Sinusitis and other disorders of the ear, nose and throat are diagnosed and/or treated using minimally invasive approaches with flexible or rigid instruments. Various methods and devices are used for remodeling or changing the shape, size or configuration of a sinus ostium or duct or other anatomical structure in the ear, nose or throat; implanting a device, cells or tissues; removing matter from the ear, nose or throat; delivering diagnostic or therapeutic substances or performing other diagnostic or therapeutic procedures. Introducing devices (e.g., guide catheters, tubes, guidewires, elongate probes, other elongate members) may be used to facilitate insertion of working devices (e.g. catheters e.g. balloon catheters, guidewires, tissue cutting or remodeling devices, devices for implanting elements like stents, electrosurgical devices, energy emitting devices, devices for delivering diagnostic or therapeutic agents, substance delivery implants, scopes etc.) into the paranasal sinuses or other structures in the ear, nose or throat.

A catheter has single axis sensors mounted directly along a portion of the catheter whose position/location is of interest. The magnetic based, single axis sensors are on a linear or nonlinear single axis sensor (SAS) assembly. The catheter includes a catheter body and a distal 2D or 3D configuration provided by a support member on which at least one, if not at least three single axis sensors, are mounted serially along a length of the support member. The magnetic-based sensor assembly may include at least one coil member wrapped on the support member, wherein the coil member is connected via a joint region to a respective cable member adapted to transmit a signal providing location information from the coil member to a mapping and localization system. The joint region provides strain relief adaptations to the at least one coil member and the respective cable member from detaching.

A surgical instrument (10), comprising: a surgical execution component (100), a linkage part (200), and a manipulation component (300), the distal end of the linkage part (200) being connected to the surgical execution component (100) and the proximal end of the linkage part (200) being connected to the manipulation component (300). The surgical instrument (10) uses the linkage part (200) having two rotational degrees of freedom, such that when the manipulation component (300) drives, by means of the linkage part (200), the surgical execution component (100) to rotate at a fifth rotational degree of freedom (R5) and/or a sixth rotational degree of freedom (R6), the swing directions of the surgical execution component (100) and the manipulation component (300) at a first rotational degree of freedom (R1) and a second rotational degree of freedom (R2) are consistent. Therefore, the surgical instruction (10) implements technical effects of improving the moving direction accuracy of the surgical execution component (100), improving the accuracy of the action of the surgical instruction (10), and facilitating surgical operations.

The present invention provides transseptal puncture devices configured to access structures on the left side of the heart from the right side of the heart without requiring open-heart surgery. The devices have adjustable stiffness to enter the vasculature in a flexible, atraumatic fashion, then become rigid once in place to provide a stable platform for penetration of the fossa ovalis. The devices are further configured to controllably and stably extend a needle to puncture the FO. The devices include an indwelling blunt stylus that can extend perpendicularly from the device to increase the accuracy of placement near the fossa ovalis.

A sheath, including a sheath body, a handle, and a traction wire. The traction wire includes a first traction wire. The handle includes a first guide rail member and a first slider. The first slider is connected to the first traction wire. A first groove is provided on an outer wall of the first guide rail member along an axial direction. The first groove includes a first bottom and a first side wall. The first slider slides in the first groove along the first side wall so as to drive the first traction wire to move. At least part of the outer wall of the first guide rail member is radially recessed to a central shaft of the first guide rail member to form the first groove.

A surgical cutting and fastening instrument comprises an end effector that has a shaft coupled thereto that is coupled to a robotic system. A tool mounting portion includes an electric, DC motor connected to a drive train in the shaft for powering the drive train. A power pack that comprises at least one charge-accumulating device connected to the DC motor for powering the DC motor is provided.

A medical probe includes a shaft for navigation in a patient body, and first and second deflection mechanisms. The shaft ends with a flexible section and a spring, followed by a rigid distal tip having one or more medical devices coupled thereto. The first deflection mechanism is configured to deflect the flexible section relative to the shaft. The second deflection mechanism is configured to deflect the distal tip relative to the first flexible section by using the spring.

A catheter tube comprises a tube wall, which surrounds a tube lumen, wherein the tube wall comprises the following: a mesh; and a guide lumen around which the mesh is braided and in which a pull element extends from a proximal portion of the catheter tube to a distal portion of the catheter tube. The pull element is connected in a tension-resistant manner to the tube wall in the distal portion. The guide lumen guides the pull element at least partially around the tube lumen.

A system for aspirating thrombus and delivering an agent includes an aspiration catheter having a supply lumen having a proximal end, a distal end, and a wall, and an aspiration lumen having a proximal end, an open distal end, and an interior wall surface adjacent the open distal end, and at least one orifice at or adjacent the distal end of the supply lumen, in fluid communication with the aspiration lumen and located proximally of the open distal end of the aspiration lumen, wherein the at least one orifice is configured to create a spray pattern that is caused to impinge on the interior wall surface of the aspiration lumen such that the spray pattern upon impinging on the interior wall surface is caused to transform into at least a substantially distally-oriented flow capable of exiting the open distal end of the aspiration lumen.

A microcatheter with a guidewire therein can be steered to target tissue, then the target tissue can be punctured with the guidewire to create a transseptal puncture. The microcatheter can have a diameter substantially smaller than known sheaths which are typically used to guide a needle to a target puncture site in known transseptal puncture treatments. The guidewire can have an atraumatic, electrically conductive distal end that can be electrically energized to puncture the target tissue. Once the guide wire is across, ancillary devices such as a dilator and sheath can be delivered over the guide wire across the transseptal puncture. The microcatheter can include one or more location sensors. A navigation module can use the electrically conductive distal end as a reference electrode to the location sensor(s) of the microcatheter.