A medical device for cutting an object S in a body lumen is disclosed, which includes: a rotatable drive shaft; a tubular outer sheath configured to accommodate the drive shaft in a rotatable manner; a rotation structure, the rotation structure comprising an accommodation portion configured to be disposed inside the outer sheath; an exposed portion, the exposed portion being located at a distal side of the accommodation portion and is provided with a cutting portion, in which the accommodation portion is provided to be rotatable by the drive shaft, and a side surface of the accommodation portion and a side surface of the exposed portion have a groove portion, the groove portion extending from the accommodation portion to the exposed portion.

A method and apparatus for treating a clot in the blood vessel of a patient, and particularly the treatment of a pulmonary embolism is disclosed. The treatment includes restoring flow through the clot followed by clot removal, either partially or substantially completely. The clot treatment device is expandable into the blood vessel and may contain radial extensions that assist in restoring flow as well as in removing clot material.

A method for suctioning an object in a blood vessel, the method comprising: inserting an expansion portion connected to a shaft portion on a distal portion of the shaft portion into the blood vessel; expanding the expansion portion in the blood vessel; inserting a suction catheter along the shaft portion into the blood vessel; reciprocating at least the expansion portion or the suction catheter relative to each other along an axial axis of the shaft portion; and suctioning the object with the suction catheter.

A dermatological skin treatment device is provided. The device comprises a handpiece and a cutting tool, wherein the tool is inserted through the conduit and percutaneously inserted into a tissue disposed within a recessed area of the handpiece. The device and method cut the fibrous structures under the skin that cause cellulite at an angle substantially parallel to the surface of the skin and replace these structures with a non-cellulite forming structure by deploying a highly fibrous mesh through a single needle hole to create a highly fibrous layer directly or through wound healing processes. A tool is provided to aspirate excess fluid and tissue from the treatment area.

Mechanical thrombectomy apparatuses that may be configured to prevent or reduce jamming (e.g., anti jamming thrombectomy devices), grab clot, and/or macerate the thrombus, e.g., clot, being removed. These mechanical thrombectomy apparatuses may include a tractor comprising a flexible tube of material that inverts as it rolls over itself while being drawn into a catheter in a conveyor-like motion. In particular, described herein are mechanical thrombectomy apparatuses having tractors selectably extendable projections that may aid in grabbing and/or macerating a clot. Also described herein are seesawing tractors for mechanical thrombectomy apparatuses.

The present embodiments provide apparatus suitable for treating a medical condition at a target site. In one embodiment, the apparatus comprises a plurality of strands, each having proximal and distal regions, wherein the plurality of strands are twisted in a generally helical manner to form a tubular shape. The proximal and distal regions of each of the plurality of strands comprise a contracted configuration adapted for delivery to the target site. Further, the distal region of at least one of the plurality of strands comprises an expanded, radially deployed configuration adapted to facilitate treatment of the medical condition. The distal region of at least one of the plurality of strands may be deployed in a self-expanding or balloon-expandable manner.

Mechanical thrombectomy apparatuses that may be configured to prevent or reduce jamming (e.g., anti-jamming thrombectomy devices), grab clot, and/or macerate the thrombus, e.g., clot, being removed. These mechanical thrombectomy apparatuses may include a tractor comprising a flexible tube of material that inverts as it rolls over itself while being drawn into a catheter in a conveyor-like motion. In particular, described herein are mechanical thrombectomy apparatuses having tractors selectably extendable projections that may aid in grabbing and/or macerating a clot. Also described herein are seesawing tractors for mechanical thrombectomy apparatuses.

Described herein are atherectomy catheters, systems and methods that include a distal tip region that may be moved laterally so that its long axis is parallel with the long axis of the main catheter body axis. Displacing the distal tip region laterally out of the main catheter body axis exposes an annular blade and opens a passageway for cut tissue to enter a storage region within the catheter. The annular blade may be internally coupled to a drive shaft that rotates the blade, and thus the exposed blade edge may have the same crossing profile (OD) as the rest of the distal end region of the catheter. Also described herein are gear-driven atherectomy devices that may use a cable drive shaft to actuate the annular blade. Both push-to-cut and pull-to-cut variations are described, as are methods for cutting tissue and systems including these atherectomy catheters.

The present disclosure provides a method, system, and apparatus that adds rotational functionality to a conventional clot maceration device. The rotational functionality can be imparted by a wide variety of mechanical devices, such as by a hand operated rack and pinion type gear system or an electrically driven motor. An outer member (such as a catheter) of a declotting apparatus may be rotated while an inner member remains substantially fixed in position. The degree of rotation of the inner member may be between 60 and 180 degrees in a clockwise and counterclockwise rotation. In one embodiment, the rotating mechanism is coupled to a sliding and/or lateral mechanism to impart both lateral and rotational movement to the declotting apparatus. The deformable members of a basket or jacket of the declotting apparatus may form a helical structure and/or each comprise a bundled wire.

Methods and apparatus are provided to facilitate the minimally invasive removal of tissue and to facilitate the direct approach to anesthetizing a body wall of a patient. A pull-type cutting device also is disclosed to introduce an opening into the body wall to provide access for intra-chest surgical interventions, for example a minimally invasive biopsy technique as also described for excising target tissue from within a patient, including a nodule from within the patient's lung.