A medical device for removing a stenosis of a living body lumen includes a drive shaft configured to be driven by an operation at a proximal side thereof and including a treatment member disposed at a distal side thereof, a housing configured to accommodate the proximal side of the drive shaft therein, and a holding member configured to suppress unnecessary movement of the drive shaft. A proximal end of the holding member is fixed to the housing, and an inner surface of the holding member and an outer surface of the drive shaft are slidable relative to one another.

A medical device designed to be inserted into a lumen of a living body so as to block a flow of fluid in the lumen of the living body. The medical device includes: a long shaft part; an expandable part; and a covering part. The expandable part is an elastically deformable cylindrical body, and the cylindrical body having a proximal part connected to the shaft part. The covering part takes on a cylindrical shape and is flexible and deformable independently of the expandable part, and the cylindrical shape has a proximal part connected to a proximal part of the expandable part or connected to the shaft part located at a proximal side with respect to the expandable part. The covering part defines a space in the radial direction between a distal side end part of the cylindrical shape and the expandable part.

Provided is a medical device designed to be inserted into a lumen of a living body, the medical device including: a long shaft part; and a cylindrical hollow body. The shaft part has a center axis at position which differs from a center axis of the hollow body on a cross section perpendicular to the center axis of the shaft part. The hollow body has a housing part extending along the center axis of the hollow body, the hollow body being a groove depressed from an outer peripheral surface to an inner peripheral surface or a slit penetrating from an outer peripheral surface to an inner peripheral surface. The shaft part is positioned between inner surfaces facing from the outer peripheral surface to the inner peripheral surface in such a way that at least a portion of the shaft part constitutes the slit or the groove of the housing part.

A rotational atherectomy device for removing a stenotic tissue from the iliac artery of a patient. The device comprises a flexible, rotatable drive shaft having an elongated proximal portion, an elongated distal portion. An abrasive element is mounted to the drive shaft between the elongated proximal and distal portions of the drive shaft and between and spaced away from a pair of counterweights which are mounted to said elongated portions of the drive shaft. The eccentric abrasive element and the counterweights are configured for rapid rotation together with the drive shaft, the drive shaft is configured to extend throughout an entire length of the iliac artery to be treated. One elongated portion of the drive shaft extends out of the patient through a first access opening located in a femoral artery which is ipsilateral to the treated artery. Another elongated portion of the drive shaft extending through a second access opening located in another peripheral artery of the patient. A method of treating an iliac artery of a patient using such a rotational atherectomy device.

A hydrodynamic catheter includes a catheter body with a catheter lumen and an infusion tube extending within the catheter body, the infusion tube configured for coupling with a fluid source near the catheter proximal portion. An inflow orifice and an outflow orifice are positioned at locations along a catheter body perimeter. A fluid jet emanator is in fluid communication with the infusion tube, where the fluid jet emanator includes one or more jet orifices configured to direct one or more fluid jets through the catheter lumen from near the inflow orifice toward the outflow orifice. A pivot cylinder located along the catheter body perimeter is positioned distal relative to one or more of the fluid jet emanator, the inflow orifice, or the outflow orifice.

A capturing unit provided on a distal end of a second tube can be deformed into a contracted state and an expanded state, in which the capturing unit is deployed to form a capturing chamber. The capturing chamber has an opening area decreased as it goes from a distal end opening of the capturing chamber toward a proximal end opening of the capturing chamber. A third tube rotatable relative to the second tube and a cutting unit provided on a distal end of the third tube for cutting a foreign substance are arranged in a second lumen. In the expanded state of the capturing unit, the cutting unit is arranged more toward the proximal end opening of the capturing chamber than the distal end opening.

An atherectomy device for removing deposits such as plaque from an interior of a vessel including an outer member and a rotatable shaft positioned for rotational movement within the outer member. The outer member is fixed axially. A rotatable tip is mounted to the distal region of the rotatable shaft for rotation about its longitudinal axis upon rotation of the shaft. The rotatable shaft includes a guidewire lumen for receiving a guidewire to enable over the wire insertion of the device.

A medical device to be inserted into a body lumen to obstruct flow in the body lumen includes a shaft unit; a proximal slider and a distal slider that are slidable along the shaft unit; a first expanding member including a distal portion coupled to the proximal slider and a proximal portion coupled to the shaft unit; a second expanding member including a distal portion coupled to the distal slider and a proximal portion coupled to the proximal slider; and a cover that surrounds an outer periphery of the first expanding member and coupled to the proximal portion of the first expanding member, the cover being tubular and flexibly deformable independently of the first expanding member.

A medical device and a treatment method are disclosed, which can improve safety by reducing damage to a biological tissue while an object inside a biological lumen can be cut. A medical device is disclosed for cutting an object inside a biological lumen includes a rotatable drive shaft, and a rotary structure that interlocks with a distal side of the drive shaft so as to be rotated by the drive shaft. The rotary structure has a cutting portion for cutting the object, and a non-cutting portion capable of smoothly coming into contact with a biological tissue. The non-cutting portion is located in a maximum outer diameter portion of the rotary structure.

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.