An atherectomy device (100) for removing occlusive material from the vasculature of a subject includes a sheath (116) and a drive shaft (216) disposed within the sheath. The drive shaft (216) couples to a cutting element (118). The drive shaft (216) is rotatable relative to the sheath (116) to rotate the cutting element (118). The drive shaft (216) and the sheath (116) define therebetween a material removal passageway (218) for receiving the occlusive material. The drive shaft (216) includes a coil (504) having an inner lumen (512). A jacket (516) is disposed outwardly of the coil (504), and the jacket (516) inhibits the occlusive material in the material removal passageway (218) from passing through the coil and entering the inner lumen (512).

An electrosurgical device including an elongated body extending from a proximal portion to a distal portion and defining an internal passageway configured to convey tissue from the distal portion to the proximal portion; a coring electrode at the distal portion of the elongated body, where the coring electrode is positioned at an opening to the internal passageway, and where the coring electrode is configured to deliver electromagnetic energy to adjacent tissue to cut a volume of the tissue as the tissue is conveyed into the internal passageway; and a powered conveyance mechanism positioned within the internal passageway configured to further cut the volume of the tissue and convey the volume of the tissue proximally within the internal passageway.

A cutting instrument comprising: an outer tube comprising a distal end and a proximal end; an inner tube rotatably disposed within said outer tube, said inner tube comprising a distal end, a proximal end and a region intermediate said distal end and said proximal end, said region comprising a plurality of slits formed in said inner tube so as to render said region of said inner tube flexible; and a bellows disposed adjacent to said plurality of slits so as to render said region of said inner tube fluid-tight.

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.

A device suitable for removing material from a living being is provided, featuring at least an aspiration pump, powered by a motor. The aspiration pump and any optional infusate pump preferably feature a helical pumping mechanism, and operate at a high rate of rotation, thereby ensuring adequate pumping performance and flexibility. The helical pumping mechanism may be a helical coiled wire about a central core tube. The helical coil wire, whether together with, or independent of, the core tube, may be rotated to cause a pumping action. Additionally, a narrow crossing profile is maintained, ensuring that the device may reach more tortuous regions of the vasculature. In one embodiment, the system comprises a wire-guided mono-rail catheter with a working head mounted on a flexible portion of the catheter that can laterally displace away from the guide wire to facilitate thrombus removal. The working head may be operated to separate and move away from the guide wire to come within a closer proximity of the obstructive material to more effectively remove it from the vessel.

A surgical instrument for use with a robotic system that has a control unit and a shaft portion that includes an electrically conductive elongated member that is attached to a portion of the robotic system. The elongated member is configured to transmit control motions from the robotic system to an end effector.

The present disclosure generally relates to the field of medical devices for treatment and diagnosis of paranasal sinus conditions and methods of using same. There is disclosed a device having a hollow shaft configured to be inserted into a paranasal sinus through a natural opening thereof. The hollow shaft is shaped/configured to reach a treatment area within the paranasal sinus.

A surgical device is provided that includes a jaw portion with a first jaw and a second jaw moveable relative to the first jaw. The surgical device also includes a shaft portion coupled to a proximal end of the jaw portion. A driver is configured to cause relative movement of the jaw portion and the shaft portion. The driver may be configured to cause the jaw portion to pivot relative to the shaft portion about a pivot axis that is perpendicular to first and second longitudinal axes defined by the jaw portion and the shaft portion, respectively. The driver may also be configured to cause at least a portion of the jaw portion to rotate relative to the shaft portion about the first longitudinal axis. Advantageously, the surgical device includes a surgical member, e.g., a cutting element and/or a stapling element, disposed within the first jaw.

A surgical instrument for use with a robotic system that has a control unit and a shaft portion that includes an electrically conductive elongated member that is attached to a portion of the robotic system. The elongated member is configured to transmit control motions from the robotic system to an end effector.

The invention refers to a catheter (51) for aspiration, fragmentation and removal of removable material from blood vessels. The catheter (51) comprises a flexible tube (52), a flexible helical transport screw (62) inside of the flexible tube (52), a stopper element (82) for providing an abutment for the distal end (64) of the flexible helical transport screw (62). The stopper element (82) is provided spaced from the distal end of the catheter (51), thereby defining a distal region (56) of the catheter (51) extending from the stopper element (82) in direction to the distal end of the catheter (51) which is free of rotational elements inside. A suction opening (74) for aspiration of the removable material into the inside of the flexible tube (52) is provided in the distal region (56) of the catheter (51).