tissue includes a center section, a first end section extending from a first end of the center section, the first end section extending nonparallel to the center section, the first end section having a first diameter, and a second end section extending from a second end of the center section opposite the first end, the second end section extending nonparallel to the center section, the second end section having a second diameter different than the first diameter. A retractor includes a handle, a shaft extending from the handle, and a head located at a shaft end opposite the handle. The head includes a plurality of teeth, each tooth having a tooth end curving downwardly from a head outer surface, adjacent teeth spaced from one another by a tooth gap therebetween, the plurality of teeth having unequal tooth lengths.

SYSTEM AND METHOD FOR CATHETERIZATION USING AN INTRALUMINAL ELECTROMAGNETIC WORKING CAPSULE
20190290376 · 2019-09-26 ·

There is provided a system for cardiac electromagnetic/magnetic catheterization for diagnosing and treating blood vessels of a patient. The system having at least one electromagnetic intraluminal capsule able to force its way through a narrowing blood vessel, the capsule carrying a camera allowing visualization of blood vessels of a patient. There is a portable electromagnetic tip, where the tip pulls the electromagnetic capsule by electromagnetic force, and when the magnetic tip moves along a body of a patient and pulls the intraluminal electromagnetic capsule along with it towards a narrowing blood vessel visualized by the camera, so that the capsule then treats the narrowing site and clears the blood vessel from coronary plaque. In addition working capsule can replace diseased valve in any cardiac position for either temporary or permanent needs.

HANDHELD SURGICAL DEVICE HAVING A ROTATING PORTION
20190282258 · 2019-09-19 ·

A handheld surgical device with a working portion driven by a motor, wherein the working portion is contained in a concave-shaped portion when it is not activated, and the working portion becomes exposed from the concave-shaped portion when it is activated. The activation of the working portion can be controlled by a switch located at a handle portion of the handheld surgical device. The handheld surgical device includes a concave-shaped portion with a cutting edge, which is not driven by the motor.

Nozzle assemblies for liquid jet surgical instruments and surgical instruments for employing the nozzle assemblies

Disclosed are nozzles and nozzle assemblies of liquid jet-forming surgical instruments, surgical instruments employing such nozzles and/or nozzle assemblies, and methods of fabricating the nozzle assemblies in forming surgical instruments. Also, disclosed are liquid jet-forming surgical instruments including both liquid jet-forming nozzles and optional evacuation lumens, which when provided can be configured to receive the liquid jet and evacuate the liquid forming the liquid jet. Certain embodiments of such surgical instruments include inventive nozzle alignment component(s) to facilitate alignment of the nozzles and evacuation lumen upon assembly. In certain embodiments, surgical instruments are provided that include a nozzle that is shaped to form a liquid jet, which has surfaces that are optically smooth. In certain embodiments, the nozzle has a configuration enabling the nozzle to form a liquid jet that has the ability to remain collimated over longer distances than is typically achievable with conventional liquid jet surgical instrument nozzles having the same ratio of nozzle length to minimum inner diameter of the jet opening. In certain embodiments, nozzle assemblies comprising an operative assembly of at least two subcomponents, which together provide a nozzle are provided. In certain embodiments, the at least two sub-components may comprise a nozzle-providing component, such as a nozzle ring, and a holder that is configured to retain and position the nozzle-providing component in the nozzle assembly. In certain embodiments, the nozzle-providing component can comprise a liquid flow passage having a diameter that continuously decreases along at least a portion of its length.