Provided is a surgical dissector instrument including a pair of arms pivotably connected intermediate their ends, with each arm having a handle at one end, and a tooth formation at the other, wherein the tooth formations are mutually opposable and asymmetrical in profile.

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.

The shaft-type instrument (1) has a shaft part (2), fixedly connected at one end to a shaft grip (3), and a sliding part (4). The sliding part (4) is displaceably mounted relative to the shaft part (2) and is, at one end, in operative connection with a pretensioned handgrip (5) such that by actuating the handgrip (5), the sliding part (4) is displaceable counter to the pretension. A respective lever arm (7, 7′) is articulated at two spaced apart shaft articulation points (6, 6′) on the shaft part (2) or shaft grip (3). The handgrip (5) has a coupling section (8) which connects the lever arms (7, 7′) and coupling joints (9, 9′) to one another such that same can pivot in the same direction. The coupling joints are spaced apart and a grip section (10) extends transverse to the coupling section (8) and to the shaft part (2).

An endoscope for removing tissue at a surgical site includes an elongated tubular body insertable within a mammalian cavity of a patient. An instrument channel extends between a first opening at a distal end and a second opening at a proximal end of the tubular body and is sized and configured to receive a surgical cutting assembly that includes an aspiration channel configured to remove material entering the endoscope via a distal end of the surgical cutting assembly. A torque generation component configured to generate torque is positioned within the distal end and configured to provide the generated torque to a coupling component. The coupling component is positioned at the distal end of the elongated tubular member and configured to actuate a cutting component of the surgical cutting assembly responsive to actuation of the torque generation component.

Systems, instruments, methods, and compositions are described involving removing a portion of the epidermis within a donor site on a subject, and harvesting dermal plugs within the donor site. An injectable filler is formed by mincing the dermal plugs. The injectable filler is configured for injecting into a recipient site on the subject.

The present disclosure provides a tissue-removing catheter for removing tissue in a body lumen that includes an elongate body, a handle, tissue-removing element, liner assembly, and coupling assembly. The elongate body is sized and shaped to be received in the body lumen. The tissue-removing element is mounted on a distal end portion of the elongate body and removes tissue as rotated by the elongate body. The liner assembly defines a guidewire lumen. The coupling assembly is coupled to the liner assembly with a first orientation and a second orientation relative to the coupling assembly. The first orientation permits distal movement of the liner assembly relative to the coupling assembly prior to rotation of the elongate body to rotate the tissue-removing element. The second orientation is relative to the coupling assembly after rotation of the elongate body to prevent distal movement of the liner assembly relative to the coupling assembly.

Disclosed embodiments provide an apparatus and method of removing tissue from a body of a human or non-human animal. The disclosed embodiments includes a tool that may have a cutting edge to drill into tissue. The tool has magnetizable segments, which may be translated or rotated by an applied magnetic field

A tissue traction device, system, and method presenting a grasping rail for coupling with a portion of a target tissue at a treatment site to apply a force, such as traction, to the grasped tissue, such as to facilitate performance of a procedure on the target tissue. A tissue traction device, system, and method having a distal support element, a proximal support element, and at least one expansion element extending therebetween. The at least one expansion element is extendable to define a working area for a procedure to be formed on target tissue at a treatment site. Two or more expansion elements may define a working area unimpeded by the expansion elements. The distal support element may be expandable to anchor the tissue traction device with respect to tissue.

A device suitable for use in a body lumen and comprises an elongated control member having a distal and a proximal end, and a radially expansible member disposed at or near the distal end and adapted for collection and/or shearing of matter (i.e. thrombus) from a wall of the body lumen (i.e. a vein or an artery). The radially expansible member has a proximal end and a distal end and is adjustable between a contracted orientation and an expanded orientation. The elongated control member comprising a proximal arm connected at or adjacent to the proximal end of the radially expansible member and a distal arm connected at or adjacent to the distal end of the radially expansible member such that movement of one arm relative to the other arm effects adjustment of the diameter or radial strength of the radially expansible member. The device comprises a control mechanism operatively connected to both arms and adapted to provide resistance to the movement of one arm relative to the other. The control mechanism may be a biasing means, a brake means, or both.

A collector used to collect bone includes: a container body defining an interior containment space for receiving and retaining collected bone, and having at least one open end for access and removal of collected bone from the interior containment space; and a cap in covering relation to the open end of the container body such that access to the interior containment space for removal of collected bone is inhibited. The collector includes an intake port defining an opening for receiving therein a distal end of a kerrison rongeur for collecting cut bone from a cutting area thereof, and the cap includes at least one scraper for engaging and dislodging cut bone from the cutting area of a distal end of a kerrison rongeur when received within the intake port. The collector preferably is used with a kerrison rongeur for collecting cut bone therefrom.