A catheter for debulking of an undesired deposit from an inner surface of at least one of a blood vessel wall and a stent located in a blood vessel, the catheter having a tip section comprising: circumferentially-directed laser optics; and a circular-action cutter, wherein said circumferentially-directed laser optics is configured to transmit laser radiation for modifying an area of the undesired deposit thereby preparing said area for penetration of said cutter, wherein said cutter is configured to cut through said modified area and thereby debulk at least a part of the undesired deposit. In addition, a catheter for pacemaker and ICD (Implantable Cardioverter Defibrillator) lead extraction is disclosed.

Method and devices for viewing one or more valve leaflets via a viewer. In some embodiments the viewer includes a body having a first end and a second end opposite the first end, the first end being closed and having a transparent viewing window, the second end arranged to be attached to an aorta or a pulmonary artery, and one or more ports arranged to provide fluid access to an internal portion of the viewer to pressurize the one or more leaflets. A diameter of the viewing window is larger than an outer diameter of the second end. An outer diameter of the first end of the body is larger than an outer diameter of the second end. The body is a tubular body.

Components for an endoscopic vessel harvesting system suitable for harvesting target vessels such as the saphenous vein or radial artery for cardiac artery bypass graft surgery. The main components of such systems include a vessel dissector and a vessel harvester, both of which work in conjunction with a separately provided endoscope. The vessel dissector is an elongated cannula having a blunt tip for separating layers of facial around vessels. The tip may be movable, and is typically transparent to permit viewing forward of the tip using the endoscope. Internal features of the tip may reduce glare back to the endoscope. Several devices improve visibility through the tip by reducing interference from tissue or fluid on the tip. The vessel harvester also has an elongated cannula for receiving the endoscope. Several tools within the harvester permit manipulation, severing, and sealing of vessels forward of the distal end. The tool for manipulating vessels may have a low-profile for increased visibility of operation, and may be coupled to the cannula with a damping mechanism to reduce the possibility of avulsion of the vessels. Various vessel cutting and sealing devices are provided that may accommodate various sizes of vessels and improve cutting and sealing efficacy.

A catheter-based imaging system comprises a catheter having a telescoping proximal end, a distal end having a distal sheath and a distal lumen, a working lumen, and an ultrasonic imaging core. The ultrasonic imaging core is arranged for rotation and linear translation. The system further includes a patient interface module including a catheter interface, a rotational motion control system that imparts controlled rotation to the ultrasonic imaging core, a linear translation control system that imparts controlled linear translation to the ultrasonic imaging core, and an ultrasonic energy generator and receiver coupled to the ultrasonic imaging core. The system further comprises an image generator coupled to the ultrasonic energy receiver that generates an image.

One or more triggers, fluorescence or auto-fluorescence triggers, NIRAF triggers, methods of using triggers, fiber optic rotary joints (FORJ), free space beam combiners, OCT, SEE and/or fluorescence devices and systems for use therewith, methods of using and/or manufacturing same and storage mediums are provided. One or more embodiments using one or more triggers achieve structural compactness and/or high-speed acquisition while avoiding or reducing the need for high computational power. One or more embodiments use one or more triggers, one or more fluorescence triggers, one or more auto-fluorescence triggers, or NIRAF triggers, and/or one or more rotary joints, for performing pullback and/or image recording. Examples of optical applications that may involve the use of a trigger, fluorescence/auto-fluorescence trigger or NIRAF trigger, and/or a fiber optic rotary joint, include imaging, evaluating and characterizing/identifying biological objects or tissue, such as, but not limited to, for gastro-intestinal, otolaryngologic, cardio and/or ophthalmic applications.

Systems, devices, and methods for providing access to the heart. The system includes an intracardiac access device comprising an elongate member having a channel extending between a distal end and a proximal end thereof. The intracardiac access device is configured to be advanced through an extrapericardial penetration in the left atrial wall without penetrating the pericardium of the heart. An optional procedural device is configured to be advanced through the channel of the intracardiac access device into an internal chamber of the heart and configured to perform a surgical procedure in the internal chamber of the heart. A working channel of an optional suprasternal access device is configured to facilitate access of the intracardiac access device into the body of the patient by providing a path from a suprasternal opening to a position adjacent the roof of the left atrium.

A catheter for debulking of an undesired deposit from an inner surface of at least one of a blood vessel wall and a stent located in a blood vessel, the catheter having a tip section comprising: circumferentially-directed laser optics; and a circular-action cutter, wherein said circumferentially-directed laser optics is configured to transmit laser radiation for modifying an area of the undesired deposit thereby preparing said area for penetration of said cutter, wherein said cutter is configured to cut through said modified area and thereby debulk at least a part of the undesired deposit. In addition, a catheter for pacemaker and ICD (Implantable Cardioverter Defibrillator) lead extraction is disclosed.

An optical rotary junction module for an OCT system according to the present invention includes an OCT connection part having a screw thread formed on an outer peripheral surface thereof, the OCT connection part being connected to an OCT system configured to produce light, a connecting/fixing part having a screw thread formed on an inner peripheral surface thereof and screw-coupled to and engaging with the screw thread formed on the outer peripheral surface of the OCT connection part, a first housing having a screw thread formed on an inner peripheral surface of one end thereof and a screw thread formed on an inner peripheral surface of the other end thereof, the first housing having one end screw-coupled to the connecting/fixing part, a second housing screw-coupled to the screw thread formed on the inner peripheral surface of the other end of the first housing, a hollow motor inserted into the second housing and configured to generate rotational power, and an adapter configured to be coupled to an imaging catheter configured to be inserted into a blood vessel of a human body and transmit light received from the OCT system. The optical rotary junction module has the effects of reducing noise generated during high-speed rotation, and preventing failure caused by abrasion or the like. Moreover, the module may be structurally simplified and reduced in size, and the product cost per unit thereof may be lowered by minimizing the components.

A flexible endoscope of the present invention includes a catheter portion and a connection plug. The catheter portion includes an image guide, a light guide, and a catheter tube that surrounds the image guide and the light guide in a longitudinal direction, and the connection plug includes a hollow cover that accommodates the proximal end of the catheter tube, a flexible tube that protrudes from the hollow cover and through which the catheter tube is passed, a first connection terminal that is connected to the light guide extending from the proximal end of the catheter tube, and a second connection terminal that is connected to the image guide extending from the proximal end of the catheter tube. The image guide and the light guide are slidable inside the catheter tube, and at least one of the image guide and the light guide is arranged curved inside the hollow cover of the connection plug.

A device and method is provided for a suction tool combined with an optical probe. A suction device is provided having a tip with a hollow tubular body, a plurality of optical fibers embedded in the tip and a concentric ring attached to the tip, wherein the ring end has an inner beveled reflective surface opposing the optical fibers. A method is provided for optically measuring tissue in a medical procedure comprising suctioning a tissue using a suction device, sending optical signals along optical fibers through the suction device; directing the signals from the optical fibers onto the tissue using a beveled surface; receiving optical signals from the tissue in optical fibers via the beveled reflective surface; measuring the received optical signals in a spectrometer or detector; and releasing, resecting or ablating the tissue through the suction device.