A system and related methods for repairing a tissue defect having a locating or centering member configured to extend into the tissue defect and to locate one or more components of the system relative to the tissue defect. The locating member can define a non-circular outside shape.

A medical system includes a medical device and an analysis system. The medical device includes a perforation device having a shaft. The shaft has a proximal portion, and an opposed distal portion. A perforating tip is associated with the distal portion. At least a first light emitter is associated with the distal portion and is positioned proximate the perforating tip for illuminating a region surrounding the perforating tip. The analysis system is for analyzing returned light that is returned towards the shaft from the region surrounding the perforating tip. The analysis system includes a light sensor configured to detect one or more parameters of the returned light, a processor configured to perform an analysis of the one or more parameters, and an alert system connected to the processor for alerting a user to a result of the analysis.

A puncturing device comprising: a resin tube having a distal end and a proximal end, and extending in a longitudinal direction; a metal tube disposed in a lumen of the resin tube; a metal member disposed at a distal end portion of the metal tube; and a metal tip disposed at a distal end portion of the metal member, wherein a flow path is present between an inner surface of the resin tube and an outer surface of the metal member and is in communication with a lumen of the metal tube, the resin tube further includes an opening portion through which the flow path and outside of the resin tube are in communication with each other, and the opening portion is present on a distal side relative to a distal end of the metal tube and on a proximal side relative to the proximal end of the metal tip.

An expansion body, an elongated shaft portion to which the proximal end of the expansion body is fixed, a plurality of energy transfer elements disposed along the expansion body, and a pulling shaft are included, the pulling shaft is configured to apply, to the expansion body via a force receiving portion, a compressive force that makes compression along an axial center of the shaft portion such that a plurality of energy transfer element arrangement portions and a plurality of facing portions approach each other by sliding in a direction of the proximal end with respect to the shaft portion, and the expansion body includes a buffer portion that is disposed in a first expansion portion and is configured to relax the compressive force by deforming in a direction different from the direction from the force receiving portion toward a distal-side top portion along a distal-side expansion portion.

A medical device is disposed that is able to prevent short-circuit of a contact portion between an electrode portion and a conductive wire with another contact portion that is electrically independent. A medical device includes an expansion body that is configured to expand and contract in a radial direction, an elongated shaft portion including a proximal end fixing portion to which a proximal end of the expansion body is fixed, a plurality of electrode assemblies including a plurality of electrode portions disposed along the expansion body, and a conductive wire portion disposed in the shaft portion and connected to the electrode assembly with a contact portion, in which at least two or more electrode assemblies are electrically independent, and two or more of the contact portions respectively connected to the two or more electrode assemblies are disposed at different positions in an axial direction in the shaft portion.

A pair of cooperating catheters are used together to provide rapid access to the Left heart for diagnostic or therapeutic interventions. The initial entry point for the catheter pair is the groin. The pair of catheters can be used to carry out an electrographic determination of the location of the Fossa Ovalis on the septum. Features on the Catheter system permit quick and reliable confirmation of the catheter location via echo or x-rays. Once across the septum the inner catheter is removed from the outer catheter and a standard intervention may be carried out through the lumen of the outer catheter.

A medical device and a treatment method are disclosed which allow easy formation of a hole using energy and easy expansion of the formed hole without loss of tissue and allow an increase in working efficiency. A medical device is disclosed for forming a hole in a tissue in a living body and expanding the hole, the medical device including: a dilator having a first lumen formed inside and having a tip portion in which the first lumen opens on a distal side; and an output unit that outputs energy for denaturing the tissue and forming a hole, in which the output unit is disposed on a tip portion and formed discontinuously in the circumferential direction of the tip portion, and the outer diameter of the tip portion gradually decreases toward the distal side.

An electrosurgical device comprises an electrically conductive elongate member for traversing body vasculature defining a hollow lumen with one or more apertures at or near its distal end, wherein electrical energy can flow through the wall of the elongate member; and an energy delivery device in electrical communication with the elongate member is located distal to the end of the elongate member. The energy delivery device includes an electrode for delivering energy. Methods of using the electrosurgical device include cutting through occlusions and creating transseptal punctures.

A medical system includes a medical device and an analysis system. The medical device includes a perforation device having a shaft. The shaft has a proximal portion, and an opposed distal portion. A perforating tip is associated with the distal portion. At least a first light emitter is associated with the distal portion and is positioned proximate the perforating tip for illuminating a region surrounding the perforating tip. The analysis system is for analyzing returned light that is returned towards the shaft from the region surrounding the perforating tip. The analysis system includes a light sensor configured to detect one or more parameters of the returned light, a processor configured to perform an analysis of the one or more parameters, and an alert system connected to the processor for alerting a user to a result of the analysis.

A medical device and treatment method are configured to form a hole as a passage, which is used for treatment, in biological tissues without puncturing the biological tissue and while reducing the influence on a living body The medical device includes: a shaft portion which is elongated, a pressing portion on a distal side of the shaft portion to press the tissue, and a thrusting portion provided further on the distal side of the shaft portion than the pressing portion and configured to be thrust into a joint portion of the tissue. When pressing the biological tissue using the pressing portion, a direction from the shaft portion to the pressing portion and a direction from the shaft portion to the thrusting portion are different from each other, and the pressing portion can be expanded and contracted in an expansion direction intersecting a shaft center direction of the shaft portion.