Components for an endoscopic vessel harvesting system include a vessel dissector and a vessel harvester. In this case, a vessel dissector is provided that is used in conjunction with an endoscope, and comprises: an elongated cannula including a lumen therein for receiving the endoscope; a blunt dissecting tip provided on a distal end of the elongated cannula that permits an operator of the vessel dissector to dissect tissue while viewing internal body structures via an objective lens of the endoscope; and a vessel severing tool extending through at least a portion of the elongated cannula, wherein the vessel severing tool is capable of translating longitudinally relative to the elongated cannula, and wherein the vessel severing tool comprises an electrode-carrying member that is capable of translating circumferentially within an arcuate slot extending through an outer surface of the vessel dissector.

A device for treatment of varicose veins includes a catheter (1), which can be inserted into a vein to be treated. There is a balloon (2) with at least one cutting element (3) for cutting at least part of an inner wall of the vein arranged on a proximal end (1a) of the catheter. The catheter has side openings (7a-7c), through which a sclerosing agent can be introduced into the vein. The at least one cutting element includes a cutting edge configured to cut intima and media of the vein when withdrawing the balloon from the vein after treatment with the sclerosing agent.

It is provided an invasive instrument for the treatment of a vessel, which possibly includes secondary vessels, with a tip formed for the dissection of tissue at the distal end of a shaft to be introduced into the body. The tip includes at least one recess, in particular a vessel receptacle, which is arranged and formed such that in the operating condition of the instrument always at least one functional unit of the shaft is kept clear, so that working on the vessel, a secondary vessel and/or on the surrounding tissue is possible using or by means of the functional unit.

A method for collapsing a target vein in a patient. The method comprises providing an intravascular irritation element having a plurality of mechanical irritating objects, inserting the intravascular irritation element into a venous lumen of a target vein, and irritating the target vein by moving the plurality of mechanical irritating objects in contact with the inner surface thereof, thereby triggering a collapse of the target vein.

Catheter removal instruments are provided that can include: at least a pair of instrument jaws aligned along the same axis and opposing one another when engaged, each of the jaws defining recesses having openings wherein the openings of each jaw oppose one another; and a plurality of tips and valleys within the recess with the tips extending toward the openings of each of the jaws, and each of the tips of one jaw aligned opposing the tip of another jaw when the jaws are engaged. Catheter removal instruments are also provided that can include: at least a pair of instrument jaws aligned along the same axis and opposing one another when engaged, each of the jaws defining recesses having openings wherein the openings of each jaw oppose one another; and wherein each of the jaws defines a semi-round channel having a smooth outer surface.

Methods for removing a catheter are provided that can include working a pair of opposing semi-round channeled jaws over a brace to free the brace of dermis engaged with the brace; and removing the catheter. Methods for removing a catheter are also provided that can include engaging a catheter tube below the dermis with a plurality of tips extending from individual opposing jaws to remove the catheter.

There is provided a device for automatic synchronized injection and aspiration of fluids comprising: a first linear actuator; a second linear actuator; a first coupling mechanism attached at a distal end portion of the first linear actuator, the first coupling mechanism arranged for detachable coupling to a first plunger of a first syringe; a second coupling mechanism attached at a distal end portion of the second linear actuator, the second coupling mechanism arranged for detachable coupling to a second plunger of a second syringe; and a synchronization mechanism mechanically coupled to the first and second linear actuators, the mechanism arranged so that insertion of the first plunger further into a first barrel of the first syringe is synchronized with extraction of the second plunger from a second barrel of the second syringe, thereby injection from the first syringe is synchronized with aspiration into the second syringe.

Surgical forceps for removing varicose veins with surgical forceps and related methods are provided. The surgical forceps comprise an elongate tubular sheath, two jaws mounted movably relative to each other around a pivot axis at a distal end of the tubular sheath, two maneuvering branches each having a ring for the insertion of a finger, and a linkage for transmitting the movement of the maneuvering branches to the jaws. The method comprises inserting a finger in each ring, introducing the surgical forceps into a patient's skin, and moving the maneuvering branches towards one another to move the jaws to a gripping position to grip the varicose veins.

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.

Apparatus for fastening tissue to tissue or non-tissue comprising: a distal implant and a proximal implant, wherein: said distal implant comprises a body and a locking shaft mounted to said body, wherein said body of said distal implant comprises a plurality of legs which may assume (i) a diametrically-reduced configuration for disposition within the lumen of a tube, and (ii) a diametrically-expanded configuration for disposition against the first structure, and further wherein said locking shaft comprises a first locking element for selective connection to said proximal implant and a second locking element for selective connection to an inserter for deploying said occluder; and said proximal implant comprises a body having an opening, wherein said body of said proximal implant comprises a plurality of legs which may assume (i) a diametrically-reduced configuration for disposition within the lumen of a tube, and (ii) a diametrically-expanded configuration for disposition against the second structure, and further wherein said body of said proximal implant comprises a third locking element for selective connection to said first locking element of said distal implant; wherein said locking shaft of said distal implant is slidably receivable within said opening in said body of said proximal implant, and further wherein said first locking element of said distal implant and said third locking element of said proximal implant are selectively engagable with one another so as to hold said distal implant and said proximal implant in fixed position relative to one another.

The disclosure includes a controller and a sheath having an open proximal sheath end coupled to the controller, an open distal sheath end configured for insertion into a vascular system of a patient, and a working lumen extending through the sheath. The system may include a wire extending from the controller through the working lumen, the wire having a distal wire end configured to mechanically treat a vessel wall of a treatment segment, a length of the distal wire end defining a length of the treatment segment. The working lumen may be configured to slidably receive the wire and allow for a passage of a fluid about the wire therethrough to chemically treat the treatment segment. When the system receives a first input the distal wire end may mechanically treat the vessel wall. When the system receives a second input and/or a third input, the system may deliver the fluid.