A device for vessel harvesting is disclosed. The device for vessel harvesting includes a distal housing, a dissector coupled to the distal housing, a drive element coupled to the dissector, and an actuator coupled to the drive element. The device for vessel harvesting may also include a rotatable dissector, a shaft coupled to the distal housing having a first articulation joint movable within a first plane, and a second articulation joint movable within a second plane, which is substantially perpendicular to the first plane, a barrel chain drive element coupled to the rotatable dissector, and an actuator coupled to the drive element. The device for vessel harvesting may also include a member slidably engaged to the distal tip.

A vascular device for treating a tract of a blood vessel has an intraluminal element having at least one dispensing opening for dispensing a pharmacological agent in the tract of the blood vessel, and an abrasion element coming into contact with an inner wall of the blood vessel to remove material from the inner wall. The abrasion element has a contact portion for removing the material and a collection portion for collecting the removed material. and is configured to expand between a rest configuration and a contact configuration. The abrasion element has a first surface facing the intraluminal element and configured to face a fluid inside the blood vessel. The first surface in the contact configuration forms a concave portion adapted to face the fluid inside the blood vessel. The collection portion includes the concave portion to collect the material removed from the inner wall treated with the pharmacological agent.

Devices and methods for the treatment of chronic total occlusions are provided. One disclosed embodiment comprises a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method includes providing a first intravascular device having a distal portion with a concave side, inserting the first device into the vascular lumen, positioning the distal portion in the vascular wall, and orienting the concave side of the distal portion toward the vascular lumen.

A variety of configurations of implant management devices are provided. The configurations provide different combinations of features for maintaining a location of an implant with respect to the device and managing filaments of the implant. One exemplary embodiment of a device includes a generally rectangular-shaped body having an implantable body retainer, an opening disposed a distance apart from the retainer and configured to receive a ligament graft therein, and a fold extending across the body and intersecting the opening. Folding one end of the body towards a bottom surface of the body along the fold can form a filament loop engaging region to hold in tension a filament loop extending from the implant. Additional filament(s) associated with the implant can be managed by various filament retention features. Methods for preparing a ligament graft for implantation by relying upon indicia formed on a surface of the device body are also provided.

A guide is disclosed that operates to guide in the creation of a bone spur to facilitate harvesting a quadriceps tendon and includes an end having a width equal to a desired graft width with a terminal slope equal to a cutting angle desired. In use, the guide may be initially positioned parallel to the femur to form guide cuts in the patella. The guide is then rotated ninety degrees to allow an angled cut at the guide cut. The guide is again rotated, this time one hundred eighty degrees and a second angled cut made on the other guide cut. A final lateral cut is made and the bone spur may be lifted from the patella.

Methods and devices for temporarily occluding blood vessels are provided for use in emergency conditions to control trauma-induced hemorrhaging.

Devices and methods for the treatment of chronic total occlusions are provided. One disclosed embodiment comprises a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method includes inserting an intramural crossing device into the vascular lumen, positioning at least the distal tip of the crossing device in the vascular wall, advancing an orienting device over the crossing device such that an orienting element of the orienting device resides in the vascular wall, inserting a reentry device, and re-entering the true vascular lumen.

Unitary endoscopic vessel harvesting devices are disclosed. In some embodiments, such devices comprise an elongated body having a proximal end and a distal end; an inflatable, coated or conditioned tip disposed at the distal end of the elongated body; and a cutting unit having a first cutting portion and a second cutting portion, the first cutting portion and the second cutting portion being moveable in a longitudinal direction relative to the elongated body to capture a blood vessel between the first cutting portion and the second cutting portion, and being rotatable relative to one another circumferentially about the tip to cut the captured blood vessel.

A treatment device is disclosed, which includes a dissecting section main body which is configured to dissect tissue in a living body when inserted into the living body along a blood vessel, and which has a slit permitting a branch vessel branched from the blood vessel to enter into the slit, a stanching section which is disposed at the slit and which presses and cauterizes the branch vessel introduced into the slit, and a cutting section which is disposed at the slit and which cuts the cauterized branch vessel.

The present disclosure provides a dual-blade tendon cutting apparatus and cartridge for multiple apparatuses. Exemplary aspects of the present disclosure relate to a cutting implement that comprises two parallel blades that are spaced apart from one another by a predefined distance. The distance between the blades determines a lateral size of a graft being taken from the quadriceps tendon. To simplify matters for the surgeon, a cartridge is provided with three different blade sets. Much like a razor that has a disposable head, the cutting implement may attach to a desired blade set and be used.